Leone Frank T, Evers-Casey Sarah
Division of Pulmonary, and Critical Care Medicine, Department of Medicine, University of Pennsylvania School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Prim Care. 2009 Sep;36(3):489-507. doi: 10.1016/j.pop.2009.04.002.
Patients who smoke represent a frustrating social paradox. The harmful effects of tobacco use have been well publicized in the past 50 years, yet more than one in five adults in the United States continue to smoke. A better understanding of the nature of nicotine addiction, of behavioral learning, and of common misconceptions regarding tobacco use treatment, can create new opportunities to impact smoking by offering clinicians novel methods of influence that have otherwise not be available within the traditional cessation approach. Understanding and dealing with the paradox can provide more productive and meaningful ways of improving not only health, but potentially also improving well-being.
吸烟的患者构成了一个令人沮丧的社会悖论。在过去50年里，烟草使用的有害影响已得到广泛宣传，但美国仍有超过五分之一的成年人继续吸烟。更好地理解尼古丁成瘾的本质、行为学习以及关于烟草使用治疗的常见误解，可为临床医生提供传统戒烟方法中未曾有的新的影响方式，从而创造减少吸烟的新机会。理解并应对这一悖论不仅能提供更有效的方式来改善健康，还可能提升幸福感。
