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Thorax. Jul 2004; 59(7): 623–630.
PMCID: PMC1747072

Promotion of smoking cessation in developing countries: a framework for urgent public health interventions

Abstract

The rapid rise in smoking in many developing countries will have devastating consequences; by 2030 the developing world is expected to have 7 million deaths annually from tobacco use. Many smokers express a desire to quit, but they often fail because they are addicted to tobacco. Although a number of cessation aids are now available in the developed world, their applicability and affordability in developing countries is less clear. Successful interventions will require many stakeholder groups to take action at the local, national, and international levels. We discuss smoking cessation as a means of reducing disease burden, examine factors that may limit the promotion of smoking cessation in developing countries, and propose a framework for public health action. This framework should comprise intervention with healthcare professionals, strengthening national commitment, development of a model for developing countries, changing the social acceptability of smoking, strengthening community participation, integration of smoking cessation with other healthcare services, specifying the role of healthcare professionals, development of guidelines, mobilisation of the business community, provision of financial incentives, establishing population specific smoking cessation services, increased collaboration between countries, and development of international initiatives.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Ezzati Majid, Lopez Alan D. Estimates of global mortality attributable to smoking in 2000. Lancet. 2003 Sep 13;362(9387):847–852. [PubMed]
  • Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years' observations on male British doctors. BMJ. 1994 Oct 8;309(6959):901–911. [PMC free article] [PubMed]
  • Coffield AB, Maciosek MV, McGinnis JM, Harris JR, Caldwell MB, Teutsch SM, Atkins D, Richland JH, Haddix A. Priorities among recommended clinical preventive services. Am J Prev Med. 2001 Jul;21(1):1–9. [PubMed]
  • McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA. 1993 Nov 10;270(18):2207–2212. [PubMed]
  • Terres W, Becker P, Rosenberg A. Changes in cardiovascular risk profile during the cessation of smoking. Am J Med. 1994 Sep;97(3):242–249. [PubMed]
  • Cigarette smoking among adults--United States, 1995. MMWR Morb Mortal Wkly Rep. 1997 Dec 26;46(51):1217–1220. [PubMed]
  • Cigarette smoking among adults--United States, 2000. MMWR Morb Mortal Wkly Rep. 2002 Jul 26;51(29):642–645. [PubMed]
  • Yang G, Fan L, Tan J, Qi G, Zhang Y, Samet JM, Taylor CE, Becker K, Xu J. Smoking in China: findings of the 1996 National Prevalence Survey. JAMA. 1999 Oct 6;282(13):1247–1253. [PubMed]
  • Yang G, Ma J, Chen A, Zhang Y, Samet JM, Taylor CE, Becker K. Smoking cessation in China: findings from the 1996 national prevalence survey. Tob Control. 2001 Jun;10(2):170–174. [PMC free article] [PubMed]
  • West R, McNeill A, Raw M. Smoking cessation guidelines for health professionals: an update. Health Education Authority. Thorax. 2000 Dec;55(12):987–999. [PMC free article] [PubMed]
  • Hopkins DP, Briss PA, Ricard CJ, Husten CG, Carande-Kulis VG, Fielding JE, Alao MO, McKenna JW, Sharp DJ, Harris JR, et al. Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. Am J Prev Med. 2001 Feb;20(2 Suppl):16–66. [PubMed]
  • Fichtenberg Caroline M, Glantz Stanton A. Effect of smoke-free workplaces on smoking behaviour: systematic review. BMJ. 2002 Jul 27;325(7357):188–188. [PMC free article] [PubMed]
  • Lopez AD, Collishaw NE, Piha T. A descriptive model of the cigarette epidemic in developed countries. Tob Control. 1994 Sep;3(3):242–247. [PMC free article]
  • Owen L. Impact of a telephone helpline for smokers who called during a mass media campaign. Tob Control. 2000 Jun;9(2):148–154. [PMC free article] [PubMed]
  • McAfee T, Wilson J, Dacey S, Sofian N, Curry S, Wagener B. Awakening the sleeping giant: mainstreaming efforts to decrease tobacco use in an HMO. HMO Pract. 1995 Sep;9(3):138–143. [PubMed]
  • Hill DJ, White VM, Scollo MM. Smoking behaviours of Australian adults in 1995: trends and concerns. Med J Aust. 1998 Mar 2;168(5):209–213. [PubMed]
  • Cavelaars AE, Kunst AE, Geurts JJ, Crialesi R, Grötvedt L, Helmert U, Lahelma E, Lundberg O, Matheson J, Mielck A, et al. Educational differences in smoking: international comparison. BMJ. 2000 Apr 22;320(7242):1102–1107. [PMC free article] [PubMed]
  • Tessier JF, Nejjari C, Bennani-Othmani M. Smoking in Mediterranean countries: Europe, North Africa and the Middle-East. Results from a co-operative study. Int J Tuberc Lung Dis. 1999 Oct;3(10):927–937. [PubMed]
  • Lore W, Lwenya R. Smoking habits in Kenya. II--A follow up study involving personnel working at Kenyatta National Hospital, Nairobi. East Afr Med J. 1988 Feb;65(2):71–80. [PubMed]
  • Ballal SG. Cigarette smoking and respiratory symptoms among Sudanese doctors. East Afr Med J. 1984 Feb;61(2):95–103. [PubMed]
  • Zhu SH, Anderson CM, Johnson CE, Tedeschi G, Roeseler A. A centralised telephone service for tobacco cessation: the California experience. Tob Control. 2000;9 (Suppl 2):II48–II55. [PMC free article] [PubMed]
  • Zhu Shu-Hong, Anderson Christopher M, Tedeschi Gary J, Rosbrook Bradley, Johnson Cynthia E, Byrd Michael, Gutiérrez-Terrell Elsa. Evidence of real-world effectiveness of a telephone quitline for smokers. N Engl J Med. 2002 Oct 3;347(14):1087–1093. [PubMed]
  • Abdullah AS. Changing the tobacco trend in China. Lancet. 2000 Jul 29;356(9227):432–433. [PubMed]
  • Farrelly Matthew C, Healton Cheryl G, Davis Kevin C, Messeri Peter, Hersey James C, Haviland M Lyndon. Getting to the truth: evaluating national tobacco countermarketing campaigns. Am J Public Health. 2002 Jun;92(6):901–907. [PMC free article] [PubMed]
  • Waxman HA. Tobacco industry statements in the US Department of Justice lawsuit. Tob Control. 2003 Mar;12(1):94–101. [PMC free article] [PubMed]
  • Shamasunder Bhavna, Bero Lisa. Financial ties and conflicts of interest between pharmaceutical and tobacco companies. JAMA. 2002 Aug 14;288(6):738–744. [PubMed]
  • Prevalence of current cigarette smoking among adults and changes in prevalence of current and some day smoking--United States, 1996-2001. MMWR Morb Mortal Wkly Rep. 2003 Apr 11;52(14):303–307. [PubMed]
  • Tobacco use among adults--Arizona, 1996 and 1999. MMWR Morb Mortal Wkly Rep. 2001 May 25;50(20):402–406. [PubMed]
  • Gupta PC, Mehta FS, Pindborg JJ, Aghi MB, Bhonsle RB, Daftary DK, Murti PR, Shah HT, Sinor PN. Intervention study for primary prevention of oral cancer among 36 000 Indian tobacco users. Lancet. 1986 May 31;1(8492):1235–1239. [PubMed]
  • Steyn K, Hoffman M, Levitt NS, Lombard CJ, Fourie JM. Community-based tobacco control program: the Mamre study, a demonstration project. Ethn Dis. 2001 Spring-Summer;11(2):296–302. [PubMed]
  • Groth-Marnat G, Leslie S, Renneker M. Tobacco control in a traditional Fijian village: indigenous methods of smoking cessation and relapse prevention. Soc Sci Med. 1996 Aug;43(4):473–477. [PubMed]
  • Zhu S, Melcer T, Sun J, Rosbrook B, Pierce JP. Smoking cessation with and without assistance: a population-based analysis. Am J Prev Med. 2000 May;18(4):305–311. [PubMed]
  • Richmond RL, Makinson RJ, Kehoe LA, Giugni AA, Webster IW. One-year evaluation of three smoking cessation interventions administered by general practitioners. Addict Behav. 1993 Mar-Apr;18(2):187–199. [PubMed]
  • Ferry LH, Grissino LM, Runfola PS. Tobacco dependence curricula in US undergraduate medical education. JAMA. 1999 Sep 1;282(9):825–829. [PubMed]
  • Warner KE, Smith RJ, Smith DG, Fries BE. Health and economic implications of a work-site smoking-cessation program: a simulation analysis. J Occup Environ Med. 1996 Oct;38(10):981–992. [PubMed]
  • Hesketh T, Zhu WX. The one child family policy: the good, the bad, and the ugly. BMJ. 1997 Jun 7;314(7095):1685–1687. [PMC free article] [PubMed]
  • Curry SJ, Grothaus LC, McAfee T, Pabiniak C. Use and cost effectiveness of smoking-cessation services under four insurance plans in a health maintenance organization. N Engl J Med. 1998 Sep 3;339(10):673–679. [PubMed]
  • Ammann Arthur J, Nogueira Susie. Governments as facilitators or obstacles in the HIV epidemic. BMJ. 2002 Jan 26;324(7331):184–185. [PMC free article] [PubMed]
  • Parry Jane. China makes its first antiretroviral drugs for treating AIDS. BMJ. 2002 Nov 30;325(7375):1257–1257. [PMC free article] [PubMed]
  • Brugha R, Walt G. A global health fund: a leap of faith? BMJ. 2001 Jul 21;323(7305):152–154. [PMC free article] [PubMed]
  • Bell C, Urbach D. Bartenders' pulmonary function after establishment of a smoke-free workplace. JAMA. 1999 Aug 18;282(7):629–629. [PubMed]

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