Behavioral research contributions and needs in cancer prevention and control: tobacco use prevention and cessation.
Behavioral research contributions and needs in cancer prevention and control: tobacco use prevention and cessation.
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行为研究在癌症预防和控制方面的贡献和需求：烟草使用预防和戒烟。
DOI：
10.1006/pmed.1997.0210
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发表时间：
1997
影响因子：
5.1
通讯作者：
Lichtenstein,E
中科院分区：
文献类型：
--
作者：
Lichtenstein,E
在简要回顾了烟草使用的病因学和流行率以及预防和戒烟干预措施有效性的数据之后，概述了研究议程的建议。建议对青少年开始吸烟和戒烟的研究给予最高优先，因为吸烟流行率不断上升，具有根本的社会重要性，并广泛支持这种努力。制止青少年吸烟的政策和社区办法值得特别关注。成人干预研究应侧重于卫生保健环境，包括有助于和阻碍临床医生采用和常规实施烟草干预措施的因素。开发和评估在初级保健中使用尼古丁替代疗法或其他药物疗法的实用方法也很重要。应鼓励媒体干预，按年龄、种族和发育里程碑对吸烟人群进行细分。有三种方法可以从研究人员和其他相关方的工作会议中获益，以审查数据并提出研究方向：工作场所干预，对少数民族人群的干预，以及匹配或定制针对特定吸烟者特征的干预措施。投入大量资源的重要性，以发动机发起的对比，以发动机为导向的研究进行了讨论。
Following a brief review of the etiology and prevalence of tobacco use and data on the effectiveness of prevention and cessation interventions, recommendations for a research agenda are outlined. It is suggested that research on youth tobacco initiation and cessation be given highest priority because of rising prevalence rates, fundamental social importance, and the widespread support for such efforts. Policy and community approaches to deterring youth tobacco use deserve particular attention. Adult intervention research should focus on health care settings and include factors that both help and hinder adoption and routine implementation of tobacco interventions by clinicians. Developing and evaluating practical ways of using nicotine replacement therapies or other pharmacological therapies in primary care are also of importance. Media interventions that segment the smoking population by age, ethnicity, and developmental milestones should be encouraged. Three approaches could profit from working conferences of investigators and other interested parties to review the data and suggest research directions: worksite interventions, interventions with ethnic populations, and matching or tailoring interventions to specified characteristics of smokers. The importance of devoting considerable resources to investigator-initiated contrasted with sponsor-directed research is discussed.