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KMID : 0384320090300070494
Korean Journal of Family Medicine
2009 Volume.30 No. 7 p.494 ~ p.502
Smoking as a Disease
Kim Dae-Hyun

Suh Young-Sung
Abstract
Smoking is known as one of the major cause of disability and premature death. It should be framed as an individual-level disease requiring medical treatment. Smoking is addictive disease characterized by compulsive drug seeking, and smokers needs therapeutic interventions such as nicotine replacement therapy and nicotine agonist. In terms of addiction, nicotine facilitating neurotransmitter release results in the development of nicotine dependence, and corticotropinreleasing factor related nicotine withdrawal. Smoking will be regarded as disease, for smoking cessation is more effective intervention to prevent mortality than hypertension and dyslipidemia treatment. We will review some aspects of framing tobacco as a disease, and move on to the recent American and Japanese guideline which encourage the social reimbursement system of cessation practice.
KEYWORD
Smoking, Disease, Reimbursement
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