Tabaquismo — incentivos económicos

Why / when / how

Economic incentives help people quit smoking and sustain abstinence, with an effect that holds even after the incentive is withdrawn. The certainty of the evidence for the critical outcome is high. This is why the recommendation is conditional in favor: the balance between benefits and risks favors intervening, and the conditional character reflects that its implementation is a system decision requiring funding and structure, not limitations in the certainty.

Cautions

Before intervening on substance use and exposure to toxicants, assess the patient's consumption pattern, dependence, and clinical conditions, and individualize the approach. Discontinuing substances that produce physical dependence may require medical supervision because of the risk of a withdrawal syndrome, so it should not be stopped abruptly without assessment. Advise seeking professional care in the presence of any warning sign, including in crisis situations, and refer to specialized addiction treatment/environmental health services, according to the case. Reassess the course periodically.

Quantitative evidence