title: The state of office-based interventions for youth tobacco use.
abstract: Tobacco use is a serious pediatric health issue as dependence begins during childhood or adolescence in the majority of tobacco users. Primary care settings provide tremendous opportunities for delivering tobacco treatment to young tobacco users. Although evidence-based practice guidelines for treating nicotine dependence in youths are not yet available, professional organizations and the current clinical practice guideline for adults provide recommendations based on expert opinion. This article reports on the current tobacco treatment practices of pediatric and family practice clinicians, discusses similarities and differences between adolescent and adult tobacco use, summarizes research efforts to date and current cutting-edge research that may ultimately help to inform and guide clinicians, and presents existing recommendations regarding treating tobacco use in youths. Finally, recommendations are made for the primary care clinician, professional organizations, and health care systems and policies. Pediatricians and other clinicians can and should play an important role in treating tobacco dependence in youths.
authors.affiliation: Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA. lori.pbert@umassmed.edu
authors.forename: Lori
authors.initials: L
authors.lastname: Pbert
authors.forename: Eric T
authors.initials: ET
authors.lastname: Moolchan
authors.forename: Myra
authors.initials: M
authors.lastname: Muramoto
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Winickoff
authors.forename: Susan
authors.initials: S
authors.lastname: Curry
authors.forename: Harry
authors.initials: H
authors.lastname: Lando
authors.forename: Deborah
authors.initials: D
authors.lastname: Ossip-Klein
authors.forename: Alexander V
authors.initials: AV
authors.lastname: Prokhorov
authors.forename: Joseph
authors.initials: J
authors.lastname: DiFranza
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Klein
mesh_terms: D000293:Adolescent; D002986:Clinical Trials as Topic; D019317:Evidence-Based Medicine; D005194:Family Practice; D006287:Health Planning Guidelines; D006801:Humans; D010821:Physicians, Family; D017410:Practice Guidelines as Topic; D012907:Smoking / Q000628:therapy*; D000074606:Smoking Prevention