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Tabaksverslaving: de impact van gezondheidsvoorlichting en hulpverlening op de totale populatie rokers

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Psychologie en Gezondheid

Samenvatting

Tobacco addiction: The impact of health education and clinical treatment on the total population of smokers

Health education and clinical treatment are two different approaches to tobacco control. This paper reviews the literature with respect to the effectiveness and population impact of both approaches. Health education has the strongest population impact through mass media campaigns that stimulate quit attempts among smokers. Both why-to-quit and how-to-quit campaigns can be effective. Clinical treatment through either pharmacotherapy or behavioural therapy is highly efficacious on the individual level, especially if they are provided to smokers in tandem. However, they play a marginal role in reaching population targets. This paper further explores how the population reach of efficacious treatment can be improved. An important avenue is to try to change smokers' perceptions of treatment. It is concluded that smokers need to be educated on the availability and effectiveness of various treatment options. Moreover, misperceptions about the role of willpower and motivation need to be addressed. Another route is through the health care sector. Physicians have a crucial role to play, but this role has not yet been fully realized. It is argued that clinical treatment of tobacco addiction is crucial in a comprehensive tobacco control policy, because it offers smokers who cannot quit on their own, much needed support. While mass media anti-tobacco campaigns and further regulation of tobacco use augment quitting activity in population, they marginalize smokers in more deprived socio-economic groups, further increasing the social gradient in smoking prevalence. The government has a moral obligation to invest more money in providing effective treatment pro-actively to lower SES smokers.

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    Marc Willemsen

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De auteur is werkzaam bij STIVORO, het landelijk expertisecentrum voor tabaksontmoediging en verbonden aan de Universiteit van Maastricht, CAPHRI School for Public Health and Primary Cary, Vakgroep Gezondheidsbevordering

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Willemsen, M. Tabaksverslaving: de impact van gezondheidsvoorlichting en hulpverlening op de totale populatie rokers. PSEG 38, 119–130 (2010). https://doi.org/10.1007/BF03089365

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