title: Smoking Cessation in Adolescents: targeted approaches that work.
abstract: Smoking Cessation in adolescents can be considered in a developmental context to enable the clinician to individualise the appropriate assessment and management of the young person they are seeing whether it is in a primary or tertiary care setting. Adolescence is a time of rapid neurocognitive and hormonal change with these factors affected by personality and behavioural factors as well as family, cultural and psychosocial context. Adolescents are uniquely vulnerable to smoking initiation and nicotine addiction throughout these years. Increased awareness of the risks of smoking and using opportunities to assess and intervene regarding smoking cessation are integral to clinical practice for all clinicians seeing young people. This review will discuss the demographics of adolescent smoking, risk factors, assessing smoking and nicotine addiction, the importance of brief interventions, the evidence base for appropriate interventions, particularly in high risk groups and will emphasise innovative training for health professionals in adolescent smoking cessation.
authors.affiliation: Department of Adolescent Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia; Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia; Faculty Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, NSW, Australia. Electronic address: susan.towns@health.nsw.gov.au.
authors.forename: Susan
authors.initials: S
authors.lastname: Towns
authors.affiliation: Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: DiFranza
authors.affiliation: Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
authors.forename: Geshani
authors.initials: G
authors.lastname: Jayasuriya
authors.affiliation: Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
authors.forename: Tracey
authors.initials: T
authors.lastname: Marshall
authors.affiliation: Primary Health Care Education and Research Unit, Western Sydney Local Health District, NSW, Australia.
authors.forename: Smita
authors.initials: S
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D015928:Cognitive Behavioral Therapy; D006801:Humans; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D061485:Tobacco Use Cessation Devices; D014029:Tobacco Use Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*
keywords: Adolescents; Brief interventions; Nicotine addiction; Second Hand Smoke (SHS); Smoking cessation (SC)