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WMJ. 2005 May;104(4):28-31.

Health care provider use of guideline-based smoking cessation interventions: results from the 2003 Wisconsin Tobacco Survey.

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Department of Medicine, Section of General Internal Medicine, University of Wisconsin Medical School, Madison 53711, USA.


Tobacco use is the chief preventable cause of morbidity and mortality in the United States. In Wisconsin, approximately 7300 deaths--representing about 20% of all deaths within our state each year--are attributable to smoking. Nearly half of the estimated 815,000 adult smokers in Wisconsin make a quit attempt each year, but most smokers make unaided quit attempts that have a very low probability of success (< 5%). The 2000 Public Health Service Clinical Practice Guideline, "Treating Tobacco Use and Dependence," provides recommendations for evidence-based treatments (e.g., counseling, FDA-approved cessation medications) for smoking cessation that can result in long-term abstinence rates of up to 25% or more. The current study provides results from the 2003 Wisconsin Tobacco Survey on the extent to which Wisconsin health care professionals are using Guideline-based interventions to identify smokers and assist them to quit smoking. Results show that in 2003 about 77% of current smokers were asked about tobacco use and about 61% were advised to quit. Rates of cessation assistance ranged from 6% to 22%. Increases in smoking cessation interventions by health care professionals have enormous potential to decrease the smoking prevalence rate and improve the health of Wisconsin smokers.

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