Korean J Fam Pract.  2024 Dec;14(4):184-192. 10.21215/kjfp.2024.14.4.184.

Smoking Cessation Treatment in Primary Care

Affiliations
  • 1Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea
  • 2Department of Family Medicine, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea
  • 3Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 4Department of Family Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea
  • 5Department of Family Medicine, Ilsan Paik Hospital, Inje University, Goyang, Korea

Abstract

Smoking is a major health risk factor contributing to substantial morbidity and mortality worldwide. Although most smokers express a desire to quit— or they attempt to do so—, achieving smoking cessation solely through individual willpower is often challenging. Primary care plays a pivotal role in supporting smoking cessation efforts by increasing the likelihood of success. Even brief advice from a physician significantly increases the chance of quitting, and combining counseling with pharmacotherapy further improves cessation rates. Particular attention is required for smokers in special populations, such as those with cardiovascular diseases or mental health conditions, wherein tailored and proactive smoking cessation interventions are crucial. Digital health tools, including smartphone applications and text messaging interventions, have recently emerged as effective strategies to support personalized smoking cessation behaviors. Furthermore, institutional support, such as national programs, quitlines, and post-screening counseling for lung cancer, are critical resources that promote successful cessation. Primary care physicians are uniquely positioned to foster longterm smoking cessation success through sustained relationships with patients by leveraging these tools and resources to provide comprehensive and continuous care.

Keyword

Smoking Cessation; Tobacco Use Cessation; Smoking; Tobacco Use; Tobacco Use Disorder
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