This monograph is the first major update of adolescent smoking
behavior since the groundbreaking reports of the Surgeon General
and the Institute of Medicine in 1994. The authors of this National
Cancer Institute (NCI) Monograph report some progress toward
reducing tobacco use among adolescents but also highlight areas in
which more efforts need to be made. Several chapters examine trends
in adolescent smoking behavior, among all adolescents nationally,
different racial/ethnic groups, and among adolescents residing in
specific States. Other chapters examine these trends using
different national surveys as data sources and different analytical
methods. Finally, the remaining chapters present data on
macro-level policies and factors that influence the initiation and
maintenance of smoking behavior among adolescents. While this
Monograph documents some successes in the reduction of youth
smoking initiation in some States and localities, there remains a
need for an ongoing and exhaustive search for solutions, followed
by committed and successful application to enable the country to
reach its goals in the area of adolescent smoking.
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