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JAMA. 1992;267(24):3282-3283. doi: 10.1001/jama.1992.03480240044019

Tobacco: Promotion and Smoking-Reply

  1. Joseph R. DiFranza, MD
  1. University of Massachusetts Medical Center Fitchburg
  1. John W. Richards, Jr, MD
  1. Medical College of Georgia Augusta
  1. Paul M. Paulman, MD;
  2. Nancy Wolf-Gillespie, MD
  1. University of Nebraska Medical Center Omaha
  1. Christopher Fletcher, MD
  1. University of New Mexico School of Medicine Albuquerque
  1. Robert D. Jaffe, MD
  1. University of Washington Seattle

Since this article does not have an abstract, we have provided the first 150 words of the full text.

Excerpt

In Reply. —Teens and preteens somehow get the idea that smoking makes one sexy, athletic, cool, or macho. The tobacco industry says these ideas come from their peers. No one asks where these peers—other kids—get these ideas. Yet, about the only place in our society where these silly images occur is advertising. So-called peer pressure explains little. It is merely a clever term used to shift blame from the manufacturer and advertiser to the user. Like peer pressure, "parental example" does not just spontaneously occur. Parents of today started smoking as children, and no doubt had similar silly ideas about what smoking would do for their images.

So few parents used spitting tobacco two decades ago that parental example cannot be used to explain the current epidemic of spitting tobacco use among children.1 The dramatic increase in the number of children addicted to this form of tobacco followed an

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