Future of smoking cessation
A systematic approach to smoking cessation involves a complex system of services. Primary prevention is usually regarded as the most desirable goal, but primary prevention programmes have not proved very effective, and it would take 30–40 years before any major effects on health are seen. Although traditional smoking control measures, such as health education and legislation, have had moderate success, smokers in countries with low smoking prevalences such as the United States may have higher scores for nicotine dependence than those in countries where smoking is more prevalent, like Austria and Poland. This is because most conventional measures help smokers with low dependence scores, who can quit easily, resulting in an increase in the relative proportion of highly dependent smokers.