{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:28:53Z","timestamp":1790756933827,"version":"4.1.0"},"reference-count":27,"publisher":"CAIRN","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,22]]},"abstract":"<jats:p>Objectif\u00a0: Avec 13 millions de fumeurs en France en 2019, le tabagisme reste un enjeu majeur de sant\u00e9. Le projet \u00ab\u00a0Lieux d\u2019accompagnement \u00e0 la sant\u00e9 sans tabac\u00a0\u00bb (LAST) mis en place en Nouvelle-Aquitaine a pour but d\u2019inciter les fumeurs \u00e0 se faire aider pour arr\u00eater le tabac. M\u00e9thode\u00a0: Afin d\u2019identifier les freins au sevrage tabagique et les leviers \u00e0 mobiliser pour favoriser la demande d\u2019aide de la part des fumeurs puis construire avec eux leur programme de sevrage \u00ab\u00a0id\u00e9al\u00a0\u00bb, une \u00e9tude qualitative individuelle \u00e0 partir d\u2019entretiens semi-directifs a \u00e9t\u00e9 men\u00e9e en mai 2019 aupr\u00e8s de 19 fumeurs en contemplation ou pr\u00e9paration (mod\u00e8le transth\u00e9orique). R\u00e9sultats\u00a0: Les aides disponibles pour l\u2019arr\u00eat du tabac sont mal connues des fumeurs et par cons\u00e9quent peu utilis\u00e9es. Les raisons sont le manque d\u2019information sur leur efficacit\u00e9, le co\u00fbt per\u00e7u et la peur de d\u00e9velopper une autre forme de d\u00e9pendance. Concernant le programme id\u00e9al des fumeurs interrog\u00e9s, le recours \u00e0 un professionnel de sant\u00e9 est cit\u00e9 par la majorit\u00e9 d\u2019entre eux, suivi de l\u2019activit\u00e9 physique (pour \u00e9viter la prise de poids), des substituts nicotiniques et des autres traitements m\u00e9dicamenteux. La n\u00e9cessit\u00e9 de combiner les dispositifs et de personnaliser l\u2019offre de sevrage est une demande forte. Conclusion\u00a0: L\u2019\u00e9laboration du programme d\u2019aide \u00e0 l\u2019arr\u00eat \u00ab\u00a0id\u00e9al\u00a0\u00bb et personnalis\u00e9 semble constituer, pour chaque fumeur, une opportunit\u00e9 pour choisir les aides les plus conformes \u00e0 ses besoins et valeurs. Les professionnels de premier recours, du fait de leur proximit\u00e9, apparaissent une entr\u00e9e clef pour accompagner les tentatives d\u2019arr\u00eat.<\/jats:p>","DOI":"10.3917\/spub.214.0505","type":"journal-article","created":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T09:23:08Z","timestamp":1645176188000},"page":"505-515","source":"Crossref","is-referenced-by-count":2,"title":["Arr\u00eat du tabac : une personnalisation n\u00e9cessaire des programmes de sevrage"],"prefix":"10.3917","volume":"Vol. 33","author":[{"given":"Karine","family":"Gallopel-Morvan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Alla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Bonnay-Hamon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippine","family":"Brousse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Gonneau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Castera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1 Pasquereau A, Andler R, Guignard R, Soullier N, Gautier A, Richard JB, et al. Consommation de tabac parmi les adultes en 2020\u00a0: r\u00e9sultats du Barom\u00e8tre de Sant\u00e9 publique France. Bull Epid\u00e9miol Hebd. 2021;8:132-9."},{"key":"rb2","unstructured":"2 Pasquereau A, Andler R, Guignard R, Richard JB, Arwidson P, Nguyen-Thanh V. La consommation de tabac en France\u00a0: premiers r\u00e9sultats du barom\u00e8tre sant\u00e9 2017. Bull Epid\u00e9miol Hebd. 2018;14-15:265-73."},{"key":"rb3","unstructured":"3 Bourdillon F. 1,6 million de fumeurs en moins en deux ans, des r\u00e9sultats in\u00e9dits. Bull Epid\u00e9miol Hebd. 2019;15:270-1."},{"key":"rb4","unstructured":"4 Minist\u00e8re des Affaires sociales, de la Sant\u00e9 et des Droits des femmes. Programme national de r\u00e9duction du tabagisme 2014-2019. Paris, 2015."},{"key":"rb5","unstructured":"5 Minist\u00e8re des Solidarit\u00e9s et de la Sant\u00e9. Programme national de lutte contre le tabac 2018-2022. Paris, 2018."},{"key":"rb6","unstructured":"6 Fenton K. 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