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CONCLUSIONS

  • The targets of recent interventions to control tobacco use are social networks that shape the attitudes of individual smokers and nonsmokers, including media, health care providers, worksites, and schools.
  • The use of media in tobacco control includes providing information on the risks of tobacco use and dangers of policies that promote tobacco use, motivation smokers to stop and others to not start, and conducting cessation programs or recruiting smokers into treatment programs.
  • Health care providers should not only intervene with their smoking patients but also be agents for social change.
  • Restrictions on smoking in the worksite and other locations change the social acceptability of smoking and may increase the number of individuals who try to quit and who have long-term success after cessation.
  • Comprehensive smoking control strategies are best implemented at the local level and can be implemented through formation of coalitions of established community groups
  • Most adolescent smokers have little difficulty in purchasing cigarettes, even when these purchases violate local laws. Increasing the barriers to cigarette purchases by minors is important in strategies to prevent the initiation of regular tobacco use.
  • Economic incentives that may reduce the consumption of cigarettes include increasing the excise tax on tobacco products; preferential hiring and promotion of non-smokers; and increasing the cost of life, health, and other forms of insurance for smokers.

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