Coultas D B
Department of Medicine, University of New Mexico School of Medicine, Albuquerque.
Clin Chest Med. 1991 Dec;12(4):755-68.
Physicians have many opportunities to facilitate smoking cessation among individual patients, and this could be complemented by efforts to curb smoking at the community level. If every physician advised all smokers to quit, there would be considerable public health benefit from the additional 5% to 10% of smokers who followed the advice. The benefits would be substantially greater if the interventions were targeted to the smoker's stage of change and with ongoing participation by the physician in the smoking cessation process. Possibly as important as the physician's active role with individual smokers are community-wide efforts to curb tobacco smoking. These efforts are essential to the prevention of the initiation of cigarette smoking among children and adolescents. Changing societal norms regarding cigarette smoking will not only decrease the numbers of future smokers but will also assist current smokers in cessation efforts.
医生有很多机会促使个体患者戒烟，而在社区层面抑制吸烟的努力可以对此起到补充作用。如果每位医生都建议所有吸烟者戒烟，那么额外5%至10%听从建议的吸烟者将给公众健康带来可观益处。如果干预措施针对吸烟者的改变阶段，并且医生持续参与戒烟过程，益处将显著更大。与医生在个体吸烟者身上发挥的积极作用同样重要的可能是全社区抑制吸烟的努力。这些努力对于预防儿童和青少年开始吸烟至关重要。改变关于吸烟的社会规范不仅会减少未来吸烟者的数量，还将帮助当前吸烟者进行戒烟努力。
