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September 1, 2004

Nicotine Dependence and WHO Mental Health Surveys—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292(9):1021-1022. doi:10.1001/jama.292.9.1022

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 reports.

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