Korean J Med.  2014 Sep;87(3):296-301. 10.3904/kjm.2014.87.3.296.

Effective Smoking-Cessation Strategies in Primary Care Setting

• Chun EM

• KMID: 2269239
• DOI: http://doi.org/10.3904/kjm.2014.87.3.296

Abstract

Smoking leads to nicotine addiction and serious health problems and smoking cessation can reduce the risk of developing smoking-related diseases and premature death. Smoking is a chronic disease that requires repeated interventions, including counseling and pharmacotherapy. These are both effective for smoking cessation, but combined intervention is more effective than using either alone. Several first-line medications are effective and recommended for use, such as nicotine-replacement therapy (patch, gum, inhaler, lozenge, and nasal spray), bupropion SR, and varenicline. Special populations such as adolescent smokers, pregnant women, and smokers with mental illness can be treated with both counselling and medication. Physicians should recommend effective counselling and pharmacotherapy strategies to all smokers at every clinic visit. Insurance coverage for counselling and medications for quitting smoking are essential to reduce the smoking rate, especially in a primary care setting.

Keyword

Smoking cessation; Effective intervention; Primary care setting

MeSH Terms

Adolescent
Ambulatory Care
Bupropion
Chronic Disease
Counseling
Drug Therapy
Female
Gingiva
Humans
Insurance Coverage
Mortality, Premature
Nebulizers and Vaporizers
Nicotine
Pregnant Women
Primary Health Care*
Smoke
Smoking
Smoking Cessation
Varenicline
Bupropion
Nicotine
Smoke