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REGULAR ARTICLES

Tobacco Use by Physicians in a Physician Health Program, Implications for Treatment and Monitoring

, MD, , MD, , MD, MPH, , MS & , MD
Pages 103-108 | Received 18 Aug 2008, Accepted 30 Sep 2008, Published online: 10 Jul 2009
 

Abstract

The use of tobacco by physicians with substance abuse histories is drastically understudied. A chart review of 1319 physicians enrolled in a physician health program found tobacco use highest for those referred for substance abuse problems (58.1%). Among a subset of currently monitored substance abusers, all those who relapsed during monitoring were using tobacco and had more difficulty maintaining sobriety following initial treatment (p = 0.0137) than non tobacco users. Because tobacco was a risk factor for relapse, reasons why physician health programs should address its use and treatment facilities should establish tobacco-free environments to provide optimum learning and recovery are explored.

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