Se connecter
Imprimer

USPSTF 2020 recommends education/counseling to prevent tobacco use in children and adolescents (B recommendation)

Question clinique

Are primary care interventions effective in preventing or ceasing tobacco use in school-aged children and adolescents?

L’Essentiel

In this updated 2020 review, the United States Preventive Services Task Force (USPSTF) found adequate evidence that behavioral counseling interventions, print materials, and computer applications are effective in preventing the initiation of tobacco use (including e-cigarettes) in school-aged children and adolescents (B recommendation). However, the task force found insufficient evidence of benefit from primary-care feasible interventions for the cessation of tobacco use among school-aged children and adolescents who already smoke (I statement). These recommendations are consistent with the 2013 USPSTF recommendations. 1a

Référence

US Preventive Services Task Force, Owens DK, Davidson KW, et al. Primary care interventions for prevention and cessation of tobacco use in children and adolescents. US Preventive Services Task Force recommendation statement. JAMA 2020;323(16):1590-1598.

Plan de l'etude: Practice guideline

Financement: Government

Cadre: Population-based

Sommaire

In this updated review, the task force found sufficient evidence of benefit from behavioral interventions in decreasing the likelihood of tobacco use in children and adolescents. Behavioral interventions include print materials, computer applications, and face-to-face or telephone interactions with a health care clinician. In addition, the task force found no evidence of harm from behavioral counseling interventions for the prevention or cessation of tobacco use. There was no significant evidence of benefit, however, for behavioral interventions, medications, or nicotine replacement therapy for tobacco cessation among children and adolescents who already smoke. No medications are currently approved by the FDA for tobacco cessation in children and adolescents. The American Academy of Pediatrics and the American Academy of Family Physicians recommend counseling to all children and adolescents to prevent tobacco use initiation.

Reviewer

David C. Slawson, MD
Professor and Vice Chair of Family Medicine for Education and Scholarship
Atrium Health
Professor of Family Medicine, UNC Chapel Hill
Charlotte, NC


Discutez de ce POEM


Retour aux Archives POEM
Aller à la ressource Essential Evidence Plus