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ARTICLE |

Uniting Physicians Against Smoking: The Need for a Coordinated National Strategy FREE

Ronald M. Davis, MD
JAMA. 1988;259(19):2900-2901. doi:10.1001/jama.1988.03720190068035
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In the late 1960s, the Public Health Service produced and distributed a simple black-and-white poster that stated in bold letters, "100 000 Doctors Have Quit Smoking Cigarettes." Small print at the bottom of the poster explained that "maybe they know something you don't." Since that time, recognition has grown that physicians can play a major role in the campaign to achieve a smoke-free society.

There are at least four major reasons why physicians are perceived as important participants in the antismoking campaign. First, physicians are among the most well-respected and trusted of all professionals. Smokers may ignore cajoling by concerned family members and may resent the stern looks of annoyed "passive" smokers. But they will accept with good graces strong words of advice from physicians, dignified in their white coats. Moreover, most physicians are good role models with respect to not smoking—a survey of 1000 randomly selected physicians conducted in

REFERENCES

Harvey L, Shubat S: AMA Surveys of Physician and Public Opinion on Health Care Issues, 1987 . Chicago, American Medical Association, 1987;.
Wetzler HP, Cruess DF:  Self-reported physical health practices and health care utilization: Findings from the National Health Interview Survey. Am J Public Health 1985;;75:1329-1330.
Ockene JK:  Smoking intervention: The expanding role of the physician. Am J Public Health 1987;;77:782-783.
Russell MAH:  Cigarette dependence: II. Doctor's role in management. Br Med J 1971;;2:393-395.
Schwartz JL: Review and Evaluation of Smoking Cessation Methods: The United States and Canada, 1978-1985 , publication (NIH) 87-2940. Bethesda, Md, National Cancer Institute, 1987;, pp 50-59.
 Cigarette smoking in the United States, 1986. MMWR 1987;;36:581-585.
Anda RF, Remington PL, Sienko DG, et al:  Are physicians advising smokers to quit? The patient's perspective. JAMA 1987;;257:1916-1919.
Campbell JL, Valente CM:  Physician involvement in health education: Needs, problems, solutions. Maryland State Med J 1983;;32:284-290.
Valente CM, Sobal J, Muncie HL, et al:  Health promotion: Physicians' beliefs, attitudes, and practices. Am J Prev Med 1982;;2:82-88.
Kottke TE, Battista RN, DeFriese GH, et al:  Attributes of successful smoking cessation interventions in medical practice: A meta-analysis of 39 controlled trials. JAMA 1988;;259:2882-2889.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Harvey L, Shubat S: AMA Surveys of Physician and Public Opinion on Health Care Issues, 1987 . Chicago, American Medical Association, 1987;.
Wetzler HP, Cruess DF:  Self-reported physical health practices and health care utilization: Findings from the National Health Interview Survey. Am J Public Health 1985;;75:1329-1330.
Ockene JK:  Smoking intervention: The expanding role of the physician. Am J Public Health 1987;;77:782-783.
Russell MAH:  Cigarette dependence: II. Doctor's role in management. Br Med J 1971;;2:393-395.
Schwartz JL: Review and Evaluation of Smoking Cessation Methods: The United States and Canada, 1978-1985 , publication (NIH) 87-2940. Bethesda, Md, National Cancer Institute, 1987;, pp 50-59.
 Cigarette smoking in the United States, 1986. MMWR 1987;;36:581-585.
Anda RF, Remington PL, Sienko DG, et al:  Are physicians advising smokers to quit? The patient's perspective. JAMA 1987;;257:1916-1919.
Campbell JL, Valente CM:  Physician involvement in health education: Needs, problems, solutions. Maryland State Med J 1983;;32:284-290.
Valente CM, Sobal J, Muncie HL, et al:  Health promotion: Physicians' beliefs, attitudes, and practices. Am J Prev Med 1982;;2:82-88.
Kottke TE, Battista RN, DeFriese GH, et al:  Attributes of successful smoking cessation interventions in medical practice: A meta-analysis of 39 controlled trials. JAMA 1988;;259:2882-2889.
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