Sanders Jason L, Colson Yolonda L
Division of Thoracic Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.
J Gen Intern Med. 2008 Mar;23(3):344-7. doi: 10.1007/s11606-007-0493-9. Epub 2008 Jan 3.
In recent years, the decline in youth smoking rates has stopped as the tobacco industry strives to successfully reclaim market areas where it has lost favor. The plateau in lung cancer incidence and stagnation in progress toward smoking abstinence illustrates the necessity for renewed efforts to fight tobacco use. Barriers to fighting tobacco use exist in both the clinical arena and within the general population, but can be overcome. Primary care physicians (PCPs) are uniquely poised to successfully treat nicotine dependence with strategic targeting of these barriers, improved training in smoking cessation techniques, and focused political efforts in tobacco control. Herein, this article describes the landscape of tobacco use in America and provides background, methodology, and resources for PCPs to help achieve the goals of Healthy People 2010 in reducing the illness, disability, and death that occur as a result of tobacco use and exposure to secondhand smoke.
近年来，随着烟草行业努力成功收复其失宠的市场领域，青少年吸烟率的下降趋势已经停止。肺癌发病率的平稳以及戒烟进程的停滞表明，有必要重新加大力度打击烟草使用。打击烟草使用的障碍在临床领域和普通人群中都存在，但可以克服。初级保健医生（PCP）处于独特的有利地位，能够通过对这些障碍进行战略定位、改进戒烟技术培训以及在烟草控制方面集中开展政治努力，成功治疗尼古丁依赖。本文在此描述了美国烟草使用的情况，并为初级保健医生提供背景、方法和资源，以帮助实现《2010年美国人健康目标》中减少因烟草使用和接触二手烟而导致的疾病、残疾和死亡的目标。
