Tobacco Use Screening and Cessation Counseling

Primary Care | Preventive Care

Tobacco Use Screening

quitting smoking infographic

Tobacco Use Overview

Quitting smoking is one of the most important things you can do for your health. The sooner you quit, the sooner your body can start to heal. You will feel better and have more energy to be active with your family and friends.

It hurts almost every part of the body.

Smoking is the most preventable cause of death and disease in the United States and causes:

  • Lung cancer and many other types of cancer
  • Heart disease
  • Stroke
  • Chronic obstructive pulmonary disease (COPD) and other lung diseases
  • Pregnancy problems
  • Gum disease
  • Vision loss
  • Type 2 diabetes
  • Rheumatoid arthritis

Learn more about how smoking affects different parts of the body.

Smoking also harms the people around you.

Secondhand smoke can cause health problems for other people, too – and even pets.

In babies and children, breathing in secondhand smoke can cause:

  • Severe asthma attacks
  • Pneumonia
  • Bronchitis
  • Ear infections
  • Sudden infant death syndrome (SIDS)

In adults, breathing in secondhand smoke can cause heart disease, stroke, and lung cancer.

You can quit smoking.

Quitting smoking is hard, but millions of people have done it successfully. In fact, more than half of Americans who have ever smoked have quit. You could be one of them!

Nicotine – the drug found in tobacco – is just as addictive as heroin or cocaine. It’s the nicotine in cigarettes that causes the strong feeling that you want to smoke (craving). Remember – quitting isn’t easy, but it is possible!

Take these steps to help you quit:

  • Make a list of the reasons you want to quit.
  • Set a quit date and make a plan to deal with cravings.
  • Ask your family, friends, and coworkers for support.
  • Talk to your doctor about counseling and medicines that can help you quit.
  • Call 1-800-QUIT-NOW (1-800-784-8669) or visit for free help.

Find out more about steps you can take as you get ready to quit smoking.

You will feel better after you quit.

Your body begins to heal as soon as you quit smoking. Here are some ways you will feel better:

  • You will breathe more easily.
  • Your senses of taste and smell will improve.
  • You will have more energy.
  • Your lungs will become stronger, making it easier for you to be active.
  • You will cough and wheeze (struggle to breathe) less.

What else will quitting do for me?

Quitting smoking will help you live a longer, healthier life. After you quit smoking:

  • Risk of having a heart attack or stroke goes down.
  • Lungs can fight off infection better.
  • Your risk of dying from cancer goes down.
  • Blood pressure goes down.
  • Pulse and blood oxygen level return to normal.
  • If you have children, they will be healthier. Children whose parents smoke around them are at higher risk for lung and ear infections.

Check out these real stories of people who have been hurt by smoking.

Will quitting make me gain weight?
Some people worry about gaining weight when they quit smoking. The average weight gain after quitting smoking is small – about 6 to 10 pounds.

To help control your weight as you quit smoking:

  • Get active. Aim for 2 hours and 30 minutes a week of moderate aerobic activity, like walking fast or dancing.
  • Eat healthy snacks, like vegetables or fruit.
  • Talk with your doctor about ways to control your weight.

Take Action!

Take these steps to quit smoking.

Write down your reasons to quit.
Make a list of all the reasons you want to quit. For example, your reasons to quit might be to set a healthy example for your children and to save money. Keep the list with you to remind yourself why quitting is worth it.

Set a quit date.

  • Pick a date that gives you enough time to get ready to quit. But make sure it’s soon enough that you don’t lose your motivation.
  • Tell your family, friends, and coworkers about your quit date so they can support you.

Make a quit plan.

  • Think about situations that might trigger you to smoke. Plan how you will handle them without smoking.
  • Right before your quit date, go through your house, car, and workplace to get rid of anything that has to do with smoking. Throw away all your cigarettes, ashtrays, lighters, and matches.
  • Clean your clothes so they don’t smell like smoke.

Use this online quit plan tool or call the tobacco quitline at 1-800-QUIT-NOW (1-800-784-8669) for free support and help setting up your quit plan.

Change your daily routine.
Changing your routine on and after your quit date can help you break habits related to smoking.

  • Try taking a different route to work.
  • For the first few weeks, avoid activities and places you connect with smoking.
  • Do things and go places where smoking isn’t allowed.
  • Make getting active and eating healthy part of your quit plan. Eat healthy snacks instead of smoking. Go for walks. Drink lots of water.

Break the connection between eating and smoking. 
Many people like to smoke when they finish a meal. Here are some ways to break the connection:

  • Get up from the table as soon as you are done eating.
  • Brush your teeth and think about the fresh, clean feeling in your mouth.
  • Try going for a walk after meals.

Deal with stress.
Manage stress by creating peaceful times in your daily schedule. Try relaxation methods like deep breathing or lighting candles.

You can also check out these tips for dealing with stress as you quit.

Manage cravings.
When you quit smoking, the urge to smoke will come and go. Most cravings only last 5 to 10 minutes.

Here are some ways to manage cravings:

  • Do something else with your hands, like washing them, sorting the mail, or washing the dishes.
  • Have healthy snacks ready, like carrots, apples, or sugar-free gum.
  • Distract yourself with a new activity. Try doing crosswords or other puzzles.
  • If you used to smoke while driving, try something new. Take public transportation or ride with a friend.
  • Take several deep breaths to help you relax.

Remember, quitting may be hard – so prepare yourself.

If you want help, talk with a doctor or pharmacist.

  • A doctor or nurse can help you choose strategies for quitting smoking that are likely to work best for you.
  • A doctor or a pharmacist can tell you about medicines that can improve your chances of quitting – and how to use these medicines the right way.

When you stop smoking, your body goes through withdrawal from nicotine. This means you may feel irritable, anxious, restless, or hungry. You may even have trouble sleeping. Find out about medicines that can help with withdrawal.

What about cost?
You can get free help with quitting by calling 1-800-QUIT-NOW (1-800-784-8669) or by visiting

Thanks to the Affordable Care Act, the health care reform law passed in 2010, insurance plans must cover some services to help people quit smoking. Depending on your insurance, you may be able to get these services at no cost to you.

Check with your insurance company to find out what kind of counseling and medicines are included in your plan. For information about other services covered by the Affordable Care Act,visit

Don’t give up!
Remember, it takes time to overcome addiction. Check out these tips on staying smokefree.

Learn from the past.
Many people try to quit more than once before they succeed. Most people who start smoking again do so within the first 3 months after quitting. If you’ve tried to quit before, think about what worked for you and what didn’t.

Depression, drinking alcohol, and being around other smokers can make it harder to quit. If you are finding it hard to stay quit, talk with your doctor about what medicines might help you. Remember, quitting will make you healthier.


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