• Open Access

A survey of tobacco dependence treatment guidelines in 121 countries

Authors

  • Hembadoon Piné-Abata,

    Corresponding author
    • UK Centre for Tobacco Control Studies, University of Nottingham, Division of Epidemiology and Public Health, Nottingham, UK
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  • Ann McNeill,

    1. UK Centre for Tobacco Control Studies, National Addiction Centre, Institute of Psychiatry, King's College London, Addiction Sciences Building, London, UK
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  • Martin Raw,

    1. UK Centre for Tobacco Control Studies, University of Nottingham, Division of Epidemiology and Public Health, Nottingham, UK
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  • Asaf Bitton,

    1. Division of General Medicine, Brigham and Women's Hospital, Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
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  • Nancy Rigotti,

    1. Harvard Medical School, Boston, MA, USA
    2. Tobacco Research and Treatment Centre, General Medicine Division, Massachusetts General Hospital, Boston, MA, USA
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  • Rachael Murray

    1. UK Centre for Tobacco Control Studies, University of Nottingham, Division of Epidemiology and Public Health, Nottingham, UK
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Correspondence to: Hembadoon Piné-Abata, UK Centre for Tobacco Control Studies, University of Nottingham, Division of Epidemiology and Public Health, Clinical Sciences Building, City Hospital, Nottingham NG5 1PB, UK. E-mail: mcxhp@nottingham.ac.uk

Abstract

Aims

To report progress among Parties to the World Health Organization (WHO) Framework Convention on Tobacco Control (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 Microsoft Word 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.

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