Population: Adults without a known history of tobacco use.
Organizations
USPSTF 2021, AAFP 2015, ICSI 2014
Recommendations
–Screen all adults for tobacco use and provide tobacco cessation interventions for those who use tobacco products.
–For nonpregnant adults, provide FDA-approved pharmacotherapy in addition to behavioral intervention. (USPSTF)
Practice Pearls
• The “5-A” framework is helpful for smoking cessation counseling:
- Ask about tobacco use.
- Advise to quit through clear, individualized messages.
- Assess willingness to quit.
- Assist in quitting.
- Arrange follow-up and support sessions.
• There is insufficient evidence to assess the balance of benefits and harms of pharmacotherapy in pregnant individuals.
Sources
–AAFP. Clinical Preventive Service Recommendation: Tobacco Use in Adults, Including Pregnant Women. 2015.
–USPSTF. JAMA. 2021;325(3):265-279.
–ICSI. Preventive Services for Adults. 20th ed. 2014.