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June 2002, Vol 92, No. 6 | American Journal of Public Health 908-916
© 2002 American Public Health Association


FORUM ON YOUTH SMOKING

Why and How the Tobacco Industry Sells Cigarettes to Young Adults: Evidence From Industry Documents

Pamela M. Ling, MD, MPH and Stanton A. Glantz, PhD

Pamela M. Ling is with the Traineeships in AIDS Prevention Studies, Center for AIDS Prevention Studies, University of California, San Francisco. Stanton A. Glantz is with the Center for Tobacco Control Research and Education, Institute for Health Policy Studies, Cardiovascular Research Institute, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Stanton A. Glantz, PhD, Professor of Medicine, Box 0130, University of California, San Francisco, CA 94143
(e-mail: glantz{at}medicine.ucsf.edu).

Objectives. To improve tobacco control campaigns, we analyzed tobacco industry strategies that encourage young adults (aged 18 to 24) to smoke.

Methods. Initial searches of tobacco industry documents with keywords (e.g., "young adult") were extended by using names, locations, and dates.

Results. Approximately 200 relevant documents were found. Transitions from experimentation to addiction, with adult levels of cigarette consumption, may take years. Tobacco marketing solidifies addiction among young adults. Cigarette advertisements encourage regular smoking and increased consumption by integrating smoking into activities and places where young adults' lives change (e.g., leaving home, college, jobs, the military, bars).

Conclusions. Tobacco control efforts should include both adults and youths. Life changes are also opportunities to stop occasional smokers' progress to addiction. Clean air policies in workplaces, the military, bars, colleges, and homes can combat tobacco marketing. (Am J Public Health. 2002;92:908–916)




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