_tobacco use and dependence overview处理烟草使用和依赖概述课件

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1、AU.S.PublicHealthServiceClinicalPracticeGuidelineJune2000TreatingTobaccoUseandDependencePHSIntroductionPHSSmokinginPerspectiveKillsmorethan430,000Americanseachyear25%ofadultAmericanssmoke3,000childrenandadolescentsbecomeregulartobaccouserseverydayCausescancer,heartdisease,stroke,pulmonarydiseas

2、e,andadversepregnancyoutcomesAdds$50billionindirecthealthcostseachyearOne-thirdofalltobaccousersinU.S.willdieprematurelyOpportunityforIntervention70%ofsmokershavemadeatleastoneunsuccessfulquitattempt46%trytoquiteachyearMorethan70%ofsmokersvisitahealthcaresettingeachyearEffectivetreatmentsexistw

3、hichproducelong-termorpermanentabstinenceBarrierstoTreatingTobaccoUseandDependenceInadequateinstitutionalsupportforroutineassessmentandtreatmentClinician’slackofknowledgeof:HowtoidentifyandtreattobaccousersWhichtreatmentsareefficaciousChronicnatureofnicotineaddictionTimeconstraintsinclinicalpr

4、acticeTobaccoDependenceasaChronicDiseaseTobaccodependencedemonstratesfeaturesofachronicdisease:Long-termdisorderPeriodsofrelapseandremissionRequiresongoingratherthanacutecareTreatingTobaccoUseandDependencePHSClinicalPracticeGuidelineSponsoredbyaconsortiumof7nonprofitandGovernmentagencies:Agenc

5、yforHealthcareResearchandQualityCentersforDiseaseControlandPreventionNationalCancerInstituteNationalHeart,Lung,andBloodInstituteNationalInstituteonDrugAbuseRobertWoodJohnsonFoundationUniversityofWisconsinMedicalSchool’sCenterforTobaccoResearchandInterventionGoalsforDevelopingtheGuidelineIdentif

6、yeffectivetreatmentsfortobaccouseanddependenceTranslatetheevidentiaryfindingsintospecificstrategiesforaddressingtobaccouseanddependence:BriefinterventionsIntensiveinterventionsSystemsinterventionsMethodologyPHSMethodologyLiteraturesearchandreviewof6,000articlespublishedbetween1975and1999Article

7、sreviewedforpossibleinclusioninmeta-analyses192articlesmetcriteriaforinclusioninameta-analysisAdditional500+articlesexaminedbyGuidelineExpertPanelDraftreviewedbymorethan70externalpeerreviewerspriortofinalMajorFindingsandRecommenda