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A survey of tobacco dependence treatment guidelines in 121 countries
Author(s) -
PinéAbata Hembadoon,
McNeill Ann,
Raw Martin,
Bitton Asaf,
Rigotti Nancy,
Murray Rachael
Publication year - 2013
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.12158
Subject(s) - medicine , nicotine replacement therapy , varenicline , family medicine , tobacco control , psychological intervention , government (linguistics) , evidence based practice , developing country , environmental health , alternative medicine , public health , psychiatry , nursing , nicotine , linguistics , philosophy , pathology , economics , economic growth
Aims To report progress among P arties to the W orld H ealth O rganization ( WHO ) F ramework C onvention on T obacco C ontrol ( FCTC ) in developing national tobacco treatment guidelines in accordance with FCTC Article 14 guideline recommendations. Design Cross‐sectional study. Setting Electronic survey from December 2011 to August 2012; participants were asked to complete either an online or attached M icrosoft W ord questionnaire. Participants One hundred and sixty‐three of the 173 Parties to the FCTC at the time of our survey. Measurements The 51‐item questionnaire contained 30 items specifically on guidelines. Questions covered the areas of guidelines writing process, content, key recommendations and other characteristics. Findings One hundred and twenty‐one countries (73%) responded. Fifty‐three countries (44%) had guidelines, ranging from 75% among high‐income countries to 11% among low‐income countries. Nearly all guidelines recommended brief advice (93%), intensive specialist support (93%) and medications (96%), while 66% recommended quitlines. Fifty‐seven percent had a dissemination strategy, 76% stated funding source and 68% had professional endorsement. Conclusion Fewer than half of the Parties to the WHO FCTC have developed national tobacco treatment guidelines, but, where guidelines exist, they broadly follow FCTC Article 14 guideline recommendations.