One of the greatest health advances in the past three decadeshas been the continuing decline in the prevalence of smoking,which recently hit a modern age-adjusted low of 19% of adultsin the United States, down from a high of 57% of men in 1955and 34% of women in 1965.1 Credit for these spectacular decreaseshas rightly focused on policy interventions such as increasesin tobacco taxes, ordinances requiring smoke-free public places,countermarketing, and better ways to help smokers quit.2,3,4These policy interventions are important tools, but how theyhave accomplished their results has not been clear. In . . . [Full Text of this Article]
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From the Department of Medicine, University of California, San Francisco, San Francisco.
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