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Article
State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade
Family Medicine and Community Health Publications and Presentations
  • Lori Pbert, University of Massachusetts Medical School
  • Harold Farber, Baylor College of Medicine
  • Kimberly Horn, George Washington University
  • Harry A. Lando, University of Minnesota - Twin Cities
  • Myra L. Muramoto, University of Arizona
  • Jennifer O'Loughlin, University of Montreal
  • Susanne E. Tanski, Dartmouth College
  • Robert J. Wellman, University of Massachusetts Medical School
  • Jonathan P. Winickoff, Harvard Medical School
  • Jonathan D. Klein, American Academy of Pediatrics
UMMS Affiliation
Department of Family Medicine and Community Health; Department of Medicine, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
Date
4-1-2015
Document Type
Article
Abstract
Tobacco use and tobacco smoke exposure are among the most important preventable causes of premature disease, disability, and death and therefore constitute a major pediatric health concern. The pediatric primary care setting offers excellent opportunities to prevent tobacco use in youth and to deliver cessation-related treatment to youth and parents who use tobacco. This report updates a "state-of-the-art" article published a decade ago on office-based interventions to address these issues. Since then there has been marked progress in understanding the nature, onset, and trajectories of tobacco use and nicotine addiction in youth with implications for clinical practice. In addition, clinicians need to remain abreast of emerging nicotine delivery systems, such as electronic cigarettes, that may influence uptake or continuation of smoking. Although evidence-based practice guidelines for treating nicotine addiction in youth are not yet available, research continues to build the evidence base toward that goal. In the interim, practical guidelines are available to assist clinicians in addressing nicotine addiction in the pediatric clinical setting. This article reports current practices in addressing tobacco in pediatric primary care settings. It reviews our increasing understanding of youth nicotine addiction, summarizes research efforts on intervention in the past decade and additional research needed going forward, and provides practical guidelines for pediatric health care providers to integrate tobacco use prevention and treatment into their clinical practice. Pediatric providers can and should play an important role in addressing tobacco use and dependence, both in the youth they care for and in parents who use tobacco.
Rights and Permissions
Citation: Pediatrics. 2015 Apr;135(4):734-747. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Keywords
  • adolescent,
  • child,
  • dependence,
  • intervention,
  • pediatric practice,
  • tobacco use,
  • youth
Citation Information
Lori Pbert, Harold Farber, Kimberly Horn, Harry A. Lando, et al.. "State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade" Vol. 135 Iss. 4 (2015) ISSN: 0031-4005 (Linking)
Available at: http://works.bepress.com/lori_pbert/63/