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PEDIATRICS Vol. 111 No. 6 June 2003, pp. e650-e660

REVIEW ARTICLE

The State of Office-Based Interventions for Youth Tobacco Use

Lori Pbert, PhD*, Eric T. Moolchan, MD{ddagger}, Myra Muramoto, MD, MPH§, Jonathan P. Winickoff, MD, MPH||, Susan Curry, PhD, Harry Lando, PhD#, Deborah Ossip-Klein, PhD**, Alexander V. Prokhorov, MD, PhD{ddagger}{ddagger}, Joseph DiFranza, MD§§, Jonathan D. Klein, MD|||| for the Tobacco Consortium, Center for Child Health Research of the American Academy of Pediatrics

* Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts
{ddagger} Teen Tobacco Addiction Treatment Research Center, National Institute on Drug Abuse, National Institutes of Health, Baltimore, Maryland
§ Family and Community Medicine, Public Health, University of Arizona, Arizona Health Sciences Center, Tucson, Arizona
|| MGH Center for Child and Adolescent Health Policy, General Pediatrics Division, MassGeneral Hospital for Children and Tobacco Research and Treatment Center, Boston, Massachusetts
Health Research and Policy Centers, University of Illinois at Chicago, Chicago, Illinois
# Division of Epidemiology, University of Minnesota, Minneapolis, Minnesota
** Department of Community and Preventive Medicine and James P. Wilmot Cancer Center, University of Rochester, Rochester, New York
{ddagger}{ddagger} M.D. Anderson Cancer Center, University of Texas, Houston, Texas
§§ Family and Community Medicine, University of Massachusetts Medical School, Worcester, Massachusetts
|||| Department of Community and Preventive Medicine, University of Rochester, Rochester, New York

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.

Key Words: tobacco • youth • treatment • primary care providers

Abbreviations: AAP, American Academy of Pediatrics • CCHR, Center for Child Health Research • PHS, Public Health Service

Received for publication Sep 6, 2002; Accepted Feb 5, 2003.




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