Tobacco use is responsible for 35% of cancer deaths, from cancers of the lung, oral cavity, larynx, esophagus, bladder, stomach, pancreas, kidney, uterus, cervix, and liver. Lung cancer is the leading cause of cancer death-- killing 160,000 Americans every year -- and tobacco is responsible for 90% of these deaths. While on one hand, health professionals have advocated policies designed to reduce tobacco consumption, through increased taxation, nonsmokers' rights, tobacco education, and restrictions on tobacco advertising and promotion, the tobacco industry advocates policies designed to facilitate and protect the manufacture, promotion, sale, and use of tobacco. We propose to continue our study the activities of the tobacco industry and tobacco control advocates at the state and local level through four related specific aims: (1) Prepare detailed histories of the evolving implementation of state tobacco tax initiatives (California Proposition 99, Massachusetts Question 1, and Arizona Proposition 200), including monitoring of tobacco industry activity to counter public health programs and the efforts of public health advocates to defend and implement successful tobacco control programs. (2) Prepare four in-depth case studies (one per year) of tobacco industry and health community activities relating to local or state tobacco control. (3) Continue to document the role of the tobacco industry in the creation and further development of the smokers' rights movement, including its social and ideological message, and the effects of this strategy on tobacco control activities by public health officials, and how the public health community can deal with the tobacco industry's efforts to prevent implementation of effective tobacco control programs. (4) Investigate the philosophical, organizational, and political impediments of schools as sites to deliver tobacco control messages including the activities of the tobacco industry to influence school-based tobacco control programs, and how schools relate to other community-based tobacco control efforts, particularly in states with major tobacco control initiatives. These goals will be achieved through a series of case studies and comparative analysis of the activities of tobacco control professionals and the tobacco industry at the state and local level around the United States. The results will assist health professionals in developing and implementing policies to reduce tobacco use and the attendant burden of cancer and other tobacco-induced diseases.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA061021-06
Application #
2895061
Study Section
VA Health Services Research and Development Scientific Merit Review Board (HSRD)
Program Officer
Manley, Marc
Project Start
1994-07-01
Project End
2001-04-30
Budget Start
1999-05-01
Budget End
2000-04-30
Support Year
6
Fiscal Year
1999
Total Cost
Indirect Cost
Name
University of California San Francisco
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
073133571
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Lempert, Lauren K; Glantz, Stanton A (2018) Tobacco Industry Promotional Strategies Targeting American Indians/Alaska Natives and Exploiting Tribal Sovereignty. Nicotine Tob Res :
Jiang, Nan; Gonzalez, Mariaelena; Ling, Pamela M et al. (2017) Smoke-Free Laws and Hazardous Drinking: A Cross-Sectional Study among U.S. Adults. Int J Environ Res Public Health 14:
Dutra, Lauren M; Glantz, Stanton A (2017) E-cigarettes and National Adolescent Cigarette Use: 2004-2014. Pediatrics 139:
Cheng, Kai-Wen; Liu, Feng; Gonzalez, MariaElena et al. (2017) The Effects of Workplace Clean Indoor Air Law Coverage on Workers' Smoking-Related Outcomes. Health Econ 26:226-242
Dutra, Lauren; Glantz, Stanton (2017) We Agree on the Importance of Contextual and Temporal Accuracy When Studying Novel Tobacco Products. Pediatrics 139:
Fallin-Bennett, Amanda; Roditis, Maria; Glantz, Stanton A (2017) The carrot and the stick? Strategies to improve compliance with college campus tobacco policies. J Am Coll Health 65:122-130
Dutra, Lauren M; Glantz, Stanton A; Lisha, Nadra E et al. (2017) Beyond experimentation: Five trajectories of cigarette smoking in a longitudinal sample of youth. PLoS One 12:e0171808
Apollonio, Dorie E; Glantz, Stanton A (2016) Minimum Ages of Legal Access for Tobacco in the United States From 1863 to 2015. Am J Public Health 106:1200-7
Popova, Lucy; Linde, Brittany D; Bursac, Zoran et al. (2016) Testing antismoking messages for Air Force trainees. Tob Control 25:656-663
Lightwood, James; Glantz, Stanton A (2016) Smoking Behavior and Healthcare Expenditure in the United States, 1992-2009: Panel Data Estimates. PLoS Med 13:e1002020

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