Skip to main content
SpringerLink
Log in

Preventing Cardiovascular Disease: Effective Smoking Cessation Strategies for the Busy Clinician

  • Chapter
Multiple Risk Factors in Cardiovascular Disease

Part of the book series: Medical Science Symposia Series ((MSSS,volume 12))

  • 268 Accesses

Abstract

Cigarette smoking has been strongly established as a major cause of cardiovascular disease (CVD) [1,2]. For example, women smoking as few as 1 to 4 cigarettes per day are at 2.5 times the risk of fatal cardiovascular disease (CVD) and nonfatal myocardial infarction compared to nonsmokers. Elimination of smoking can produce a substantial reduction in premature morbidity and mortality. Estimates indicate that up to 30%, or 170,000, of all coronary heart disease (CHD) deaths in the United States each year are attributable to cigarette smoking, with the risk being strongly dose-related [2]. In addition, smoking acts synergistically with other risk factors, substantially increasing the risk of CVD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. U.S. Department of Health and Human Services. The health consequences of smoking: Cardiovascular disease: A report of the Surgeon General. Rockville, MD: Office on Smoking and Health, 1983. (vol Publication PHS 84–50204).

    Google Scholar 

  2. U.S. Department of Health and Human Services. The health benefits of smoking cessation: A report of the Surgeon General. Washington, DC: U.S. Govt Printing Office, (CDC)90–8416, 1990.

    Google Scholar 

  3. Doll R, Peto R Mortality in relation to smoking. Twenty years’ observations on male British doctors. Br Med J 1976; 2: 1525 – 36.

    Article  PubMed  CAS  Google Scholar 

  4. Friedman G, Petitti D, Bawal R, et al. Mortality in cigarette smokers and quitters: Effect of baseline differences. N Engl J Med 1981; 304: 1407 – 10.

    Article  PubMed  CAS  Google Scholar 

  5. Ockene J, Kuller L, Svendsen K, Meilahn E. The relationship of smoking cessation to coronary heart disease and lung cancer in the Multiple Risk Factor Intervention Trial (MRFIT). Am J Public Health 1990; 80: 954 – 58.

    Article  PubMed  CAS  Google Scholar 

  6. Centers for Disease Control and Prevention. Smoking-attributable mortality and years of potential life lost – United States, 1990. MMWR 1993; 42 (33): 645 – 48.

    Google Scholar 

  7. Fiore M, Novotny T, Pierce J, et al. Methods used to quit smoking in the United States: Do cessation programs help? JAMA 1990; 263 (20): 2760 – 65.

    Article  PubMed  CAS  Google Scholar 

  8. U.S. Department of Health and Human Services. Current estimates from the National Health Interview Survey, 1993 (Series 10: Data from the National Health Survey No. 190). Hyattsville, MD: Public Health Service, Centers for Disease Control, National Center for Health Statistics, 1994.

    Google Scholar 

  9. Ockene J. Physician-delivered interventions for smoking cessation: Strategies for increasing effectiveness. Prey Med 1987; 16: 723 – 37.

    Article  CAS  Google Scholar 

  10. Ockene I, Ockene J, editors. Prevention of Coronary Heart Disease. Boston: Little, Brown and Company, 1992.

    Google Scholar 

  11. Fiore M, Bailey W, Cohen S, et al. Smoking cessation: Clinical practice guideline No. 18. Rockville, MD: U.S. Department of Public Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1996.

    Google Scholar 

  12. Ockene J, McBride P, Sallis J, Bonollo D, Ockene I. Synthesis of lessons learned from cardiopulmonary preventive interventions in healthcare practice settings. Ann Epidemiol In press.

    Google Scholar 

  13. Ockene J, Kristeller J, Goldberg R, et al. Smoking cessation and severity of disease: The Coronary Artery Smoking Intervention Study. Hlth Psychol 1992; 11 (2): 119 – 26.

    Article  CAS  Google Scholar 

  14. DeBusk R, Houston Miller N, Superko H, et al. A case-management system for coronary risk factor modification after acute myocardial infarction. Annals of Intern Med 1994; 120: 721 – 29.

    CAS  Google Scholar 

  15. Frid D, Ockene I, Ockene J, et al. Severity of angiographically proven coronary artery disease predicts smoking cessation. Am J Prey Med 1991; 7 (3): 131 – 35.

    CAS  Google Scholar 

  16. Rose G, Hamilton P. A randomized controlled trial of the effect of middle-aged men of advice to stop smoking. J Epidemiol Community Health 1982; 36: 102 – 8.

    Article  PubMed  CAS  Google Scholar 

  17. Rosenstock I. The Health Belief Model: Explaining health behavior through expectancies. In: Glanz K, Lewis F, Rimer R, editors. Health behavior and health education: Theory, research, and practice. San Francisco: Jossey Bass, 1990.

    Google Scholar 

  18. Bandura A. Self-Efficacy: The exercise of control. New York: WH Freeman and Company, 1997: 604.

    Google Scholar 

  19. Marlatt A, Gordon J, McClellan W. Current perspectives: Patient education in medical practice. Patient Ed Couns 1986; 8: 151 – 63.

    Article  Google Scholar 

  20. Prochaska J, DiClemente C. Stages and processes of self-change of smoking: Toward an integrative model of change. J Consulting and Clinical Psychology 1983; 51: 390 – 95.

    Article  CAS  Google Scholar 

  21. Ockene J. Smoking intervention: A behavioral, educational, and pharmacologie perspective. In: Ockene I, Ockene J, editors. Prevention of coronary heart disease. Boston: Little, Brown and Company, 1992: 201 – 30.

    Google Scholar 

  22. Ockene J, Quirk M, Goldberg R, et al. A residents training program for the development of smoking intervention skills. Arch hit Med 1988; 148: 1039 – 45.

    CAS  Google Scholar 

  23. Ockene J, Bonollo D, Adams A. Smoking and coronary artery disease in women: Diagnosis and management in the context of women’s lives. In press.

    Google Scholar 

  24. Division of Preventive and Behavioral Medicine. Healthcare provider smoking intervention training: Workshop participant manual. In: Massachusetts Tobacco Control Program, Dept. of Public Health. Worcester, MA: University of Massachusetts Medical School, 1994.

    Google Scholar 

  25. Glynn T, Manley M. How to help your patients stop smoking. Bethesda: National Institutes of Health, National Cancer Institute, 1993.

    Google Scholar 

  26. Ockene J, Kristeller J, Goldberg R, et al. Increasing the efficacy of physician-delivered smoking intervention: A randomized clinical trial. J Gen Intern Med 1991; 6: 1 – 8.

    Article  PubMed  CAS  Google Scholar 

  27. Fagerstrom K. Measuring degree of physical dependency to tobacco smoking with reference to individualization of treatment. Addict Behav 1978; 3: 235 – 41.

    Article  PubMed  CAS  Google Scholar 

  28. Heatherton T, Kozlowski L, Frecker R, Fagerstrom K. The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire. Brit J Addiction 1991; 86 (9): 1119 – 27.

    Article  CAS  Google Scholar 

  29. Foxy R, Brown R. Nicotine fading and self-monitoring for cigarette abstinence or controlled smoking. J Appl Behav Anal 1979; 12: 111 – 25.

    Article  Google Scholar 

  30. Lam W, Sze P, Sacks H, Chalmers T. Meta-analysis of randomized controlled trials of nicotine chewing gum. Lancet 1987; 2: 27 – 29.

    Article  PubMed  CAS  Google Scholar 

  31. Schneider N, Olmstead R, Mody F, et al. Efficacy of a nicotine nasal spray in smoking cessation: A placebo-controlled, double-blind trial. Addiction 1995; 90: 1671 – 82.

    Article  PubMed  CAS  Google Scholar 

  32. Perry L, Robbins A, Scariati P, et al. Enhancement of smoking cessation using the antidepressant bupropion hydrochloride. Abstract. Circulation 1992; 86: 671.

    Google Scholar 

  33. Robinson M, Laurent S, Little J. Including smoking status as a new vital sign: It works! J Fam Pract 1995; 40 (6): 556 – 63.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Judith K. Ockene
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ira S. Ockene
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Cornell University Medical College, 1300 York Avenue, Room F-105, New York, NY, USA

    Antonio M. Gotto Jr.

  2. National Heart, Lung, and Blood Institute, NIH, Bethesda, MD, USA

    C. Lenfant

  3. Institute of Pharmacological Sciences, University of Milan, Via Balzaretti 9, 20133, Milan, Italy

    Rodolfo Paoletti  & A. L. Catapano  & 

  4. Giovanni Lorenzini Medical Foundation, Houston, TX, USA

    A. S. Jackson

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Ockene, J.K., Ockene, I.S. (1998). Preventing Cardiovascular Disease: Effective Smoking Cessation Strategies for the Busy Clinician. In: Gotto, A.M., Lenfant, C., Paoletti, R., Catapano, A.L., Jackson, A.S. (eds) Multiple Risk Factors in Cardiovascular Disease. Medical Science Symposia Series, vol 12. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5022-4_35

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-5022-4_35

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6108-7

  • Online ISBN: 978-94-011-5022-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation