Previously, both the AAFP and the task force had cited a lack of evidence to recommend for or against such counseling, with the Academy's recommendation stating that although the AAFP recognizes that avoidance of tobacco products by children and adolescents is desirable, "the effectiveness of physician advice and counseling in this area is uncertain."
STORY HIGHLIGHTS
The AAFP and U.S. Preventive Services Task Force (USPSTF) have issued final recommendations that physicians provide interventions, including education or brief counseling, to prevent the initiation of tobacco use by school-aged children and adolescents.
A systematic review of trials designed to prevent tobacco use initiation, promote cessation, or both, showed that primary care-relevant behavior-based prevention interventions that target children, parents, or both, in health care settings helped reduce the risk of smoking initiation by 19 percent compared with control participants at six to 36 months follow-up.
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