Smoking Cessation: Past, Present, and Future

Need to work with entertainment industry more to reduce smoking in films and tv. For years they cooperated with that message but clearly this needs to be reinforced again. Sad to see the level of smoking in so much programming.

In 2012, the Surgeon General's Report concluded that exposure to onscreen smoking in movies causes young people to start smoking. Opportunities exist for movie studios to reduce tobacco incidents that appear in youth-rated movies, including rating films with smoking as R. For more information about smoking and movies, please see this report on Tobacco Use in Top-Grossing Movies — United States, 2010–2018, and CDC's website. The University of California San Francisco has also done work in this area and their webpage on smoking in movies, including research, news, and policy solutions can be found here.

What resources are there for clinicians to support tobacco cessation?

Resources for healthcare professionals related to the 2020 Surgeon General's Report on Smoking Cessation can be found at www.cdc.gov/CessationSGR. ​Additionally, resources for healthcare providers can be found at www.cdc.gov/tobaccoHCP, including links to the 2008 PHS Clinical Practice Guideline on Treating Tobacco Use and Dependence, the Million Hearts Tobacco Cessation Change Package (a quality improvement resource to help health systems integrate cessation interventions into routine care), protocols for providing cessation interventions, a conversation guide on how to help walk patients through the quit process, and many others. Additional healthcare providers tools and resources can be found here.

What is CDC and other agencies on this call doing to address the dramatic disparities amongst American Indians in smoking prevalence and how dramatic is that disparity from the current low of 14% prevalence for others?

American Indians/Alaska Natives have the highest prevalence of cigarette smoking compared to all other racial/ethnic groups in the United States. Some American Indians use tobacco for ceremonial, religious, or medicinal purposes. For this reason, it is important to make the distinction between commercial and traditional tobacco use. When CDC references tobacco on this website, we are referring to commercial tobacco and not the sacred and traditional use of tobacco by some American Indian communities. In 2018, nearly 22.6% of American Indian/Alaska Native Adults were current users of cigarettes. More information about tobacco-related disparities in this population can be found on CDC's website. CDC's mission is preventing young people from using tobacco, promoting quitting among adults and young people, eliminating exposure of nonsmokers to secondhand smoke, and identifying and eliminating tobacco-related disparities, including those related to use of commercial tobacco by American Indians/Alaska Natives. CDC provides funding to 12 tribal support organizations and the National Native Network to help provide leadership on and promotion of evidence-based approaches for preventing and reducing commercial tobacco use.​​