The cravings, the compulsive behaviors, the potential fatal health consequences--once considered relatively harmless, tobacco use is now understood to have addictive properties similar to those of hard drugs. Dependence on tobacco and nicotine from smoking, chewing, or other means affects millions around the world, and for countless people it remains resistant to efforts to quit despite the level of intervention or number of attempts.

Smoking Prevention and Cessation addresses this longstanding problem on various biological, societal, and psychological fronts. This extensively researched volume traces the mechanics of smoking initiation, nicotine dependence and withdrawal, and motivation to quit. Chapters analyze smoking as a global public health issue, review the epidemiology of smoking-related disease, and evaluate prevention and cessation interventions (pharmacology included) as applied to different settings and populations. The detailed, data-rich presentation gives readers a rounded, realistic understanding of smoking on a worldwide level as the book:

Introduces measurement tools for gauging nicotine dependence.
Examines the media in tobacco advertising and smoking prevention messages.
Analyzes "what works" in prevention approaches.
Compares the efficacy of cessation interventions.
Pinpoints issues specific to smoking among health professionals and youth.
Reviews economic, bioethics, and policy issues related to smoking.

Researchers and graduate students in public health, health promotion, behavioral medicine, and smoking cessation will find Smoking Prevention and Cessation a unique reference packed with evidence-based insights and practical, workable ideas.

Résumé
Tobacco smoking is considered the big killer and one of the most avoidable risk factors for many human pathologies. Reducing and controlling tobacco smoking should be a primary aim for a certain population, in order to reduce harms to health caused by this important risk factor, and it seems urgent to adopt intervention tools involved in responsibility fields such as health care, education, politics, economy and media. Among health professionals the prevalence of tobacco smoke is extremely high, more than other professional categories, and this could be partly attributed to a low weight that tobacco smoking has in the medical curriculum of future physicians, that will contribute in a determinant way to healthy choices of their patients. In order to realise that, the medical students need to be adequately trained with the aim of acquire competences and skills that help patients to prevent tobacco smoking and to increase smoking cessation, through a programme oriented to specific issue related to the potential harm of tobacco products. A survey conducted by Ferry et al. in the American Schools of Medicine underlined the lack of courses related to tobacco smoking. Moreover, a randomised trial carried out by Cummings et al., the Schools of Medicine result as the ideal setting to teach smoking cessation techniques to health professionals. The National Cancer Institute in 1992 recommended that primary and secondary prevention interventions on tobacco smoking will become mandatory in the curriculum of Medical USA students. However, until now this recommendation still is far from being fully implemented. The aim of the book is to give an overview on the epidemiology of tobacco smoking among different settings and populations, but with a special focus on health professionals and medicals students, and to show available examples of smoking prevention and cessation training in different settings.

Contenu

Chapter 1:From nicotine dependence to motivation to stop smoking.- 1.1Introduction: Denial and Delay.- 1.2Tobacco and nicotine.- 1.2.1What is Nicotine?.- 1.3Addiction and Nicotine addiction.- 1.4Nicotine withdrawal.- 1.5How to measure nicotine dependence.- 1.5.1Fagerstrom Tolerance Questionnaire.- 1.5.2Fagerstrom Test for Nicotine Dependence.- 1.6Motivation to stop smoking.- Chapter 2:State of the art of smoking habits in the world.- 2.1 Introduction: the tobacco epidemic.- 2.2 Data on incidence, prevalence, by gender, age-groups, ethnic groups.- 2.2.1 Tobacco consumption by gender and adults in the six major regions of the world.- 2.2.2 Tobacco consumption by adolescents in the six major regions of the world.- 2.2.3 Ethnic groups.- 2.3 Passive smoking.- 2.3.1 Secondhand smoking.- 2.3.2 Thirdhand smoking.- Chapter 3:Smoking-related diseases epidemiology.- 3.1Introduction.- 3.2 Cardiovascular diseases.- 3.2.1 Coronary Heart Disease.- 3.2.2 Hypertension.- 3.2.3 Cerebro-Vascular Disease.- 3.2.4 Aortic Aneurism.- 3.3 Respiratory diseases.- 3.3.1 Chronic Obstructive Pulmonary Disease (COPD).- 3.3.2 Chronic Bronchitis.- 3.3.3 Emphysema.- 3.3.4 Asthma.- 3.4 Cancers: main smoking-related cancers.- 3.4.1 Lung Cancer.- 3.4.2 Cancer of the Larynx.- 3.4.3 Cancer of the Oesophagus.- 3.4.4 Lower urinary tract.- 3.4.5 Pancreatic Cancer.- 3.4.6 Stomach Cancer.- 3.4.7 Breast Cancer.- 3.4 Other diseases.- 3.4.1 Acne.- 3.4.2 Low Birth Weight.- 3.4.3 Sudden Infant Death Syndrome (SIDS).- 3.4.4. Maculophaty.- 3.4.5 Smoking related allergy.- 3.4.6 Early Menopause.- Chapter 4 Smoking -related cancer epidemiology.- 4.1 Introduction.- 4.2 Cancers: main smoking-related cancers.- 4.3 Lung Cancer.- 4.4 Cancer of the Larynx.- 4.5 Cancer of the Esophagus.- 4.6 Lower urinary tract.- 4.7Pancreatic Cancer.- 4.8 Stomach Cancer.- 4.9 Breast Cancer.- Chapter 5 Classical determinants of smoking initiation.-5.1Introduction.-5.2 The role of the family.- 5.3The peer.-5.3.1PeerSocialization.- 5.3.2 Peer Selection.- 5.4The society.- 5.5Personal characteristics.- Chapter 6: Smoking prevention 6.1Introduction -Smoking prevention at school.- 6.1.1.Data on incidence and prevalence among adolescents.- 6.1.2Smoking prevention interventions at school.- 6.1.3Community interventions.-6.1.4Evidence-based recommendations and guidelines.- 6.2Smoking prevention in the workplace-Introduction.- 6.2.1Data on incidence and prevalence among workers.- 6.2.2Workplace interventions for smoking cessation.- 6.2.3Smoking-free workplace legislation.- 6.3Smoke free legislation.- Chapter 7.- 7.1Mass Media campaigns.- 7.1.1Mass Media campaigns definition.- 7.1.2The use of mass media campaigns in Public Health.- 7.1.3Identifying the target audience.- 7.1.4Characteristics of the message: design, contents, emotional appeal and source.- 7.1.5Dissemination strategy and channel characteristics.- 7.2Mass Media campaigns in smoking prevention strategies.- 7.2.1Formative research, theory and evaluation.- 7.2.2 Audience segmentation.- 7.2.3Message appeal, contents, format and tone.- 7.2.4Channel selection and message placement.- 7.3Overview of the theoretical approaches of tobacco control mass media campaigns.- 7.3.1Input-output persuasion model.- 7.3.2Health beliefs model.- 7.3.3Theory of reasoned action (Theory of planned behavior).- 7.3.4Integrative model of behavior change.- 7.3.5Trans-theoretical model (or State of Changes).- 7.3.6Social learning (cognitive) theory (Bandura A. 1977).- 7.4Mass Media Campaigns: overview of scientific evidence.- 7.4.1Overview of scientific literature.- 7.4.2Effectiveness, opportunities and shortcomings of mass media campaigns in preventing smoking initiation.- 7.4.3Characteristics of Effective Mass Media Campaigns.- 7.4.4Expert conclusions on Mass Media Public Education Campaigns.- 7.4.5Identified research gaps.- 7.5Mass Media Campaigns: evidence into practice.- 7.5.1Main umbrella organizations involved (e.g.WHO,EU. OECD).- 7.5.2TheWorld Health Organization.- 7.5.3The European community.- 7.5.4Main National Public Health Agencies, including guidance/best practices delivery agencies.- 7.6Smoking Prevention: Mass Media campaigns worldwide.- 7.6.1Worldwide Mass Media campaigns targeted at general population and at specific demographic groups .- Chapter 8:How to tackle smo…