From: kbrattrud@healthedcouncil.org
Date: Fri, 06/18/04
NNTPP <http://www.nntpp.org/> LISTSERV
NNTPP is a program of the Health Education Council
<http://www.healthedcouncil.org/>
Friday June 18, 2004
In this edition:
1) Integrating Smoking Cessation <> Treatment into Primary
Care: an Effectiveness Study
2) SMOKING: A <> "PLEASURE" OR A KILLER? Smoking and
Social Class
3) Surgeon General: Smoking Damages <> More Than Lungs
4) Best-Practice Interventions for <> Pregnant Smokers
5) Funding Opportunities <>
6) Upcoming Events <>
1) Integrating Smoking Cessation Treatment into Primary Care: an
Effectiveness Study
Fiore MC, McCarthy DE, Jackson TC, Zehner ME, Jorenby DE, Mielke M,
Smith SS, Guiliani TA, Baker TB.
Prev Med. 2004 Apr;38(4):412-20.
BACKGROUND: Lack of interest has been cited as a reason not to offer
cessation assistance to smokers, but research suggests that smokers
accept treatments offered proactively. This study assessed
acceptability, utilization, and effectiveness of free smoking cessation
treatment among diverse primary care patients. METHOD: Medical
assistants invited 4174 adult smokers to participate. Enrollees (1869)
self-selected or were assigned to receive free nicotine patch therapy
alone or in combination with the Committed Quitters(R) program, and for
some, individual counseling. RESULTS: In nearly 68% of cases, patients
accepted a treatment invitation; 77% of eligible smokers enrolled; 85%
of these picked up free patches. Given a choice of treatments, 75% of
participants elected a psychosocial treatment in addition to patch
therapy. Thirteen percent of treatment initiators achieved biochemically
confirmed 7-day point-prevalence abstinence at 1 year, with no
significant treatment effects. Minority patients showed greater initial
interest but less utilization did than White patients. CONCLUSIONS:
Free, readily accessible smoking cessation treatment offered in primary
care settings was accepted and used by the majority of unselected
smokers of diverse racial/ethnic origins. Psychosocial treatment
components did not significantly increase abstinence rates. Barriers,
rather than lack of interest, may keep minority smokers from using
cessation treatments.
2) SMOKING: A "PLEASURE" OR A KILLER? Smoking and Social Class
Media Briefing from ASH
Health Secretary John Reid has described smoking as "one of the few
pleasures left for the
poor on sink estates and in working men's clubs". According to the
Guardian, he also described
smoking as "an obsession of the learned middle class".
In fact:
* Smoking kills a disproportionate number of people from social
classes D and E
* Smoking is the biggest single contributor to health inequality -
and differences in life expectancy - between social classes
* Exposure to secondhand smoke in the workplace is a major health
and safety risk, particularly for people in low-paid and insecure work
* Support for a new law to end smoking in the workplace is strong
across all social classes, In particular support is high among social
classes C2 and DE, and higher than might be expected given relative
smoking prevalence rates.
"Smoking Related Behavior and Attitudes" (Office of National Statistics,
2002) showed that in 2002, 17% of men and 16% of women in "managerial
and professional occupations" smoked, compared with 34% of men and 30%
of women in "routine and manual occupations".
To read the full news brief please visit
http://www.ash.org.uk/html/press/040609.html
3) Surgeon General: Smoking Damages More Than Lungs
A new report from the Surgeon General says health effects from smoking
are significantly worse than previously reported. In addition to
damaging the lungs and other organs, smoking is linked to cataracts and
reductions in fertility, as well as cancers of the stomach, cervix and
pancreas. The report also found using cigarettes with reduced tar or
nicotine provides no benefit.
To read the full article please visit
<http://rdr.sbml.cc/Click?q=7b-pr__IBZMgsghfTLbDP9i_qYOpdRR> American
Medical News (6/21)
4) Best-Practice Interventions for Pregnant Smokers
A special supplement to the journal
<http://rs6.net/tn.jsp?t=gmj579n6.0.9lpl69n6.kir5vvn6.2662&p=http%3A%2F%
2Fwww.srnt.org> Nicotine and Tobacco Research features 13 articles from
leading experts and chronicles progress in best-practice interventions
for pregnant smokers and highlights the need for more research. The
Smoke-Free Families National Program Office
<http://rs6.net/tn.jsp?t=gmj579n6.0.bmpl69n6.kir5vvn6.2662&p=http%3A%2F%
2Fwww.smokefreefamilies.org> , based at the University of Alabama at
Birmingham, sponsored the supplement.
The articles in the supplement give a state-of-the-art look at current
issues in understanding and treating tobacco use by pregnant women.
Topics include recent findings on the epidemiology of smoking during
pregnancy, staying smoke-free after delivery, the use of incentives to
motivate pregnant smokers to quit, reducing children's exposure to
environmental tobacco smoke, and the use of quit smoking aids during
pregnancy. The supplement also includes information about important
initiatives to help pregnant smokers quit. Among them: the American
Legacy Foundation's "Great Start"
<http://rs6.net/tn.jsp?t=gmj579n6.0.cmpl69n6.kir5vvn6.2662&p=http%3A%2F%
2Fwww.americanlegacy.org%2Fgreatstart%2Fhtml%2Fhome.html> program and
the National Partnership to Help Pregnant Smokers Quit
<http://rs6.net/tn.jsp?t=gmj579n6.0.dmpl69n6.kir5vvn6.2662&p=http%3A%2F%
2Fwww.helppregnantsmokersquit.org%2F> .
The supplement, "Helping Pregnant Women Quit Smoking: Progress and
Future Directions," was distributed with the April issue of the journal.
You can read and download, at no cost, pdf files of the supplement's
<http://rs6.net/tn.jsp?t=gmj579n6.0.lpxqw9n6.kir5vvn6.2662&p=http%3A%2F%
2Fwww.ntrjournal.org%2Fpregnancy.html> articles. Hard copies of the
journal are available by calling (205) 975-8951 or emailing
sff@obgyn.uab.edu.
5) Funding Opportunities
Department <http://www.samhsa.gov/grants/index.html> of Health and
Human Services Substance Abuse and Mental Health Services Administration
The United States Department of Health and Human Services (HHS),
Substance Abuse and Mental Health Services Administration's (SAMHSA)
Center for Substance Abuse Treatment (CSAT) is accepting applications
for fiscal year (FY) 2004 grants to implement voucher programs for
substance abuse clinical treatment and recovery support services.
Circle
<http://www.americanlegacy.org/section.asp?Location=content/programs/gra
nts/circle_grants.asp> of Friends Small Grants Program
Deadline: Rolling
The American Legacy Foundation (Legacy) is pleased to announce the
availability of grant funds to reduce and prevent the toll tobacco takes
on women and families in the United States. Through the Circle of
Friends Small Grants Program, Legacy will award one-year, non-renewable
grants up to $50,000 each on a rolling basis starting July 1, 2002.
There is no deadline for applications.
6) Upcoming Events
<http://www.blsmeetings.net/TRIP2004/index2.cfm> Translating Research
Into Practice: Advancing Excellence from Discovery to Delivery
July 12-14 - Washington, DC
Coalition for <http://www.tobaccofreeaz.org/best_of_the_west.htm>
Tobacco-Free Arizona 2nd Annual Conference
Black Canyon Conference Center/Phoenix, Arizona
July 22 & 23, 2004
Centerforce 5th Annual Inside/Out Summit
"Models for Change - Delivering Services to Those Affected by
Incarceration"
San Francisco Airport Marriott, Burlingame, CA
September 11-15, 2004
Pre-summit course for Clinicians: September 11-12, 2004
LCAT (National <http://www.nlcatp.org/> Latino Council on Alcohol and
Tobacco Prevention 3rd Annual National Conference
"Tobacco Prevention: Reducing the Impact of Chronic Diseases"
Sheraton Old Town, Albuquerque, NM
September 23 & 24, 2004
Ending Health Disparities Conference
Winston-Salem, NC
September 27-29, 2004
-Speaker proposals are due June 11, 2004
For more information please contact Ruth Cole Burcaw at (336) 945-9288
or hdconference@quantumevents.com
132 <http://www.apha.org/> nd American Public Health Association
Conference
November 6-10, 2004 - Washington, DC
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