What are the recommendations for treating tobacco use?
All adults should be assessed at every healthcare visit for tobacco use and their tobacco use status recorded as a vital sign to facilitate tobacco cessation. To achieve tobacco abstinence, all adults who use tobacco should be firmly advised to quit. A combination of behavioral interventions plus pharmacotherapy is recommended to maximize quit rates. Tobacco abstinence is recommended to reduce all-cause mortality, and it is reasonable to dedicate trained staff to tobacco treatment in every healthcare. All adults and adolescents should avoid secondhand smoke exposure to reduce the risk of ASCVD and stroke.