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Am J Addict. 2009 Mar-Apr;18(2):103-8. doi: 10.1080/10550490902773015.

Tobacco use by physicians in a physician health program, implications for treatment and monitoring.

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Colorado Physician Health Program, Denver, Colorado 81003, USA.


The use of tobacco by physicians with substance abuse histories is drastically understudied. A chart review of 1319 physicians enrolled in a physician health program found tobacco use highest for those referred for substance abuse problems (58.1%). Among a subset of currently monitored substance abusers, all those who relapsed during monitoring were using tobacco and had more difficulty maintaining sobriety following initial treatment (p = 0.0137) than non tobacco users. Because tobacco was a risk factor for relapse, reasons why physician health programs should address its use and treatment facilities should establish tobacco-free environments to provide optimum learning and recovery are explored.

[Indexed for MEDLINE]

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