Author Affiliation: Dr Rigotti is Associate Professor of Medicine, Harvard Medical School, and Director, Tobacco Research and Treatment Center, Department of Medicine, Massachusetts General Hospital, Boston.
Clinical Crossroads Section Editor: Margaret
A. Winker, MD, Deputy Editor.
DR DELBANCO: Ms V is a 36-year-old woman considering
an attempt to quit smoking. Married, with 3 children, she lives near Boston
and works at the public counter of a federal agency. Two of her children have
asthma. Ms V has commercial, managed care insurance and receives primary care
from Dr K, a general internist at the Beth Israel Deaconess Medical Center.
Since age 9 years, Ms V has smoked cigarettes, and by age 12 years,
she was consistently smoking 1 pack daily. Currently, she uses 1 to 2 packs
per day, smoking closer to 2 packs per day during times of stress. She smokes
the bulk of her cigarettes during her long commute to and from work. She also
enjoys tobacco after a meal and when out with friends. Ms V's husband is a
Rigotti NA. A 36-Year-Old Woman Who Smokes Cigarettes. JAMA. 2000;284(6):741-749. doi:10.1001/jama.284.6.741