Tobacco cessation interventions for young people

Warwick Medical School, Medical Teaching Centre, University of Warwick, Coventry, UK.
Cochrane database of systematic reviews (Online) (Impact Factor: 6.03). 02/2006; 8(4):CD003289. DOI: 10.1002/14651858.CD003289.pub4
Source: PubMed


Worldwide, between 80,000 and 100,000 young people start smoking every day and up to one in four UK and American teenagers smoke. Many adolescent tobacco programmes focus on preventing teenagers from starting to smoke, but some programmes have been aimed at helping those teenagers already smoking to quit. We identified 24 good quality studies (>5000 participants) that researched ways of helping teenagers to quit. Programmes that combine a variety of approaches, including taking into account the young person's preparation for quitting, support behavioural change and enhance motivation show promise. The number of trials and participants are beginning to be adequate to provide evidence to judge effectiveness. Medications such as nicotine replacement and bupropion have not yet been shown to be successful with adolescents. Trials so far have had different definitions of quitting and many smaller trials did not have enough participants for us to be confident about wider application of the results. Some approaches may be worthy of consideration but there is still a need to provide better evidence before the likely success and costs of large scale service programmes can be estimated accurately.

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