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The Case of Tobacco

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Changing Substance Abuse Through Health and Social Systems

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Abstract

Tobacco treatment provides an excellent case for the importance of treating substance use and other health-related problem behaviors within healthcare settings and systems as well as through other community settings. The incontrovertible evidence linking cigarette smoking with serious illness and premature death has placed increasing demands on the medical and mental health community to intervene with smokers. However, despite the known health risks, tobacco use remains high worldwide. In the United States, roughly 25% of adults smoke (Centers for Disease Control and Prevention, 1999), with current prevalence estimates indicating that 28% of adult males and 22% of adult females smoke (Corrao, Guindon, Sharma & Shokoohi, 2000). Individuals with a current or past history of significant psychiatric problems including depression, schizophrenia, and alcoholism, have much higher rates of smoking and are less likely to stop smoking than those in the general population (Glassman, 1993). For instance, among individuals identified as alcoholic, the incidence of smoking is 80-90%, with alcoholic persons also more likely to smoke heavily (Bien & Burge, 1990; Bobo, 1989).

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Authors and Affiliations

  1. Division of Preventive and Behavioral Medicine, University of Massachusetts, Worcester, Massachusetts, 01655, USA

    Judith K. Ockene & Lori Pbert

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  1. Judith K. Ockene
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  2. Lori Pbert
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Editors and Affiliations

  1. University of New Mexico, Albuquerque, New Mexico, USA

    William R. Miller

  2. University of California, San Francisco, San Francisco, California, USA

    Constance M. Weisner

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Ockene, J.K., Pbert, L. (2002). The Case of Tobacco. In: Miller, W.R., Weisner, C.M. (eds) Changing Substance Abuse Through Health and Social Systems. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0669-0_8

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  • DOI: https://doi.org/10.1007/978-1-4615-0669-0_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5186-3

  • Online ISBN: 978-1-4615-0669-0

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