Clinical Preventive Service Recommendation

Tobacco Use

Tobacco Use, Screening Adults

Grade: A recommendation

The AAFP recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco. (2015)

Grade Definition(www.uspreventiveservicestaskforce.org)

Clinical Considerations(www.uspreventiveservicestaskforce.org)

Tobacco Use, Pregnant Women

Grade: A recommendation

The AAFP recommends that clinicians ask all pregnant women about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant women who use tobacco. (2015)

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Clinical Considerations(www.uspreventiveservicestaskforce.org)

Tobacco Pharmacotherapy, Pregnant Women

Grade: I statement

The AAFP concludes that the current evidence is insufficient to assess the balance of benefits and harms of pharmacotherapy interventions for tobacco cessation in pregnant women. (2015)

Grade Definition(www.uspreventiveservicestaskforce.org):

Clinical Considerations(www.uspreventiveservicestaskforce.org)

Tobacco Use, Adults

Grade: I statement

The AAFP concludes that the current evidence is insufficient to recommend electronic nicotine delivery systems (ENDS) for tobacco cessation in adults, including pregnant women. The AAFP recommends that clinicians direct patients who smoke tobacco to other cessation interventions with established effectiveness and safety (previously stated). (2015)

Grade Definition(www.uspreventiveservicestaskforce.org)

Clinical Considerations(www.uspreventiveservicestaskforce.org)

Tobacco Use, Counseling, Children and Adolescents

Grade: B recommendation

The AAFP recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents. (2013)

Grade Definition(www.uspreventiveservicestaskforce.org)

Clinical Considerations(www.uspreventiveservicestaskforce.org)


These recommendations are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient's family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These recommendations are only one element in the complex process of improving the health of America. To be effective, the recommendations must be implemented.