EFFECT OF TOBACCO AT THE STATE LEVEL

烟草是主要的可预防的死亡原因。这项申请寻求资金，以继续和扩大我们的研究，即烟草行业和控烟倡导者如何寻求影响州和地方政策的制定，总体目标是发展知识，以导致更有效的烟草控制政策，并考虑到过去两年发生的变化，例如结束州烟草诉讼的总和解协议(MSA)。具体目标是：(1)记录和分析各州有关控烟计划的政策制定的演变，包括一些在最近一轮诉讼之前创建的“成熟的”控烟计划，以及由MSA资助的控烟计划的“新”州。(2)确定并描述烟草行业利用替代品反对州和地方烟草控制努力的新战略，从酒店业开始，并声称无烟工作场所法律损害了酒店业。(3)了解烟草营销对18-24岁(而不是12-17岁)吸烟者招募和留住新吸烟者日益重要，特别强调酒吧作为营销场所。(4)对不同控烟策略的效果进行比较分析。虽然烟草业及其盟友试图将合法的公共卫生活动说成是政府对个人自由的无端侵犯，但其根本目标是防止或推迟减少癌症和心脏病的公共政策的实施。与任何疾病一样，重要的是了解疾病的媒介，以便制定和实施有效的控制策略。在预防肺癌和其他癌症以及心脏病方面，有必要了解烟草行业的活动。本研究将使用案例研究和其他方法来加深这一理解。

Tobacco is the leading preventable cause of death. This application seeks funding to continue and extend our research on how the tobacco industry and tobacco control advocates seek to influence state and local policy making with the overall goal of developing knowledge that will lead to more effective tobacco control policies, taking into account changes that have taken place in the last two years, such as the Master Settlement Agreement (MSA) that ended state tobacco litigation. The specific aims are: (1) Document and analyze the evolution of policy making with regard to tobacco control programs in a variety of states, including some with "mature" tobacco control programs that were created before the recent round of litigation as well as "new" states with tobacco control programs funded with money from the MSA. (2) Identify and describe new tobacco industry strategies for using surrogates to oppose state and local tobacco control efforts, beginning with the hospitality industry and claims that smoke free workplace laws hurt the hospitality business. (3) Understand the increasing importance of tobacco marketing to 18-24 year olds (as opposed to 12-17 year olds) for recruitment and retention of new smokers, with particular emphasis on bars as marketing venues. (4) Conduct a comparative analysis of the effectiveness of different tobacco control strategies. While the tobacco industry and its allies have attempted to present legitimate public health activities as unwarranted government intrusion into personal freedom, the underlying goal has been to prevent or delay the implementation of public policies to reduce cancer and heart disease. As with any disease, it is important to understand the vector of the disease in order to develop and implement effective control strategies. In the case of preventing lung and other cancer, as well as heart disease, it is necessary to understand the activities of the tobacco industry. This research will use case study and other methodologies to further this understanding.