Which statement best reflects USPSTF guidance on tobacco use screening?

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

Answer: (A)

Universal screening of tobacco use in adults with a plan to provide or refer to cessation support is USPSTF guidance because it ensures every patient is assessable for quitting and can receive help, not just those in a subgroup. When clinicians ask about tobacco use with the intent to help, they identify current users who can benefit from brief counseling and evidence-based cessation resources, such as medications or referral to structured programs. This combination—screening everyone and offering assistance—has been shown to increase quit attempts and successful cessation, reducing tobacco-related harm. Limiting screening to specific groups or not screening at all misses opportunities to help people quit, so the universal approach is the recommended practice.