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Consensus Study Report


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.


Suggested Citation

Institute of Medicine. 2007. Ending the Tobacco Problem: A Blueprint for the Nation. Washington, DC: The National Academies Press.

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Publication Info

732 pages |  6 x 9 |  Hardcover
ISBN: 978-0-309-10382-4
Chapters skim
Front Matter i-xvi
Summary 1-28
Introduction 29-40
1 Epidemiology of Tobacco Use: History and Current Trends 41-76
2 Factors Perpetuating the Tobacco Problem 77-106
3 Containing the Tobacco Problem 107-144
4 Reducing Tobacco Use: A Policy Framework 145-156
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

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Podcast:  Ending the Tobacco Problem
Ending The Tobacco Problem

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