Cigarette smoking is an important and a presentable cause of morbidity and mortality in the developed world and is a major public health problem. Smoking is a widely prevalent habit primarily because of the pharmacological effects of nicotine. The increased recognition of the potent pharmacological and addictive effects of nicotine has made smoking cessation a reasonable therapeutic goal. Smoking cessation rates using nicotine replacement (e.g. nicotine gum or nicotine transdermal patches) are about twice as high as those associated with behavioural methods. In addition, increased duration of medical intervention and counselling by healthcare professionals also appears to improve quit rates. Cigarette smoking remains a large social problem in that declines in smoking prevalence rates observed in the USA during the 1980s appear to be reaching a plateau. In addition, a considerable proportion of young people continues to start smoking at least in part as a result of advertising and promotion aimed at this age group. Future research should focus on achieving a better understanding of the psychoactive effects of nicotine, developing economic, behavioural and pharmacological approaches to treating addicted smokers, developing strategies to prevent smoking initiation (particularly in children) and developing 'rescue' strategies for refractory smokers.
|Original language||English (US)|
|Number of pages||6|
|Journal||European Respiratory Review|
|Publication status||Published - Jan 1 1999|
- Smoking cessation
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine