JAMA : the journal of the American Medical Association
-
Randomized Controlled Trial Clinical Trial
Predicting smoking cessation. Who will quit with and without the nicotine patch.
To identify predictors of smoking cessation success or failure with and without transdermal nicotine patch treatment. ⋯ Smoking status (abstinent or smoking) during the first 2 weeks of nicotine patch therapy, particularly week 2, was highly correlated with clinical outcome and can serve as a powerful predictor of smoking cessation. Early smoking behavior also predicted outcome among placebo patch users. Traditional measures of dependence are not consistently predictive of cessation success. Clinicians are advised to emphasize the importance of total abstinence after a quit attempt and to follow-up with patients within the first 2 weeks of quitting; smoking during this critical time should be assessed and treatment may be altered as appropriate.
-
OBJECTIVE--To test the hypothesis that symposia on environmental tobacco smoke (ETS) are more likely to present unbalanced data and be authored by tobacco industry-affiliated individuals than journal articles on ETS. To compare the publication records and affiliations of authors of symposia with the authors of scientific consensus documents on ETS. DESIGN--Content analysis of articles; computerized literature searches of English-language publications (except for one symposium) supplemented with additional sources. ⋯ Symposium articles were more likely to agree with the tobacco industry position (46% vs 20%), less likely to assess the health effects of ETS (22% vs 49%), less likely to disclose their source of funding (22% vs 60%), and more likely to be written by tobacco industry-affiliated authors (35% vs 6%) than journal articles (P = .0001). Symposium authors published a lower proportion of peer-reviewed articles (71% vs 81%) (P = .0001) and were more likely to be affiliated with the tobacco industry (50% vs 0%) than consensus document authors (P = .0004). CONCLUSIONS--Symposium articles on ETS differ from journal articles and consensus documents in ways that suggest that symposia are not balanced.
-
To provide data on the sale of single cigarettes to adults and minors and to examine the sociocultural context in which these sales occur. ⋯ The illegal sale of single cigarettes involves complex sociocultural factors heretofore unexamined. An understanding of such factors may be useful in planning merchant education programs and drafting policy to control illegal sales.