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A Survey of Characteristics of Smokeless Tobacco Users in a Treatment Program

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Objective: To determine the characteristics and outcomes of smokeless tobacco (ST) users receiving interventions in an outpatient tobacco-dependence treatment program. Methods: Survey was mailed with telephone follow-up to ST users treated during a 2-year period. Results: Nicotine replacement therapy and family and social support were the most helpful intervention components in maintaining tobacco abstinence. Continuing ST users face significant barriers to abstinence such as high levels of nicotine dependence, lack of motivation, nicotine withdrawal symptoms, and stress. Conclusions: Enhancing confidence in their ability to quit, managing stress, prescribing bupropion SR, offering nicotine replacement therapy to relieve withdrawal symptoms, and providing ongoing support may be important for ST users in tobacco- dependence treatment programs.

Keywords: cross-sectional studies; health care surveys; smokeless; tobacco; tobacco use cessation; tobacco use disorder

Document Type: Research Article


Affiliations: 1: Biostatistics, Mayo Clinic of Medicine, Mayo Clinic, Rochester, MN 2: Psychology, Mayo Clinic, Rochester, MN 3: Mayo Clinic College of Medicine; Mayo Clinic, Rochester, MN

Publication date: 2005-01-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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