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A.P., a 55 -year-old white man, has been smoking 1 pack of cigarettes per day for the last 38 years. He has a very stressful job as executive of a large marketing company. A.P. and his coworkers frequently go to "happy hour" at the local bar after a long day at work. When he is at home, A.P. has a sedentary lifestyle that consists of lounging by the pool or watching television. He tried to quit smoking "cold turkey" 2 years ago and remained abstinent for approximately 6 months, but has never tried any pharmacologic smoking cessation aids. During his previous attempt to quit, he became very anxious, irritable, and depressed and had trouble sleeping and concentrating at work. He has a medical history of hypertension for the last 10 years and a bout of successfully treated depression 5 years ago after the death of his mother. His family has been encouraging him to stop smoking for years. He is currently at the doctor's office for his blood pressure checkup and inquires about smoking cessation options; he doesn't have a definitive timeline for a quit date. Smoking habits: He smokes 1 pack per day and describes craving his first cigarette of the day about 10 to 15 minutes after awakening. He has observed that smoking with his morning coffee, smoking when drinking at the bar with his friends, and smoking after meals to be triggers that led to his relapse with his prior smoking cessation efforts. He would like to try something to help with acute cravings.

What motivational level (stage of change) is this patient in?

Question

What happened to cigarette smoking among teenagers between 1998 and 2006?

Solution

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The percentage of teenagers who have smoked dropped by 13%.

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