Tobacco and alcohol abuse: clinical opportunities for effective intervention

Proc Assoc Am Physicians. 1999 Mar-Apr;111(2):131-40. doi: 10.1046/j.1525-1381.1999.09249.x.


No behaviors are more costly to the United States from a health or economic perspective than tobacco and alcohol use. One of the primary strategies available to mitigate this exacting toll is to identify and clinically treat the 25% of adults in America who smoke and the 20% of adults who drink alcohol above recommended limits. During the last two decades, researchers have identified a series of brief clinical interventions that can markedly reduce alcohol and tobacco use and significantly decrease the health burdens resulting from such use. This review outlines office-based clinical interventions and the organizational policies that support these interventions that have been shown to decrease tobacco and alcohol use.

Publication types

  • Review

MeSH terms

  • Adult
  • Alcoholism / therapy*
  • Delivery of Health Care / standards
  • Humans
  • Practice Patterns, Physicians' / standards
  • Tobacco Use Disorder / therapy*