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Korean J Fam Med > Volume 30(7); 2009 > Article
Korean Journal of Family Medicine 2009;30(7):494-502.
DOI: https://doi.org/10.4082/kjfm.2009.30.7.494    Published online July 20, 2009.
Smoking as a Disease.
Dae Hyun Kim, Young Sung Suh
Department of Family Medicine, College of Medicine, Keimyung University, Daegu, Korea. dhkim@dsmc.or.kr
질병으로서의 흡연
김대현, 서영성
계명대학교 의과대학 가정의학교실
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 corticotropin-releasing 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.
Key Words: Smoking; Disease; Reimbursement


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