1. Protecting Children and Families from Tobacco: Tobacco Advocacy and Policy Issues Jonathan D. Klein, MD, MPH AAP Associate Executive Director and Director, Julius B. Richmond Center

2. Adolescent and Adult Smokers Know they are addicted and want to quitKnow they are addicted and want to quit Many have tried to quit without successMany have tried to quit without success Younger smokers less likely to think there are resources to helpYounger smokers less likely to think there are resources to help Many clinicians feel unprepared to helpMany clinicians feel unprepared to help With advice, most parents say they would be able to set strict smoking policies

3. Evidence-based best practices Increase price/taxation of tobacco Smoking bans and restrictions Counseling – reframe expectations of successCounseling – reframe expectations of success –5A’s - Ask, Advise, Assess, Assist and Arrange –Strict No Smoking Rules - Smoke-free homes and cars Availability of treatment –Reduced cost for pharmacotherapy treatment –Provider reminder systems –Telephone/web counseling and support Mass media counter-marketing campaigns

4. Community and public health Make tobacco control for children and youth a priority –Include secondhand smoke –Headstart, schools, housing, etc. Age of sale restrictions and enforcement Advertising limitations Smokefree Movies Public smoke exposure reduction Do not allow preemptive efforts by tobacco industry Reduce social acceptability of smoking

5. Exposure to Tobacco Use in Movies and Smoking Among 5th-8th grader Adapted from Sargent, DiFranza, 2003 8 th Grade 7 th Grade 6 th Grade 5 th Grade

6. Smoke Free Movies Rate new smoking movies "R" Certify no pay-offs Require strong anti-smoking ads Stop identifying tobacco brands