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A survey of tobacco dependence treatment guidelines content in 61 countries.
- Source :
- Addiction; Aug2018, Vol. 113 Issue 8, p1499-1506, 8p, 4 Charts
- Publication Year :
- 2018
-
Abstract
- Abstract: Aims: To assess tobacco dependence treatment guidelines content in accordance with Article 14 of the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) and its guidelines, and association between content and country income level. Design: Cross‐sectional study. Setting: On‐line survey from March to July 2016. Participants: Contacts in 77 countries, including 68 FCTC Parties, six Signatories and three non‐Parties which had indicated having guidelines in previous surveys, or had not been surveyed before. Measurements: A nine‐item questionnaire on guidelines content, key recommendations, writing and dissemination. Findings: We received responses from contacts in 63 countries (82%); 61 had guidelines. The majority are for doctors (93%), primary care (92%) and nurses (75%). All recommend brief advice, 82% recording tobacco use in medical notes, 98% nicotine replacement therapy (NRT), 61% quitlines, 31% text messaging and 87% intensive specialist support, and 54% stress the importance of health‐care workers not using tobacco. Only 57% have a dissemination strategy, and 62% have not been updated for 5 or more years. Compared with high‐income countries, quitlines are less likely to be recommended in upper middle‐income countries guidelines [odds ratio (OR) = 0.15, 95% confidence interval (CI) = 0.04–0.61] and intensive specialist support in lower middle‐income countries guidelines (OR = 0.01, 95% CI = 0.00–0.20). Guidelines updating is associated positively with country income level (P = 0.027). Conclusions: Although most tobacco dependence treatment guidelines in the 61 countries assessed in 2016 follow the World Health Organization's Framework Convention on Tobacco Control Article 14 recommendations and do not differ significantly by income level, improvements are needed in keeping guidelines up‐to‐date, applying good writing practices and developing a dissemination strategy. [ABSTRACT FROM AUTHOR]
- Subjects :
- TOBACCO & health
HEALTH surveys
COMMUNICATION
CONFIDENCE intervals
DRUG addiction
INCOME
MEDICAL protocols
NURSES' attitudes
PRIMARY health care
QUESTIONNAIRES
PSYCHOLOGICAL stress
SURVEYS
WRITING
TEXT messages
SOCIAL support
TOBACCO products
PHYSICIANS' attitudes
NICOTINE replacement therapy
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 09652140
- Volume :
- 113
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Addiction
- Publication Type :
- Academic Journal
- Accession number :
- 130671149
- Full Text :
- https://doi.org/10.1111/add.14204