NIH Consens State Sci Statements. 2006;23(3):1-26.
To provide health care providers, patients, and the general public with a responsible assessment of currently available data on tobacco use: prevention, cessation and control.
A non-DHHS, non-advocate 14-member panel included experts in the fields of medicine, general and pediatric psychiatry, addiction medicine, nursing, social work, population science, cancer prevention, minority health and health disparities, clinical study methodology, clinical epidemiology, and a public representative. A listing of the panel members and their institutional affiliations is included in the draft conference statement. In addition, 15 experts from pertinent fields presented data to the panel and conference audience.
Presentations by experts and a systematic review of the literature prepared by the RTI International-University of North Carolina Evidence-based Practice Center, through the Agency for Healthcare Research and Quality. Scientific evidence was given precedence over anecdotal experience.
The panel drafted its statement based on scientific evidence presented in open forum and on published scientific literature. The draft statement was presented on the final day of the conference and circulated to the audience for comment. The panel released a revised statement later that day at http://consensus.nih.gov. This statement is an independent report of the panel and is not a policy statement of the NIH or the Federal Government.
Tobacco use remains a very serious public health problem. Coordinated national strategies for tobacco prevention, cessation, and control are essential if the United States is to achieve the Healthy People 2010 goals. Most adult smokers want to quit, and effective interventions exist. However, only a small proportion of tobacco users try treatment. This gap represents a major national quality-of-care problem. Many cities and states have implemented effective policies to reduce tobacco use; public health and government leaders should learn from these experiences. Because smokeless tobacco use may increase in the United States, it will be increasingly important to understand net population harms related to use of smokeless tobacco. Prevention, especially among youth, and cessation are the cornerstones of strategies to reduce tobacco use. Tobacco use is a critical and chronic problem that requires close attention from health care providers, health care organizations, and research support organizations.
为医疗保健提供者、患者及普通公众提供对当前可用的烟草使用数据(预防、戒烟和控制方面)的负责任评估。
一个由14名成员组成的非美国卫生与公众服务部(DHHS)、非倡导性质的小组,成员包括医学、普通及儿童精神病学、成瘾医学、护理、社会工作、人口科学、癌症预防、少数族裔健康与健康差异、临床研究方法、临床流行病学等领域的专家以及一名公众代表。会议声明草稿中包含小组成员及其机构隶属关系的列表。此外,来自相关领域的15名专家向小组和会议听众展示了数据。
专家的陈述以及由RTI国际 - 北卡罗来纳大学循证实践中心通过医疗保健研究与质量局编写的文献系统综述。科学证据优先于轶事经验。
小组根据公开论坛上展示的科学证据以及已发表的科学文献起草其声明。声明草稿在会议最后一天展示并分发给听众以供评论。小组当天晚些时候在http://consensus.nih.gov上发布了一份修订声明。本声明是小组的独立报告,并非美国国立卫生研究院(NIH)或联邦政府的政策声明。
烟草使用仍然是一个非常严重的公共卫生问题。如果美国要实现《健康人民2010》的目标,全国性的烟草预防、戒烟和控制协调战略至关重要。大多数成年吸烟者想要戒烟,并且存在有效的干预措施。然而,只有一小部分烟草使用者尝试治疗。这一差距代表了一个重大的全国性医疗质量问题。许多城市和州已经实施了有效的减少烟草使用政策;公共卫生和政府领导人应借鉴这些经验。由于美国无烟烟草的使用可能会增加,了解与无烟烟草使用相关的总体人群危害将变得越来越重要。预防,尤其是在青少年中,以及戒烟是减少烟草使用战略的基石。烟草使用是一个关键的慢性问题,需要医疗保健提供者、医疗保健组织和研究支持组织密切关注。