Who should be screened for tobacco use?

• A. Not screened
• B. Only those who smoke
• C. All adults & adolescents
• D. Only healthcare workers

Answer: (C)

Universal screening of tobacco use is essential because it allows you to identify current users and those at risk in every patient, not just those who smoke or those in certain groups. Many adolescents may start using tobacco or hide their use, and adults who have quit or use occasionally can still benefit from brief counseling. A quick question about tobacco use during routine visits opens the door for brief intervention and resources to help quit, improving health outcomes across the board. Screening everyone reflects preventive care practices and ensures no one is overlooked. Limiting screening to only people who smoke or to healthcare workers would miss many individuals who could benefit or who are at risk.