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The Effect of Nicotine Addiction on Quitting Smoking
Cigarette addiction ranks first among preventable causes of death all over the world. 10 million people died in the 20th century due to the tobacco epidemic. However, the 2000s peaked with the risk burden from the past and now 5.4 million people die every year.
Mehmet KARADAĞ1, Sema KARADAĞ2, Bülent EDİZ3, Ersal Salih IŞIK4
1 Şevket Yılmaz Training and Research Hospital Chest Diseases Clinic, BURSA
2 Retired General Practitioner, BURSA
3 Uludağ University Faculty of Medicine Department of Biostatistics, BURSA
4 Family Physician Specialists, BURSA
Cigarette addiction ranks first among preventable causes of death all over the world. 10 million people died in the 20th century due to the tobacco epidemic. However, the 2000s peaked with the risk burden from the past and now 5.4 million people die every year.
The World Health Organization (WHO) predicts that if urgent measures are not taken, more than 8 million people will die annually by 2030, with 80% of these deaths occurring in developing countries, and one billion people will die throughout the 21st century1.
Smoking plays a significant role in the development of many fatal diseases. It is the leading cause of lung cancer, one of the deadliest cancers, in both men and women2.
In order to find a solution to this important public health problem and to control tobacco in society, the WHO Director-General proposed in July 2008 that all countries adopt comprehensive measures aligned with the MPOWER approaches3. In the M-POWER program;
M (Monitor) MONITOR tobacco use and prevention policies.
P (Protect) PROTECT people from passive exposure to tobacco smoke.
O (Offer) OFFER help to quit tobacco use.
W (Warn) WARN individuals about the danger of smoking.
E (Enforce bans) ENFORCE bans on tobacco advertising, promotion and sponsorship.
R (Raise taxes) RAISE the amount of tax applied to tobacco.
When determining aid methods for those who want to quit smoking; WHO recommends five major steps (5A) in smoking cessation treatment4. The 5 steps starting with the English letter A (Ask, Advice, Assess, Assist, Arrange) are widely accepted.
1- Ask, learn (Ask),
2- Advise him/her to quit (Advice),
3- Assess the willingness to quit within the next month. (Assess),
4- Plan the treatment, help and lead (Assist),
5- Monitor to prevent relapse (Arrange).
