213. Specific Populations and Other Topics (Continued)

Treating Tobacco Use and Dependence: 2008 Update

Text version of slide presentation.

Specific Populations and Other Topics (Continued)

Clinical issues for treating specific populations

IssueApproach
Language

Ensure that interventions are provided in a language the patient understands. Most quitlines provide counseling in Spanish and some provide counseling in other languages.

All textual materials used (e.g., self-help brochures) should be written at an appropriate reading level. This is particularly important given epidemiological data showing that tobacco use rates are markedly higher among individuals of lower educational attainment.

Culture

Interventions should be culturally appropriate to make them relevant and acceptable to the patient. The extent to which cultural tailoring enhances intervention effectiveness requires further research.

Clinicians should remain sensitive to individual differences and spiritual and health beliefs that may affect treatment acceptance, use and success in all populations.

Medical comorbidity

Examine the possibility of medication interactions (See section in Chapter 6: Interactions of first-line tobacco use medications with other drugs).

Address how exposure to tobacco can alter the liver's ability to metabolize different medications (HIV-positive patients).



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Current as of June 2009
Internet Citation: 213. Specific Populations and Other Topics (Continued): Treating Tobacco Use and Dependence: 2008 Update. June 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slide213.html