Abstract
Smoking prevalence rates have substantially decreased among both adults and adolescents in the past 15 years. The decreasing rates are largely because of the effectiveness of tobacco control initiatives, including bans on smoking, increases in tobacco taxes, and behavioral interventions; yet a minority of people continue to smoke. It is possible that these individuals may be more resistant than others to smoking cessation interventions. As a result, it is important to intervene systematically. Brief advice offered in a primary care setting is well established as an effective strategy to promote smoking cessation. Barriers to providing smoking cessation in a primary care setting are discussed, and methods to enhance these efforts through consistent screening for tobacco use, use of motivational techniques, brief follow-up after quit attempts, and use of pharmacotherapy are provided.
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