December 10th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, News, Research
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Across the country health insurance coverage for smoking cessation treatment – both counseling and medications – has been extremely patchy. For example, we ask all the new patients attending our smoking cessation clinic in New Jersey if their insurance covers smoking cessation treatment, and the vast majority have no idea. Typically its also not easy for either the patient or provider to find out either. It doesn’t just depend on the insurer, but on the plan, the type of service, what they’ve already had in terms of preventive care. We’ve had many occasions where we call the insurer twice on the same day and get a different answer. And New Jersey is a state that is supposed to have relatively good insurance coverage for tobacco cessation! So it’s a mess nationwide, and the net result is that fewer patients get the treatment they need because they are put of by the uncertainty about the cost and difficulty finding out how much it is. Read more »
This post, Massachusetts Leads The Way In Smoking Cessation, was originally published on
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November 6th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, Health Tips
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Every now and again I like to pick one of the classic research studies on smoking cessation in order to highlight some of the key findings. Today I’m going to focus on the part of the Lung Health Study.
The Lung Health Study is certainly one of the best smoking cessation studies ever carried out, partly because of the comprehensive nature of the assessment and follow-up of its 5,887 participants and partly because it was way ahead of its time in delivering a truly “state-of-the-art” intensive smoking cessation intervention which was compared in a randomized manner to the effects of “usual care”. The Lung Health Study (LHS) was a randomized clinical trial of smoking cessation and inhaled bronchodilator therapy in smokers 35 to 60 years of age who did not consider themselves ill but had evidence of mild to moderate airway obstruction. Read more »
This post, Classic Smoking Cessation Study Suggests You Can Save A Life For $2000, was originally published on
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October 28th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, Health Tips, News
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I’m writing from the second conference on menthol and cigarettes, in Washington DC. This conference was organized to review the evidence on the effects of menthol in cigarettes and to discuss what further research is necessary and what actions should be taken.
To me, the presentations appeared to suggest that right now the evidence that menthol cigarettes are more harmful to health is weak. However, the evidence that menthol cigarettes are a starter product for youth and that menthol cigarettes can (under certain circumstances) be more addictive and harder to quit, is quite strong and getting stronger all the time. Read more »
This post, Menthol: Mounting Evidence That It Makes Smoking Cessation More Difficult, was originally published on
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October 23rd, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, News
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Now that the U.S. Food and Drug Administration (FDA) has the power to regulate tobacco products we will see more meaningful moves to reduce the harmfulness and addictiveness of tobacco, as well as to reduce its addictiveness to young people. However, we should also expect the tobacco industry to respond by trying to find loopholes that help it get around these regulatory moves.
The first example is the ban on added flavors to cigarettes (which currently excludes menthol flavor, i.e. it is not banned automatically). Recently I’ve noticed an increased promotion of flavored cigars, often being sold as singles, in bright colorful packaging. The current FDA flavor regulation doesn’t ban fruit, candy and other flavors in cigars or smokeless tobacco, just cigarettes. Read more »
This post, Big Tobacco Now Marketing Fruit Flavored Cigars To Youth, was originally published on
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October 6th, 2009 by Jonathan Foulds, Ph.D. in Better Health Network, Health Tips
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When thinking of the health risks of smoking, almost everyone is aware that smoking causes lung cancer and respiratory diseases. The connection between inhaling smoke into the lungs and developing diseases of the lung is immediately plausible. But every year medical researchers discover more and more diseases that are worsened by smoking.
One example that recently caught my attention is multiple sclerosis (MS). MS is a very serious neurological condition caused partly by damage to the myelin sheath covering cells and their connections in the central nervous system. The precise neurological symptoms the person experiences depends largely on which part of their central nervous system is affected. Read more »
This post, Smoking May Worsen Multiple Sclerosis, was originally published on
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