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Book Cover
E-book
Author Chapman, Simon, 1951-

Title Quit Smoking Weapons of Mass Distraction / Simon Chapman
Published Sydney : Sydney University Press, [2022]

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Description 1 online resource (359 pages)
Series Public and Social Policy series
Public and social policy series.
Contents Intro -- Quit Smoking Weapons of Mass Distraction -- Quit Smoking Weapons of Mass Distraction -- Contents -- Acknowledgements -- Abbreviations -- Introduction -- Quitting cigarettes -- Early Australian efforts at promoting quitting -- Australia's first mass-reach quit-smoking campaign -- We must provide help! -- Nascent scepticism starts to foment -- Individuals or populations? -- Early provocations -- Outline of this book -- How do most people quit other addictions? -- Alcohol -- Opiates -- American armed forces heroin users after the Vietnam War -- Cannabis -- Problem gambling
How we study quitting smoking: a critical look -- Evidence is not the plural of anecdote -- Self-selection bias -- Randomised controlled trials -- Trial exclusion criteria -- Hawthorne, attention and social desirability effects in RCTs -- Trial participant retention strategies -- Trialists are often paid and drugs are free -- Blindness integrity problems -- The pleasures of smoking? -- Can smokers guess if they have been allocated to the placebo arm? -- Competing interest bias -- Positive outcome bias -- "Intention to treat" analysis -- Citation bias
Real-world observational studies 1: Cross-sectional surveys -- Low response rates in cross-sectional surveys -- Self-selecting, motivated samples vs. whole population randomly selected samples -- Real-world observational studies 2. Longitudinal cohorts -- Relapse -- Recall bias -- Indication bias -- Ways of quitting smoking -- Success rates versus intervention and policy reach -- Quitting unassisted: before and after "evidence-based" methods -- Enter Nicotine Replacement Therapy (NRT) and prescribed medications
How has mass use of smoking-cessation medication affected cessation at the population level? -- What's the upshot from RCTs and observational studies of NRT? -- Australian data -- Trends in proportion of smokers and ex-smokers who quit unassisted -- Stop smoking medications in low-income nations -- The modest impact of most popular interventions -- Quitlines -- North American quitlines -- Stop-smoking groups and counselling -- The English experience with quit-smoking centres -- Impact of English quit services on smoking prevalence -- Workplace smoking-cessation programs -- GP interventions
Online quit interventions -- Contingency payments -- Quit and win lotteries -- How much intervention research is ever "upscaled" to become routine in mass-reach settings? -- "Don't try to quit cold turkey" -- The slow death of the hardening hypothesis -- Spontaneous, unplanned quitting vs stages of change progression -- How difficult is it to quit smoking? -- The shunning and denigration of unassisted quitting -- Drivers of the medicalisation of smoking cessation -- The dominance of interventionism -- The medicalisation and commodification of cessation
Summary Since the 1950s when theevidence on smoking causing serious, fatal diseases began consolidating, hundreds of millions of smokers have quit. Overwhelmingly, the great majorityquit unassisted without any professional or pharmaceutical help. But from thelate 1970s, massive campaigns have urged smokers not to go the cold turkeyroute and instead take nicotine replacement therapy, prescribed drugs and mostrecently, to vape. Simon Chapman is a veteran researcher, a global publichealth advocate and an Australian Skeptic of the Year. In this book he analysesthe relentless push to medicalise and commodif
Bibliography Includes bibliographical references (pages 298-353) and index
Notes All smokers should use NRT: a promotional case study
Subject Smoking cessation products industry.
Smoking cessation.
Preventive Medicine.
MEDICAL.
Smoking cessation
Smoking cessation products industry
Form Electronic book
ISBN 9781743328545
1743328540
9781743328590
1743328591
9781743328538
1743328532