0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
This Week in JAMA |

This Week in JAMA FREE

JAMA. 2000;284(6):663. doi:10.1001/jama.284.6.663.
Text Size: A A A
Published online

TOBACCO

An estimated 4 million people will die this year from tobacco-related illness. Brundtland explains why tobacco control efforts have had limited impact. More effective regulation of tobacco products, such as the new regulations in Canada that will require prominent warning labels on cigarette packages, is one of several necessary steps to curb this preventable epidemic.

See Article

TOBACCO USE AMONG COLLEGE STUDENTS

Rates of cigarette smoking among college students may underestimate tobacco use in this population because use of other tobacco products—cigars, pipes, and smokeless tobacco—has not been assessed. In this analysis of data from a 1999 cross-sectional survey of students at 119 US 4-year colleges, Rigotti and colleagues found that almost half of respondents reported using a tobacco product in the past year. Current prevalence of cigarette smoking was 28.5% and of cigar use, 8.5%; a majority of tobacco users reported using more than 1 tobacco product in the past year.

See Article

US ESTIMATES OF SMOKING-ATTRIBUTABLE DEATHS

The tobacco industry has criticized the Centers for Disease Control and Prevention (CDC) estimates of the number of deaths in the United States attributable to smoking because the estimates are adjusted only for age and sex and lack adjustment for socioeconomic and behavioral factors. Using data from the same population-based study used for CDC estimates of smoking-attributable deaths, Thun and colleagues found that after adjusting for age and controlling for education, occupation, race, alcohol consumption, and various dietary factors, the overall estimate of deaths attributable to smoking in the United States decreased only by approximately 1%.

See Article

RISK OF CATARACTS AFTER SMOKING CESSATION

Cigarette smoking has been shown to be an independent risk factor for the development of age-related cataracts, but whether the risk persists or declines after smoking cessation is uncertain. In this analysis of data from 20,907 men in the Physicians' Health Study I followed up for an average of 13.6 years, Christen and colleagues found that the risk of cataract was lowest in never smokers, intermediate in past smokers, and highest in current smokers. Among ever smokers, the risk of cataract increased 7% for each 10-pack-year increase in smoking, but was slightly reduced among past smokers compared with current smokers independent of total cumulative dose.

See Article

CURBING SMOKING AMONG YOUTH

Several strategies have been developed to reduce smoking in youth, and interventions that target adults as well as youth might offer a new public health approach. In an analysis of data from population-based US surveys conducted in 1992-1993 and 1995-1996, Farkas and colleaguesArticle found that smoke-free workplaces and homes, especially where all household members were never smokers, were associated with significantly lower rates of adolescent smoking. In an assessment of the Florida Pilot Program on Tobacco Control, a comprehensive youth-led program that included a media campaign, community activities, school-based and retailer education, and enforcement of youth access laws, Bauer and colleaguesArticle report that tobacco use among Florida public middle school and high school students decreased significantly 2 years after program implementation. Retailer compliance with laws restricting the sale of cigarettes to youth could reduce youth access to tobacco products, but in an analysis of data from 110,062 Food and Drug Administration retail compliance checks, in which minors attempt to purchase tobacco products, Clark and colleaguesArticle found that the rate of illegal sales was 26.6%. Illegal sales were associated with failure to request proof of age, employment of older minors to make the purchase, attempts to purchase smokeless tobacco, and performing checks at 5 PM or later.

A 36-YEAR-OLD WOMAN WHO SMOKES

Ms V has been smoking since age 9 years and currently smokes 1 to 2 packs per day. She has made several unsuccessful attempts at quitting, but recently was able to abstain for 24 days while taking bupropion hydrochloride and using a nicotine patch. Rigotti reviews the prevalence and health burden of cigarette smoking and treatment of tobacco use.

See Article

MEDICAL NEWS & PERSPECTIVES

Experts discuss ethical problems posed by the genetics revolution.

See Article

RISKS OF CIGAR SMOKING

Rates of cigar smoking are increasing. This summary of the American Cancer Society conference on health risks of cigar smoking points out that cigars are not a safe alternative to cigarettes.

See Article

A TOBACCO-FREE FUTURE

Global and US efforts to control tobacco use: some success, but much to accomplish.

See Article

RESPIRATORY SYMPTOMS IN NONSMOKERS AND ETS

Respiratory symptoms among police officers in Hong Kong who have never smoked had a dose-response relationship with exposure to environmental tobacco smoke (ETS).

See Article

JAMA PATIENT PAGE

For your patients: Preventing child and adolescent tobacco use.

See Article

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.