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Strategies to Control Tobacco Use in the United States - A Blueprint for Public Health Action in the 1990's: Smoking and Tobacco Control Monograph No. 1 (Paperback)
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Strategies to Control Tobacco Use in the United States - A Blueprint for Public Health Action in the 1990's: Smoking and Tobacco Control Monograph No. 1 (Paperback)
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In the months immediately after January 1964, when Surgeon General
Luther Terry released the first official Government report on
smoking and health, cigarette consumption in the United States
declined significantly. It was only the second time since the turn
of the century that publicity about the hazards of smoking had
produced a reduction in cigarette use. At that time, many leaders
in the medical and public health arena assumed that, by providing
the public with straightforward information about the dangers of
smoking, they could discourage large numbers of people from using
cigarettes. While the expected change in behavior did occur, it was
far more limited than had been hoped-a reflection of the difficulty
that individuals often experience when they attempt to alter a
complex behavior such as smoking, especially one we now know to be
addictive. The recognition that information alone would not
eliminate tobacco use shifted the focus to strategies directed to
the individual. This focus presumed, erroneously as it turned out,
that the major determinants of smoking behavior were centered
within the individual rather than sociologic in nature. Subsequent
research and natural observation clearly demonstrated that behavior
change correlated with changes occurring in the smoker's social and
economic environment. This recognition has led to the adoption of
public health strategies that now address the smoker's larger
social environment while simultaneously offering programs of
assistance for the individual. This volume provides a summary of
what we have learned over nearly 40 years of the public health
effort against smoking-from the early trial-and-error health
information campaigns of the 1960'sto the NCI's science-based
ASSIST project (the American Stop Smoking Intervention Study for
Cancer Prevention), which began in the fall of 1991. Strategies To
Control Tobacco Use in the United States: A Blueprint for Public
Health Action in the 1990's presents a historical accounting of
these efforts as well as the reasons why comprehensive smoking
control strategies are now needed to address the smoker's total
environment and reduce smoking prevalence significantly over the
next decade.
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