Policy section last updated: November 2014
Suggested citation style: Treatobacco.net. Safety section, Key finding on NRT and cardiovascular disease, http://www.treatobacco.net/en/page_171.html, accessed 28.11.14.
The purpose of this policy section is to highlight important policy documents and provide information on policies related to smoking cessation, treatment of tobacco dependence, cost-effectiveness, and harm reduction. This is a review of the main policy options for the treatment of tobacco dependence and of policies in place. It is based on the evidence presented largely from other sources and hence strength of evidence statements are not presented. Key findings are grouped by subject area and reference citations supporting the summaries provided are provided within each key finding subsection.
Smoking: For the sake of brevity, the term smoking, where used, should be taken to include all tobacco use, including the use of e-cigarettes (described in detail elsewhere on this website).
Smoking cessation: The term smoking cessation includes all tobacco cessation, whether it occurs as a result of broader tobacco control measures or individual support of dependent smokers through treatment or outside of treatment, e.g., spontaneous cessation, and cessation in response to illness or increased cost of cigarettes.
Tobacco dependence treatment: A more narrow activity, compared to smoking cessation, and involves helping and supporting tobacco users overcome their dependence on nicotine and may be most effective in the context of comprehensive tobacco control efforts including education, workplace smoking restrictions, and increased tobacco product cost.
The definition of tobacco dependence treatment is based on the World Health Organization’s European guidelines (Raw et al., 2002), as follows: ”Tobacco dependence treatment includes (singly or in combination) behavioral and pharmacological interventions, such as brief advice and counseling, intensive support, and administration of pharmaceuticals, that contribute to reducing or overcoming tobacco dependence in individuals and in the population as a whole.”
Tobacco Dependence Treatment Specialist (ENSP, 2012): A professional who possesses the skills, knowledge and training to provide effective, evidence-based interventions for tobacco dependence treatment, across a range of intensities. The TDTS may have various professional afﬁliations and may work in a variety of settings including, but not limited to, hospitals, community health centers, health maintenance organizations (HMOs), medical and dental practices, educational settings, social service agencies, public health organizations, tobacco treatment centers, telephone quitlines, drug abuse treatment programs and mental health centers. The TDTS may engage not only in providing treatment, but also in educating others (health care professionals, administrators, scientists, smokers and non-smokers) about tobacco dependence treatments.
European Network for Smoking and Tobacco Prevention (ENSP). European Smoking Cessation Guidelines: The authoritative guide to a comprehensive understanding of the implications and implementation of treatments and strategies to treat tobacco dependence. 2012; 10: 1-117.
Raw M, Anderson P, Batra A, Dubois G, Harrington P, Hirsch A, Le Houezec J, McNeill A, Milner D, Poetschke Langer M, Zatonski W. World Health Organization. European Partnership Project to Reduce Tobacco Dependence. WHO Europe evidence based recommendations on the treatment of tobacco dependence. Tob Control. 2002; 11(1): 44-46.