Tobacco and alcohol abuse: clinical opportunities for effective intervention.
No behaviors are more costly to the United States from a health or economic perspective than tobacco and alcohol use. One of the primary strategies available to mitigate this exacting toll is to identify and clinically treat the 25% of adults in America who smoke and the 20% of adults who drink alcohol above recommended limits. During the last two decades, researchers have identified a series of brief clinical interventions that can markedly reduce alcohol and tobacco use and significantly decrease the health burdens resulting from such use. This review outlines office-based clinical interventions and the organizational policies that support these interventions that have been shown to decrease tobacco and alcohol use.
Fiore
M C
MC
Center for Tobacco Research and Intervention, University of Wisconsin Medical School, Madison 53706-1532, USA.
Fleming
M F
MF
Burns
M E
ME
D000328:Adult; D000437:Alcoholism / Q000628:therapy*; D003695:Delivery of Health Care / Q000592:standards; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000592:standards; D014029:Tobacco Use Disorder / Q000628:therapy*