| Cessation
Research
Sudden attempts to quit smoking may be more successful
Counter intuitively, a study conducted by University College
London has found that sudden attempts to quit smoking are
more likely to be successful than planned ones. Researchers
found that two thirds of smokers who stopped suddenly succeeded
for at least six months, compared to under half of those who
planned out their quit attempts in detail, perhaps because
those delaying quitting had a less firm commitment. Click
for more
information.
Surgery may be best time to make a quit attempt
Quitting smoking immediately before surgery may increase the
likelihood of success in that nicotine withdrawal symptoms
are often masked due to the medications and therapies commonly
used in surgery. Click for more
information.
Gene related to smoking addiction
Two studies of smokers examined the gene CYP2A6, which codes
for an enzyme that regulates nicotine metabolism in the body.
For those who have an ineffective form of the gene, nicotine
is metabolized more slowly and thus it takes longer for them
to crave their next cigarette. Variations in the gene occur
throughout the world, especially among Asian populations.
In a study of Japanese smokers, those with a less effective
form of the gene smoked less than those with the normal form.
In a study of Canadian smokers, those with the ineffective
forms also retained more nicotine for longer when using the
patch. Click for more
information.
Withdrawal symptoms may be eased by smell and taste
of tobacco
Researchers have found that the smell and taste of nicotine-free
cigarettes may be enough to suppress some tobacco withdrawal
symptoms, including the urge to smoke, restlessness, hunger
and a craving for sweets. They conclude that factors besides
nicotine must contribute to suppressing withdrawal and may
be a valuable addition to nicotine replacement therapy. Click
to learn
more.
Clinicians should encourage non-daily smokers to
quit
A study published in the January 2006 issue of the American
Journal of Preventive Medicine discusses the issue of
cessation among non-daily smokers, since there are currently
no clear guidelines for clinicians working with this population.
Using 2000 NHIS data, the researchers found that 1 in 5 smokers
does not smoke daily and emphasize that these individuals
should be targeted for cessation messages addressing the health
risks of any smoking and situational triggers. They also found
that non-daily smokers may be more likely to quit with brief
interventions. Click to view the abstract.
Patient risk reduction for smoking in pregnancy
A research team led by the Philadelphia Department of Public
Health examined the range of risk reduction behaviors among
women who continue to smoke after learning of their pregnancy,
including reduced tobacco use, eventual cessation, and cessation-promoting
behaviors. Review the abstract,
from the January issue of the Journal of Public Health
Management and Practice.
FDA rejects drug as smoking-cessation aid
The Food and Drug Administration rejected rimonabant as a
smoking-cessation drug. The company that make the drug, Sanofi-Aventis,
sought permission to sell the drug both as a weight-loss drug
and smoking-cessation treatment. The company plans to continue
working with the FDA for approval. Click for more
information.
Anti-tobacco advertising promotes cessation
An article in the November 2005 issue of Health Education
Research shows increased exposure to state anti-tobacco
media increases smoking cessation rates. Click for the abstract.
Advertising of smoking cessation products encourages
smokers to attempt quitting
A study presented by the National Bureau of Economic Research
found that when smokers are exposed to more advertising, they
are more likely to attempt to quit and more likely to have
a successful quit attempt. The study also suggests that advertisements
for such products increase the probability of quitting without
the use of any product. Click for more
information.
Connecting physician offices to state quit lines
A study in the January 2006 issue of the American Journal
of Preventive Medicine found that connecting private
physician offices to state-level quit lines can be accomplished
at low cost and with minimal use of resources. The authors
suggest that quit lines consider developing such a connection
in order to increase utilization. Click to view the abstract.
Nicotine patch plus group support effective in helping
women in public housing quit
A study conducted in an Augusta, GA public housing unit found
that almost 50% of female smokers quit by the end of a six-week
program including both the nicotine patch and group support
sessions, while less than 8% of women in a comparison group
had kicked the habit. Six months later, 27.5% were still not
smoking, versus 5.7% in the comparison group. Click for more
information.
Impact of smoking cessation aids and mass media on
quit success
A study published in the March issue of the American Journal
of Preventive Medicine evaluated the effect of televised
ad campaigns promoting quitting and seven conventional types
of cessation help. The researchers found that television advertisements
were found to be the most helpful in the quitting process,
particularly those featuring smoking-related illnesses or
inspirational quit tips, and suggested that quitline resources
be shifted toward a national anti-tobacco media campaign.
Click for additional
information.
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Resources
Tobacco Cessation Leadership Network launches new
website
The Tobacco Cessation Leadership Network (TCLN) has launched
a new website.
The mission of the Network is to help increase the capacity
in every state to establish effective, sustainable, and affordable
cessation services. It seeks to do this by linking state and
national cessation leaders to share information, resources
and strategies. The website is a resource for existing information
and tools for implementing comprehensive tobacco cessation
initiatives, new implementation resources and tools developed
through the Network and partners, and tuning into discussions
about implementation issues through conference calls, online
postings, and email exchanges. The website also offers the
opportunity to join the Network through a quick and easy online
or faxed application. The website now includes summary reports
from the Network’s first two conference calls of the
year, Trends in the Delivery and Reimbursement of Tobacco
Dependence Treatment and Involving More Healthcare
Providers in Tobacco Cessation: What Works.
CTFK inventory of cessation products (QuiTIP) updated
Click to view the Quitting and Reducing Tobacco Use Inventory
of Products (QuiTIP) database,
where over 100 products being sold in the U.S. and globally
with the articulated intention to help people cease their
tobacco use are catalogued. The database distinguishes between
products approved for use as smoking cessation aids by the
U.S. Food and Drug Administration and all others (e.g., homeopathic,
dietary supplements, etc.) and contains the following information
on each product, in the manufacturer's own words - product
name, manufacturer's name, manufacturer's address, product
website address (if any), directions for use, warnings and
disclaimers, ingredients (active and inactive), and claims.
The database also includes links to the major evidence-based
reviews for tobacco cessation products and services (e.g.,
Cochrane collection, PHS treatment guidelines, SRNT/WHO treatobacco.net).
While the database does not include all products available
to consumers (mainly due to budgetary limits for this project),
it does contain an excellent, representative sample of products
that are being sold to consumers as tobacco cessation aids
with products in the database from a variety of countries
(U.S., South Korea, U.K., New Zealand, etc.). The main intent
of the database is to provide an easily accessible resource
for researchers, clinicians/practitioners, the media and policy
makers to learn more about these products, to begin the process
of conducting more research on the safety, efficacy and effectiveness
of these products, and to help identify those tools for which
there already exists a substantial evidence-base as to their
ability to help people quit using tobacco products. For questions
about the database and/or ideas for additions to the database,
please contact Matthew Barry, Senior Policy Analyst with the
Campaign for Tobacco Free Kids, at MBarry@TobaccoFreeKids.org.
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States
Indiana:
Stop smoking Podcasts launched in Indiana
An Indiana tobacco control project has launched what may be
the first stop smoking Podcast. The stop smoking Podcasts
are daily 5 minute recordings which can be downloaded to an
iPod or MP3 player. Click for more
information.
Kentucky:
Quit and Win Contest increased quit rates in Kentucky
An article in the November/December 2005 issue of the American
Journal of Health Promotion evaluated the impact of a
Quit and Win contest on tobacco quit rates in Kentucky. Treatment
group participants were significantly more likely than controls
to experience quitting during the 1-year follow-up. Click
to view the entire
paper.
North Carolina:
Cessation program in NC targets smoking relatives of lung
cancer patients
A new smoking cessation program called “Family Ties”
provides stress management and coping skills to the smoking
relatives of lung cancer patients. The program is sponsored
by Duke University Medical Center, the University of North
Carolina at Chapel Hill, and the Durham VA Medical Center.
Click for more information on the program.
Colleges in NC take part in tobacco-cessation campaign
targeting age group
The N.C. Health and Wellness Trust Fund is working with over
30 colleges and community colleges to promote North Carolina's
first-ever tobacco use cessation campaign aimed at 18 to 24
year olds. Click for more
information.
North Dakota:
Free smoking cessation aids offered by North Dakota Quit Line
for Valentine’s Day
As part of a special Valentine’s Day promotion, anyone
who called the North Dakota Quit Line on February 14th received
free smoking cessation aids, including nicotine patches. Click
for more
information.
Ohio:
Ohio insurers help smokers quit
SummaCare recently began to offer free nicotine patches in
conjunction with the Ohio Tobacco Quit Line, a telephone-based
tobacco cessation program. People who are enrolled in the
health care plan are eligible for a free, eight-week supply
of patches. Click for more
information.
Oregon:
More Oregon insurers cover tobacco cessation
Three years ago, the Tobacco-Free Coalition of Oregon reported
that few Oregon health plans routinely cover tobacco cessation
programs. Even fewer plans covered medications that help smokers
quit. Today, the ideology has shifted, with more health plans
covering tobacco cessation. Today, employer health plans are
more consumer-directed, with personal behavior becoming a
factor in health costs for employers. Click for more
information.
Washington:
Washington Tobacco Cessation Resource Center starts operation
Washington state’s new Tobacco Cessation Resource Center
is providing resources, training, and support to local contractors
who implement cessation and prevention campaigns in communities.
The cessation center is operated under contract by Free and
Clear, Inc. and Qualis Health. For more information, contact
Julie Thompson at 360-236-3722 or juliet.thompson@doh.wa.gov.
West Virginia:
Governor of WV designates “Through with Chew Week”
West Virginia Governor Joe Manchin proclaimed February 12th
through the
18th, 2006, as “Through With Chew Week,” encouraging
all citizens to increase awareness of the illnesses caused
by smokeless tobacco and all other tobacco products, and to
offer compassion and assistance to people addicted to any
tobacco product. Click for more
information.
Wisconsin:
Cessation treatments studied in Wisconsin
Researchers at the University of Wisconsin-Madison School
of Medicine plan to study 1,000 smokers from Milwaukee to
compare how they respond to five different treatments, including
the nicotine patch, the nicotine lozenge, combining the patch
with the lozenge, Zyban alone, and Zyban plus the lozenge.
Click for more
information.
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