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 analyzedtobacco industry strategies that encourage young adults (aged18 to 24) to smoke.
Methods. Initial searches of tobacco industry documents withkeywords (e.g., "young adult") were extended by using names,locations, and dates.
Results. Approximately 200 relevant documents were found. Transitionsfrom experimentation to addiction, with adult levels of cigaretteconsumption, may take years. Tobacco marketing solidifies addictionamong young adults. Cigarette advertisements encourage regularsmoking and increased consumption by integrating smoking intoactivities and places where young adults' lives change (e.g.,leaving home, college, jobs, the military, bars).
Conclusions. Tobacco control efforts should include both adultsand youths. Life changes are also opportunities to stop occasionalsmokers' progress to addiction. Clean air policies in workplaces,the military, bars, colleges, and homes can combat tobacco marketing.(Am J Public Health. 2002;92:908916)
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