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Health Policy and Smoking and Tobacco Use

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Handbook of Health Behavior Research IV

Overview

In the 1990s, public and governmental attitudes toward tobacco use are dramatically different in comparison to the attitudes of the 1950s and before. Smoking then was widely perceived as a mark of sophistication and a natural accompaniment of work and play. In the 1990s, smoking is seen as an unhealthful behavior that is increasingly unacceptable in social settings (U.S. Department of Health and Human Services [DHHS], 1989). The evidence that smoking poses a serious health risk is relatively recent in origin. Although studies demonstrating health risks associated with smoking date back to the 1920s, tobacco use was not widely accepted as dangerous until publication of the 1964 Surgeon General’s Report on Smoking and Health (DHHS, 1989). That report stated in unequivocal terms that “cigarette smoking is a health hazard of sufficient importance in the United States to warrant appropriate remedial action” (U.S. Public Health Service, 1964).

With the widespread publicity of the findings in the 1964 report, tobacco use was added, virtually overnight, to the political agenda (DHHS, 1989; Rabin & Sugarman, 1993; Simonich, 1991). Since the mid-1960s, public attitudes about smoking have changed dramatically, and political activity addressing the conduct of smokers and the tobacco industry has increased correspondingly. This chapter reviews the rationale and success of different public and private policies to reduce tobacco use since 1964.

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Authors and Affiliations

  1. Department of Cancer Control and Epidemiology, Roswell Park Cancer Institute, Buffalo, New York, 14263, USA

    K. Michael Cummings

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  1. Kent School of Social Work, University of Louisville, Louisville, Kentucky, 40292, USA

    David S. Gochman

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Cummings, K.M. (1997). Health Policy and Smoking and Tobacco Use. In: Gochman, D.S. (eds) Handbook of Health Behavior Research IV. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0484-3_13

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  • DOI: https://doi.org/10.1007/978-1-4899-0484-3_13

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