A survey of tobacco dependence treatment guidelines content in 61 countries

Addiction
Kapka NilanMartin Raw

Abstract

To assess tobacco dependence treatment guidelines content in accordance with Article 14 of the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) and its guidelines, and association between content and country income level. Cross-sectional study. On-line survey from March to July 2016. Contacts in 77 countries, including 68 FCTC Parties, six Signatories and three non-Parties which had indicated having guidelines in previous surveys, or had not been surveyed before. A nine-item questionnaire on guidelines content, key recommendations, writing and dissemination. We received responses from contacts in 63 countries (82%); 61 had guidelines. The majority are for doctors (93%), primary care (92%) and nurses (75%). All recommend brief advice, 82% recording tobacco use in medical notes, 98% nicotine replacement therapy (NRT), 61% quitlines, 31% text messaging and 87% intensive specialist support, and 54% stress the importance of health-care workers not using tobacco. Only 57% have a dissemination strategy, and 62% have not been updated for 5 or more years. Compared with high-income countries, quitlines are less likely to be recommended in upper middle-income countries guidelines [odds ratio (OR) = 0.15, 95% ...Continue Reading

References

Aug 14, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Martine SteadUNKNOWN PESCE European Research Team
Feb 27, 2013·Addiction·Hembadoon Piné-AbataRachael Murray
Jan 2, 2014·International Journal of Environmental Research and Public Health·Abu S AbdullahJonathan M Samet

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