The Case of Tobacco

  • Judith K. Ockene
  • Lori Pbert


Tobacco treatment provides an excellent case for the importance of treating substance use and other health-related problem behaviors within healthcare settings and systems as well as through other community settings. The incontrovertible evidence linking cigarette smoking with serious illness and premature death has placed increasing demands on the medical and mental health community to intervene with smokers. However, despite the known health risks, tobacco use remains high worldwide. In the United States, roughly 25% of adults smoke (Centers for Disease Control and Prevention, 1999), with current prevalence estimates indicating that 28% of adult males and 22% of adult females smoke (Corrao, Guindon, Sharma & Shokoohi, 2000). Individuals with a current or past history of significant psychiatric problems including depression, schizophrenia, and alcoholism, have much higher rates of smoking and are less likely to stop smoking than those in the general population (Glassman, 1993). For instance, among individuals identified as alcoholic, the incidence of smoking is 80-90%, with alcoholic persons also more likely to smoke heavily (Bien & Burge, 1990; Bobo, 1989).


Smoking Cessation Nicotine Dependence Tobacco Control Community Pharmacist Smoking Cessation Intervention 
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Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Judith K. Ockene
    • 1
  • Lori Pbert
    • 1
  1. 1.Division of Preventive and Behavioral MedicineUniversity of MassachusettsWorcesterUSA

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