Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: We agree with Dr Hughes that tobacco
use is a serious public health problem throughout the world. Indeed, the WHO
Tobacco Free Initiative is designed precisely to address this problem. However,
most of the countries in the WHO World Mental Health (WMH) Survey Initiative
have independent epidemiological data reporting tobacco use and dependence.
Consequently, these countries did not include the WMH tobacco module in their
surveys, leading us to exclude tobacco use and dependence from our article.
However, we will present data on the prevalence and correlates of tobacco
use and dependence in the countries with the WMH tobacco module in future
Kessler RC, Bedirhan Üstün T. Nicotine Dependence and WHO Mental Health Surveys—Reply. JAMA. 2004;292(9):1021-1022. doi:10.1001/jama.292.9.1022