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Ending the Tobacco Problem: A Blueprint for the Nation (2007)
Board on Population Health and Public Health Practice (BPH)

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. "PART I BACKGROUND, 1 Epidemiology of Tobacco Use: History and Current Trends." Ending the Tobacco Problem: A Blueprint for the Nation. Washington, DC: The National Academies Press, 2007.

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Ending the Tobacco Problem: A Blueprint for the Nation

FIGURE 1-10 Daily per capita consumption of cigarettes among adults ages 18 and over, 1985 to 2004.

SOURCE: Calculations based on figures from ALA, 2006.

adults has decreased more than 48 percent since 1985, although it has declined unevenly from year to year, with annual changes ranging from 0.75 percent between 1994 and 1995 to 7.9 percent between 1998 and 1999 (following the Master Settlement Agreement and price increases) (ALA 2006) (see Figure 1-10).

Initiation

Recent data from the National Survey on Drug Use and Health (NSDUH) on smoking initiation rates6 among adolescents (ages 12–17 years) reveal a striking decline from 1996 through 2005. As suggested earlier, however, this recent decline must be seen in the context of the significant increases in initiation rates among youth that occurred in the early 1990s (see Figure 1-4). Thus, what might initially appear to be a sign of dramatic recent progress merely signals only slight reductions in smoking initiation rates among youth over the past decade. In 2001, for example, the smoking initiation rate was 115.3 per 1,000 youth, almost equal to the rate in 1992.

6

NSDUH defines initiation as the percentage of nonsmokers who initiated cigarette use (sometimes referred to as “first use”) within the past 12 months.

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Front Matter (R1-R16)
Summary (1-28)
Introduction (29-38)
PART I BACKGROUND, 1 Epidemiology of Tobacco Use: History and Current Trends (39-76)
2 Factors Perpetuating the Tobacco Problem (77-106)
3 Containing the Tobacco Problem (107-142)
PART II A BLUEPRINT FOR REDUCING TOBACCO USE, 4 Reducing Tobacco Use: A Policy Framework (143-156)
5 Strengthening Traditional Tobacco Control Measures (157-270)
6 Changing the Regulatory Landscape (271-340)
7 New Frontiers of Tobacco Control (341-354)
Index (355-372)
Appendix A Comprehensive Smoking Cessation Policy for All Smokers: Systems Integration to Save Lives and Money (373-422)
Appendix B Clean Air Laws (423-434)
Appendix C Warning Labels and Packaging (435-448)
Appendix D The Long-Term Promise of Effective School-Based Smoking Prevention Programs (449-477)
Appendix E Adolescents' and Young Adults' Perceptions of Tobacco Use: A Review and Critique of the Current Literature (478-494)
Appendix F Interventions for Children and Youth in the Health Care Setting (495-502)
Appendix G Reducing and Preventing Tobacco Use Among Pregnant Women, Parents, and Families (503-515)
Appendix H Smoking in the Movies: Its Impact on Youth and Youth Smoking (516-551)
Appendix I State Statutes Governing Direct Shipment of Alcoholic Beverages to Consumers: Precedents for Regulating Tobacco Retail Shipments (552-577)
Appendix J The Role of Public Policies in Reducing Smoking Prevalence: Results from the SimSmoke Tobacco Policy Simulation Model (578-598)
Appendix K Commissioned Simulation Modeling of Smoking Prevalence as an Outcome of Selected Tobacco Control Measures (599-640)
Appendix L Controlling the Retail Sales Environment: Access, Advertising, and Promotional Activities (641-652)
Appendix M Sales and Marketing of Cigarettes on the Internet: Emerging Threats to Tobacco Control and Promising Policy Solutions (653-678)
Appendix N Media Campaigns and Tobacco Control (679-689)
Appendix O Advocacy as a Tobacco Control Strategy (690-703)
Appendix P Special Populations with Higher Rates of Cigarette Smoking: Identification and Implications for Tobacco Control (704-716)