FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 347:294-295 July 25, 2002 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Rigotti, N. A. PubMed Citation

To the Editor: In her article on tobacco use (Feb. 14 issue),¹ Rigotti recommends that at every visit, clinicians routinely assess and record patients' smoking status and advise them to quit before assessing their readiness to change and offering stage-appropriate interventions. However well intentioned, this approach may have important adverse effects.

In a qualitative study, we found that patients were already well aware that they should quit smoking.² Being told that they should quit each time they went for health care was often counterproductive. For example, a 30-year-old woman said, "I found that when I've gone [to the doctor's office] . . . [Full Text of this Article]

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.