Tobacco use leads to serious health problems including tobacco dependence which often requires repeated treatments. Those who smoke not only harm themselves but also those around them by second-hand smoke and is one of the leading causes of indoor air pollution.
Smoking increases the risk of different forms of cancer, including lung cancer. Smoking increases the risk of lung diseases such as chronic obstructive pulmonary disease and cardiovascular diseases. During pregnancy, smoking increases the rate of complications. Assisting patients with smoking cessation is paramount important.
The recommended 5 A’s approach are Ask about smoking, Advise to quit, Assess willingness to quit, Assist in quitting, Arrange for follow-up and support and assessing for nicotine dependence. Behavioural interventions in smoking cessation include in-person counselling, telephone counselling and self-help materials in addition to Pharmacotherapy interventions.
Combining behavioural therapy and pharmacotherapy can increase smoking cessation rates. In view of the effectiveness of various smoking cessation measures, it is important to include smoking cessation advice.