What is the USPSTF position on tobacco use screening?

• A. Screen all adults for tobacco use and provide or refer to evidence-based cessation interventions
• B. Screen only adults over 65
• C. Do not screen for tobacco use
• D. Screen only for pregnant women

Answer: (A)

The main idea being tested is what the USPSTF recommends for identifying tobacco use and helping people quit. The best choice reflects a universal, proactive approach: screen all adults for tobacco use and provide or refer to evidence-based cessation interventions. This is rated with a high level of confidence that the net benefit is substantial, because identifying tobacco use in routine care and offering brief advice plus proven cessation support increases quit rates across the population.

This fits because tobacco use prevalence spans across ages and groups, so universal screening ensures those who need help aren’t missed. The interventions aren’t just a note of concern; they include concrete, evidence-based options like counseling and pharmacotherapy that boost chances of quitting. In contrast, screening only a subset (like just older adults) or screening only pregnant women doesn’t align with the broad, preventive stance USPSTF endorses.