{"id":1053,"date":"2016-07-14T21:05:00","date_gmt":"2016-07-15T01:05:00","guid":{"rendered":"https:\/\/med-fammed.sites.unc.edu\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/"},"modified":"2018-07-21T12:44:17","modified_gmt":"2018-07-21T16:44:17","slug":"doctors-shouldnt-recommend-e-cigarettes-to-smokers","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/","title":{"rendered":"Doctors Shouldn’t Recommend E-cigarettes to Smokers"},"content":{"rendered":"

<\/p>\n

UNC Family Medicine researchers point out in a commentary published in Annals of Family Medicine that existing treatments are more effective than e-cigarettes to help people quit smoking.<\/p>\n

\n
\n
\"\"
Clare Meernik, MPH<\/figcaption><\/figure>\n<\/div>\n<\/div>\n

CHAPEL HILL, NC \u2013 The health benefits of quitting smoking are widely accepted, but researchers from the University of North Carolina at Chapel Hill have taken issue with the suggestion that doctors should routinely recommend e-cigarettes as an alternative to cigarettes for their patients who smoke.<\/p>\n

The researchers point out in a commentary published in today\u2019s Annals of Family Medicine<\/em> that existing treatments are more effective than e-cigarettes to help people quit smoking, that there are professional ethics concerns for providers who recommend them, and that no strong evidence exists that e-cigarettes are safe.<\/p>\n

\u201cProviders should not routinely recommend e-cigarettes to patients until we have far more data on their safety and effectiveness compared to established, FDA-approved medications,\u201d said commentary co-author Adam O. Goldstein, MD, MPH, professor in the Department of Family Medicine in the UNC School of Medicine and member of the UNC Lineberger Comprehensive Cancer Center. \u201cThere are very few therapeutic devices that we recommend that aren\u2019t regulated, that have potential and real side effects, and that are addictive. There are safer and more effective smoking cessation products for the same condition.\u201d<\/p>\n

The researchers described notable safety and health concerns about e-cigarettes. Batteries inside e-cigarettes have caught fire or exploded, and particulate matter from e-cigarettes, which has been shown to be present in similar numbers to cigarettes, can increase the risk of cardiovascular and respiratory diseases.<\/p>\n

The UNC researchers\u2019 commentary served as a counterpoint to a paper in the same journal issue by Ann McNeill, PhD, professor of tobacco addiction at King\u2019s College London, that suggests e-cigarettes are a less harmful way for smokers, including those trying to quit, to use nicotine.<\/p>\n

\u201cThough e-cigarettes are likely not as harmful as conventional cigarettes, a growing number of studies report that they are by no means harmless,\u201d said Clare Meernik, MPH, a research specialist in the UNC Department of Family Medicine who co-author the commentary with Goldstein. \u201cShort-term effects include exposure to toxins, reduced respiratory and lung function and burn-related injuries from exploding devices.\u201d<\/p>\n

The researchers also noted that e-cigarettes have been less effective than existing treatments to help people quit smoking.<\/p>\n

\u201cPeople are focused on whether they should use e-cigarettes or not. We can have a conversation about that, but part of the bigger picture is being lost,\u201d Goldstein said. \u201cWe need be using the tools that we currently have available, including seven FDA-approved medications in combination with behavioral treatment. We have quit lines that provide free counseling and physician counseling to help patients come up with concrete plans for quitting and developing the skills necessary to quit permanently and to increase social support \u2013 all of which significantly increase cessation.\u201d<\/p>\n

This past May the U.S. Food and Drug Administration announced it was extending its authority over all tobacco products, including e-cigarettes. Greater regulatory oversight of e-cigarettes, the researchers said, will be a significant step forward toward ensuring higher safety standards.<\/p>\n

\u201cWe need more data on effectiveness, we need more data on safety, we need technology that\u2019s safe so the products don\u2019t explode, we need to ensure they\u2019re childproof,\u201d Goldstein said. \u201cRight now, we don\u2019t know the different amounts of ingredients in these products. We don\u2019t know about the nicotine levels that patients are getting.\u201d<\/p>\n

An unrelated study<\/a> at UNC found that e-cigarettes can change the expression of genes involved in our natural immune defense of our upper airways.<\/p>\n

In addition to examining existing research on e-cigarettes, Goldstein said their views came from clinical observations from helping tobacco users through the UNC School of Medicine Department of Family Medicine’s Nicotine Dependence Program. A branch of the program exists in the N.C. Cancer Hospital to help cancer patients and survivors safely quit tobacco products, he said<\/p>\n

And while they advise against the routine recommendation of e-cigarettes, Meernik and Goldstein know firsthand that smoking cessation for individual patients is rarely black and white, and that providers must look at each patient\u2019s unique situation.<\/p>\n

\u201cThe emergence of any intervention or product promoted as a smoking cessation aid excites many providers, but such tools need to be proven safe and effective before providers routinely utilize them,\u201d Meernik said. \u201cDebates such as this can help clarify the evidence for providers and ensure that patients are receiving the highest quality treatment.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

UNC Family Medicine researchers point out in a commentary published in Annals of Family Medicine that existing treatments are more effective than e-cigarettes to help people quit smoking. CHAPEL HILL, NC \u2013 The health benefits of quitting smoking are widely accepted, but researchers from the University of North Carolina at Chapel Hill have taken issue … Read more<\/a><\/p>\n","protected":false},"author":55147,"featured_media":1054,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[19,18],"class_list":["post-1053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-clinic","tag-research","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"\nDoctors Shouldn't Recommend E-cigarettes to Smokers - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doctors Shouldn't Recommend E-cigarettes to Smokers - Department of Family Medicine\" \/>\n<meta property=\"og:description\" content=\"UNC Family Medicine researchers point out in a commentary published in Annals of Family Medicine that existing treatments are more effective than e-cigarettes to help people quit smoking. CHAPEL HILL, NC \u2013 The health benefits of quitting smoking are widely accepted, but researchers from the University of North Carolina at Chapel Hill have taken issue … Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Family Medicine\" \/>\n<meta property=\"article:publisher\" content=\"http:\/\/facebook.com\/uncfammed\" \/>\n<meta property=\"article:published_time\" content=\"2016-07-15T01:05:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-07-21T16:44:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"188\" \/>\n\t<meta property=\"og:image:height\" content=\"250\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uncfammed\" \/>\n<meta name=\"twitter:site\" content=\"@uncfammed\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Doctors Shouldn’t Recommend E-cigarettes to Smokers\",\"datePublished\":\"2016-07-15T01:05:00+00:00\",\"dateModified\":\"2018-07-21T16:44:17+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\"},\"wordCount\":760,\"publisher\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg\",\"keywords\":[\"Clinic\",\"Research\"],\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\",\"name\":\"Doctors Shouldn't Recommend E-cigarettes to Smokers - Department of Family Medicine\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg\",\"datePublished\":\"2016-07-15T01:05:00+00:00\",\"dateModified\":\"2018-07-21T16:44:17+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg\",\"contentUrl\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg\",\"width\":188,\"height\":250},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.med.unc.edu\/fammed\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Doctors Shouldn’t Recommend E-cigarettes to Smokers\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#website\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/\",\"name\":\"Department of Family Medicine\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.med.unc.edu\/fammed\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#organization\",\"name\":\"UNC Family Medicine\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png\",\"contentUrl\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png\",\"width\":488,\"height\":329,\"caption\":\"UNC Family Medicine\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"http:\/\/facebook.com\/uncfammed\",\"https:\/\/x.com\/uncfammed\",\"http:\/\/instagram.com\/uncfammed\",\"https:\/\/www.linkedin.com\/company\/unc-family-medicine\/\"]},{\"@type\":\"Person\",\"@id\":\"\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/author\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Doctors Shouldn't Recommend E-cigarettes to Smokers - Department of Family Medicine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/","og_locale":"en_US","og_type":"article","og_title":"Doctors Shouldn't Recommend E-cigarettes to Smokers - Department of Family Medicine","og_description":"UNC Family Medicine researchers point out in a commentary published in Annals of Family Medicine that existing treatments are more effective than e-cigarettes to help people quit smoking. CHAPEL HILL, NC \u2013 The health benefits of quitting smoking are widely accepted, but researchers from the University of North Carolina at Chapel Hill have taken issue … Read more","og_url":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/","og_site_name":"Department of Family Medicine","article_publisher":"http:\/\/facebook.com\/uncfammed","article_published_time":"2016-07-15T01:05:00+00:00","article_modified_time":"2018-07-21T16:44:17+00:00","og_image":[{"width":188,"height":250,"url":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_creator":"@uncfammed","twitter_site":"@uncfammed","twitter_misc":{"Written by":"","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#article","isPartOf":{"@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/"},"author":{"name":"","@id":""},"headline":"Doctors Shouldn’t Recommend E-cigarettes to Smokers","datePublished":"2016-07-15T01:05:00+00:00","dateModified":"2018-07-21T16:44:17+00:00","mainEntityOfPage":{"@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/"},"wordCount":760,"publisher":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#organization"},"image":{"@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage"},"thumbnailUrl":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","keywords":["Clinic","Research"],"articleSection":["News"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/","url":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/","name":"Doctors Shouldn't Recommend E-cigarettes to Smokers - Department of Family Medicine","isPartOf":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage"},"image":{"@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage"},"thumbnailUrl":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","datePublished":"2016-07-15T01:05:00+00:00","dateModified":"2018-07-21T16:44:17+00:00","breadcrumb":{"@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#primaryimage","url":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","contentUrl":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","width":188,"height":250},{"@type":"BreadcrumbList","@id":"https:\/\/www.med.unc.edu\/fammed\/2016\/07\/14\/doctors-shouldnt-recommend-e-cigarettes-to-smokers\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.med.unc.edu\/fammed\/"},{"@type":"ListItem","position":2,"name":"Doctors Shouldn’t Recommend E-cigarettes to Smokers"}]},{"@type":"WebSite","@id":"https:\/\/www.med.unc.edu\/fammed\/#website","url":"https:\/\/www.med.unc.edu\/fammed\/","name":"Department of Family Medicine","description":"","publisher":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.med.unc.edu\/fammed\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.med.unc.edu\/fammed\/#organization","name":"UNC Family Medicine","url":"https:\/\/www.med.unc.edu\/fammed\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/","url":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png","contentUrl":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png","width":488,"height":329,"caption":"UNC Family Medicine"},"image":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/"},"sameAs":["http:\/\/facebook.com\/uncfammed","https:\/\/x.com\/uncfammed","http:\/\/instagram.com\/uncfammed","https:\/\/www.linkedin.com\/company\/unc-family-medicine\/"]},{"@type":"Person","@id":"","url":"https:\/\/www.med.unc.edu\/fammed\/author\/"}]}},"featured_image":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","featured_image_medium":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","featured_image_medium_large":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","featured_image_large":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image.jpeg","featured_image_thumbnail":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/doctors-shouldnt-recommend-e-cigarettes-to-smokers-image-150x150.jpeg","featured_image_alt":"","category_details":[{"name":"News","link":"https:\/\/www.med.unc.edu\/fammed\/category\/news\/"}],"tag_details":[{"name":"Clinic","link":"https:\/\/www.med.unc.edu\/fammed\/tag\/clinic\/"},{"name":"Research","link":"https:\/\/www.med.unc.edu\/fammed\/tag\/research\/"}],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/posts\/1053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/users\/55147"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/comments?post=1053"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/posts\/1053\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/media\/1054"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/media?parent=1053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/categories?post=1053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/tags?post=1053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}