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Tobacco Smoking Cessation in Adults and Pregnant Women, Behavioral and Pharmacotherapy Interventions, 2015

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Recommendations: Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults and Pregnant Women

  • Tobacco Smoking Cessation:Behavioral Interventions -- Pregnant Women
    Grade: A
    Specific Recommendations:

    The USPSTF 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.

    Frequency of Service:

    See Clinical Considerations.

    Risk Factor Information:

    According to the 2012–2013 National Adult Tobacco Survey, smoking prevalence is higher in the following groups: men; adults aged 25 to 44 years; persons with a race or ethnicity category of “other, non-Hispanic”; persons with a GED (vs. graduate-level education); persons with an annual household income of less than $20,000; and persons who are lesbian, gay, bisexual, or transgender. Higher rates of smoking have been found in persons with mental health conditions.

  • Tobacco Smoking Cessation: Behavioral and Pharmacotherapy Interventions -- Adults who are not pregnant
    Grade: A
    Specific Recommendations:

    The USPSTF 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.

    Frequency of Service:

    See Clinical Considerations.

    Risk Factor Information:

    According to the 2012–2013 National Adult Tobacco Survey, smoking prevalence is higher in the following groups: men; adults aged 25 to 44 years; persons with a race or ethnicity category of “other, non-Hispanic”; persons with a GED (vs. graduate-level education); persons with an annual household income of less than $20,000; and persons who are lesbian, gay, bisexual, or transgender. Higher rates of smoking have been found in persons with mental health conditions.

  • Tobacco Smoking Cessation: Pharmacotherapy Interventions -- Pregnant Women
    Grade: I
    Specific Recommendations:

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

    Frequency of Service:

    No Frequency of Service information currently available.

    Risk Factor Information:

    According to the 2012–2013 National Adult Tobacco Survey, smoking prevalence is higher in the following groups: men; adults aged 25 to 44 years; persons with a race or ethnicity category of “other, non-Hispanic”; persons with a GED (vs. graduate-level education); persons with an annual household income of less than $20,000; and persons who are lesbian, gay, bisexual, or transgender. Higher rates of smoking have been found in persons with mental health conditions.

  • Tobacco Smoking Cessation: Electronic Nicotine Delivery systems (ENDS) -- All adults, including pregnant women
    Grade: I
    Specific Recommendations:

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

    Frequency of Service:

    No Frequency of Service information currently available.

    Risk Factor Information:

    According to the 2012–2013 National Adult Tobacco Survey, smoking prevalence is higher in the following groups: men; adults aged 25 to 44 years; persons with a race or ethnicity category of “other, non-Hispanic”; persons with a GED (vs. graduate-level education); persons with an annual household income of less than $20,000; and persons who are lesbian, gay, bisexual, or transgender. Higher rates of smoking have been found in persons with mental health conditions.

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