01820nam a2200265 4500001000800000005001700008007000300025008004100028040000800069041000800077100002800085245008400113300002300197520098900220650003901209650001301248650003901261650003501300650002801335700002301363700002201386700002101408700002201429773010301451ESSALUD20260817163214.0ta t pe ||||| |||| 00| 0 spa d aBMG aeng aShelley, Donna eAutor aEvidence-based tobacco-cessation strategies for low-and middle-income countries apáginas: 684-693 aTobacco use is the leading cause of preventable death globally, claiming more than 7 million lives each year. The burden of disease is highest in low- and middle-income countries, where more than 80% of the world’s 1.3 billion tobacco users reside. The World Health Organization (WHO) defines six proven strategies to reduce tobacco use, referred to by the acronym MPOWER, with one of the strategies being to offer tobacco users help with quitting. Many low- and middle-income countries provide tobacco-cessation services; however, only 31 meet the WHO best practice, defined as providing both cost-covered behavioral interventions and pharmacotherapy. In this article, case studies from India and Vietnam illustrate how cross-country differences in tobacco-related sociocultural norms, tobacco-use patterns (e.g., smokeless tobacco or water pipes), the tobacco-control regulatory environment, industry influence, and health care system financing shape treatment access and uptake.  aPRESTACIONES DE SERVICIOS DE SALUD aADICCION aPOLÍTICA SANITARIA INTERNACIONAL aMEDICINA CLÍNICA AMBULATORIA aSALUD PÚBLICA GENERAL aRigotti, Nancy A.  aMurthy, Pratima  aVan Minh, Hoang  aSiddiqi, Kamran 0 022717dMassachusetts NEJM GroupoNEJM010tThe New England Journal of Medicine wESSALUDx0028-4793