Ending the Tobacco Problem:: A Blueprint for the Nation

Ending the Tobacco Problem:: A Blueprint for the Nation

by Richard J. Bonnie
     
 

ISBN-10: 0309103827

ISBN-13: 9780309103824

Pub. Date: 09/27/2007

Publisher: National Academies Press

The nation has made tremendous progress in reducing tobacco use during the past 40 years. Despite extensive knowledge about successful interventions, however, approximately one-quarter of American adults still smoke. Tobacco-related illnesses and death place a huge burden on our society.

Ending the Tobacco Problem generates a blueprint for the nation in

Overview

The nation has made tremendous progress in reducing tobacco use during the past 40 years. Despite extensive knowledge about successful interventions, however, approximately one-quarter of American adults still smoke. Tobacco-related illnesses and death place a huge burden on our society.

Ending the Tobacco Problem generates a blueprint for the nation in the struggle to reduce tobacco use. The report reviews effective prevention and treatment interventions and considers a set of new tobacco control policies for adoption by federal and state governments. Carefully constructed with two distinct parts, the book first provides background information on the history and nature of tobacco use, developing the context for the policy blueprint proposed in the second half of the report. The report documents the extraordinary growth of tobacco use during the first half of the 20th century as well as its subsequent reversal in the mid-1960s (in the wake of findings from the Surgeon General). It also reviews the addictive properties of nicotine, delving into the factors that make it so difficult for people to quit and examines recent trends in tobacco use. In addition, an overview of the development of governmental and nongovernmental tobacco control efforts is provided.

After reviewing the ethical grounding of tobacco control, the second half of the book sets forth to present a blueprint for ending the tobacco problem. The book offers broad-reaching recommendations targeting federal, state, local, nonprofit and for-profit entities. This book also identifies the benefits to society when fully implementing effective tobacco control interventions and policies.

Product Details

ISBN-13:
9780309103824
Publisher:
National Academies Press
Publication date:
09/27/2007
Pages:
732
Product dimensions:
6.00(w) x 9.00(h) x (d)

Table of Contents


Summary     1
Introduction     29
Background
Epidemiology of Tobacco Use: History and Current Trends     41
Growth of the Tobacco Problem     41
Decline in Tobacco Use: 1965-2005     45
Recent Trends: A Closer Look     51
Emerging Challenges     68
Summary     70
References     71
Factors Perpetuating the Tobacco Problem     77
Nature of Nicotine Addiction     77
Smoking Cessation     82
Smoking Initiation     88
Atypical Patterns of Tobacco Use     93
Populations at Greater Risk of Continuing Smoking     95
Conclusion     97
References     99
Containing the Tobacco Problem     107
Public Health Takes on the Tobacco Industry: 1964-1988     109
Advances in Tobacco Control: 1988-2005     116
Tobacco Control in the Years Ahead: Will Progress Continue?,     128
Summary     136
References     137
A Blueprint for Reducing Tobacco Use
Reducing Tobacco Use: A Policy Framework     145
Product Safety and Consumer Sovereignty     145
The Policy Context     146
The EthicalContext     148
An Aside on the Paternalism Problem     150
Tobacco Products Are Inherently Dangerous     152
Blueprint Outline     154
References     154
Strengthening Traditional Tobacco Control Measures     157
Comprehensive State Programs     158
Funding for Comprehensive State Programs     172
Excise Tax     182
Smoking Restrictions     189
Youth Access     203
Retail Shipments     207
Prevention Interventions     210
Media Campaigns to Prevent Smoking     223
Cessation Interventions     231
Community Mobilization     241
Special Populations with Higher Rates of Cigarette Smoking     247
Projected Impact of Strengthening Existing Tobacco Control Measures     249
References     253
Changing the Regulatory Landscape     271
Federal Regulatory Authority Is Needed     272
Empowering FDA to Regulate Tobacco     275
A Regulatory Philosophy     277
Tobacco Product Characteristics Should Be Regulated     279
Messages on Tobacco Packages Should Promote Health     289
The Retail Environment for Tobacco Sales Should Be Transformed to Promote the Public Health     299
The Federal Government Should Mandate Industry Payments for Tobacco Control and Should Support and Coordinate State Funding     308
Tobacco Advertising Should Be Further Restricted     319
Youth Exposure to Smoking in Movies and Other Media Should Reduced     330
Surveillance and Evaluation Should Be Enhanced     333
Summary     335
References     336
New Frontiers of Tobacco Control     341
Tobacco Policy Analysis and Development     341
Reducing the Nicotine Content of Cigarettes     346
Conclusion     353
References     353
Index     355
Appendixes
Abrams: Comprehensive Smoking Cessation for All Smokers
Bonta: Clean Air Laws
Ferrence: Warning Labels and Packaging
Flay: The Long-Term Promise of Effective School-Based Smoking Prevention Programs
Halpern-Felsher: Adolescents' and Young Adults' Perceptions of Tobacco Use
Halpern-Felsher: Interventions for Children and Youth in the Health Care Setting
Halpern-Felsher: Reducing and Preventing Tobacco Use Among Pregnant Women, Parents, and Families
Halpern-Felsher: Smoking in the Movies
Kinney: State Statutes Governing Direct Shipment of Alcholic Beverages to Consumers
Levy: The Role of Public Policies in Reducing Smoking Prevalence
Mendez: Commissioned Simulation Modeling of Smoking Prevalence as an Outcome of Selected Tobacco Control Measures
Rabin: Controlling the Retail Sales Environment
Ribisl: Sales and Marekting of Cigarettes on the Internet
Slater: Media Campaigns and Tobacco Control
Sparks: Advocacy as a Tobacco Control Strategy
Wallace: Special Populations with Higher Rates of Cigarette Smoking

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