Efficacy of smoking cessation intervention among special populations - Review of the Literature From 2000 to 2005

Efficacy of smoking cessation intervention among special populations - Review of the Literature From 2000 to 2005
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DOI:
10.1097/00006199-200607001-00005
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发表时间:
2006-07-01
期刊:
影响因子:
2.5
通讯作者:
Froelicher, Erika Sivarajan
Froelicher, Erika Sivarajan
中科院分区:
医学4区
文献类型:
--
作者:
Doolan, Daniel M.;Froelicher, Erika Sivarajan

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美国公共卫生局在《2000年治疗烟草使用和依赖临床实践指南》中承认,某些特殊人群在戒烟干预方面有独特的需求和考虑。在对当前戒烟文献的回顾中,确定了以下特殊人群:妇女;老年人;吸烟的男同性恋、女同性恋、双性恋和变性人;有精神病诊断的吸烟者;吸毒、酗酒或两者兼而有之的吸烟者;美洲印第安人和阿拉斯加原住民;非裔美国人;西班牙裔;以及亚裔美国人。本报告评估了与这些特殊人群有关的现有戒烟研究,并提出了未来研究的议程。现有的戒烟疗效随机临床试验和其他与这些群体相关的研究是不足的。最近在戒烟和妇女领域的研究取得了进展;有精神病诊断的吸烟者;吸毒、酗酒或两者兼而有之的吸烟者;和非裔美国人。然而,缺乏评估戒烟干预措施和老年人的研究;吸烟的男同性恋、女同性恋、双性恋和变性人;美洲印第安人和阿拉斯加原住民;西班牙裔;以及亚裔美国人。进一步研究这些特殊人群的戒烟需求可以使护士和其他医疗保健提供者对这些群体实施文化上适当和有效的戒烟干预。
The United States Public Health Service acknowledges in the 2000 Clinical Practice Guideline for Treating Tobacco Use and Dependence that certain special populations have unique needs and considerations in regard to smoking cessation interventions. In a review of the current smoking cessation literature, the following special populations were identified: women; older adults; gay, lesbian, bisexual, and transgender smokers; smokers with psychiatric diagnoses; smokers addicted to illicit drugs, alcohol, or both; American Indians and Alaska Natives; African Americans; Hispanics; and Asian Americans. Existing smoking cessation research pertaining to these special populations was assessed, and an agenda for future research is proposed in this presentation. The available smoking cessation randomized clinical trials for efficacy and other research relevant to these groups is insufficient. Recent progress has been made in research in the areas of smoking cessation and women; smokers with psychiatric diagnoses; smokers addicted to illicit drugs, alcohol, or both; and African Americans. There is, however, a paucity of research evaluating smoking cessation interventions and older adults; gay, lesbian, bisexual, and transgender smokers; American Indians and Alaska Natives; Hispanics; and Asian Americans. Further research relevant to the smoking cessation needs of these special populations can enable nurses and other healthcare providers to administer culturally adequate and efficacious smoking cessation interventions to these groups.