{"id":14494,"date":"2018-12-05T03:55:04","date_gmt":"2018-12-05T03:55:04","guid":{"rendered":"http:\/\/www.lifeandnews.com\/articles\/?p=14494"},"modified":"2018-12-06T04:02:38","modified_gmt":"2018-12-06T04:02:38","slug":"smoking-rates-in-us-have-fallen-to-all-time-low-but-how-did-they-ever-get-so-high","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/smoking-rates-in-us-have-fallen-to-all-time-low-but-how-did-they-ever-get-so-high\/","title":{"rendered":"Smoking rates in US have fallen to all-time low, but how did they ever get so high?"},"content":{"rendered":"<p>\n<span><a href=\"https:\/\/theconversation.com\/profiles\/richard-gunderman-103804\">Richard Gunderman<\/a>, <em><a href=\"http:\/\/theconversation.com\/institutions\/indiana-university-1368\">Indiana University<\/a><\/em><\/span><\/p>\n<p>The Centers for Disease Control and Prevention <a href=\"https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/adult_data\/cig_smoking\/index.htm\">calls cigarette smoking<\/a> \u201cthe leading cause of preventable disease and death in the U.S., accounting for over 480,000 deaths per year.\u201d The CDC just announced that smoking rates among U.S. adults have fallen to the <a href=\"https:\/\/www.cdc.gov\/media\/releases\/2018\/p1108-cigarette-smoking-adults.html\">lowest level ever recorded<\/a> \u2013 only 14 percent, <a href=\"https:\/\/profiles.nlm.nih.gov\/ps\/access\/nnbcph.pdf\">less than a third<\/a> the rate just 70 years ago. While this decline is remarkable, it also points to a puzzle: How did smoking rates ever get so high in the first place?<\/p>\n<p>November is <a href=\"https:\/\/lcam.org\/\">Lung Cancer Awareness Month<\/a>, which provides a timely opportunity to review the history of tobacco smoking and its promotion.<\/p>\n<h2>Getting cigarettes rolling<\/h2>\n<p>Tobacco smoking originated in America around 3,000 B.C. Seafaring traders introduced it to Europe and Asia in the 17th century. One of the first anti-tobacco publications ever issued was King James I\u2019s 1604 \u201c<a href=\"http:\/\/www.laits.utexas.edu\/poltheory\/james\/blaste\/\">Counterblaste to Tobacco<\/a>,\u201d in which he condemns the practice as \u201cloathsome to the eye, hatefull to the nose, harmefull to the braine, and dangerous to the lungs.\u201d<\/p>\n<p>Smoking has several appeals. First, tobacco naturally <a href=\"https:\/\/www.scientificamerican.com\/article\/is-nicotine-all-bad\/\">contains nicotine<\/a>, an insecticide, which raises alertness, speeds reaction times, and stimulates the release of neurotransmitters such as dopamine, which are associated with pleasure.  Second, smoking may <a href=\"https:\/\/www.sciencedaily.com\/releases\/2017\/08\/170821102718.htm\">provide opportunities<\/a> to flout authority and fit in with peer groups. Third, once someone has started smoking, attempts to stop may <a href=\"https:\/\/www.healthline.com\/health\/smoking\/nicotine-withdrawal\">precipitate<\/a> withdrawal symptoms such as headaches, nausea, anxiety and weight gain.<\/p>\n<p>Cigarette smoking in the U.S. really caught fire in the first half of the 20th century. <a href=\"https:\/\/books.google.com\/books?id=yybaN6j4IpEC&amp;pg=PA592&amp;lpg=PA592&amp;dq=the+cigarette+century+bennett&amp;source=bl&amp;ots=KWUsAHGJh4&amp;sig=HhloH37soOITSBpVx5sniS546Vo&amp;hl=en&amp;sa=X&amp;ved=2ahUKEwi66sfN1tveAhWQG3wKHVERBvsQ6AEwB3oECAEQAQ#v=onepage&amp;q=bonsack&amp;f=false\">Technology played<\/a> an important role. Through most of the 19th century, each cigarette had to be rolled by hand, which took about 15 seconds. But in 1875, a Richmond, Virginia, company offered a US$75,000 prize for the invention of an automatic rolling machine. The prize was claimed by James Bonsack, whose machine could roll 200 cigarettes per minute, dramatically increasing capacity and lowering production costs.<\/p>\n<h2>Wartime promotion<\/h2>\n<p>Over the course of World War I, <a href=\"https:\/\/pointsadhsblog.wordpress.com\/2014\/06\/27\/wwi-part-5-tobacco-in-the-trenches\/\">cigarettes supplanted pipes<\/a> as the most popular means of tobacco consumption. Soldiers who smoked pipes had to keep their loose tobacco dry, take time to fill their pipes, and relight them frequently, which could attract enemy attention. By contrast, cigarettes were quick and easy to consume. Free cigarettes were distributed to the troops, and they soon began serving as a unit of currency, with the price of a haircut, for instance, set at two cigarettes. During the war, rates of smoking tripled.<\/p>\n<p>During World War II, free cigarettes were again <a href=\"https:\/\/smokingjacketmagazine.com\/2014\/11\/11\/smokes-for-the-boys-a-history-of-smoking-and-the-military\/\">distributed to soldiers<\/a> and even included with ration kits. Soldiers were encouraged to smoke to relieve boredom and improve morale, and in 1943 their demand helped U.S. companies manufacture 290 billion cigarettes. Some tobacco ads showed patriotic wives and mothers shipping cartons of cigarettes to their loved ones on the front. At home, rationing made cigarettes scarcer, and on days they were available, people often lined up to buy them.<\/p>\n<p>U.S. tobacco companies <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2352989\/pdf\/bmj00571-0040.pdf\">received an unexpected boost<\/a> during  WWII when Germany\u2019s Nazi Party introduced a variety of initiatives aimed to reduce smoking among both the general public and physicians. Perhaps augmented by Hitler\u2019s personal distaste for the habit, smoking was banned in many public places, the tobacco tax was raised and educational initiatives were launched. After the war, U.S. cigarette firms were able to undermine anti-smoking campaigns by linking them to Nazi tactics.<\/p>\n<h2>Cigarettes\u2019 health effects<\/h2>\n<p>For decades, cigarette companies strenuously denied that smoking is linked to human disease. A 1954 ad that appeared in over 400 U.S. dailies was entitled \u201c<a href=\"https:\/\/www.tobaccofreekids.org\/assets\/factsheets\/0268.pdf\">A Frank Statement to Cigarette Smokers<\/a>.\u201d It declared that \u201cinterest in people\u2019s health is a basic responsibility, paramount to every other consideration in business.\u201d Yet it also added, \u201cWe believe the products we make are not injurious to health,\u201d claiming that \u201cone by one\u201d charges that cigarettes are injurious \u201chave been abandoned for lack of evidence.\u201d<\/p>\n<p>Tobacco companies were not content merely to deny that cigarettes are harmful.  They also used print, radio, and television ads to argue that they are positively healthful. Many ads featured physicians and dentists endorsing particular brands because they were filtered or mentholated. <a href=\"http:\/\/americanhistory.si.edu\/blog\/2014\/03\/smoke-gets-in-your-eyes-20th-century-tobacco-advertisements.html\">One 1930 Lucky Strike ad claimed<\/a> that \u201c20,679 physicians say Luckies are less irritating,\u201d calling them \u201cYour throat protection against cough.\u201d<\/p>\n<h2>Madison Avenue psychology<\/h2>\n<figure class=\"align-center \">\n            <img alt=\"\" src=\"https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" srcset=\"https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=425&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=425&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=425&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=534&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=534&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/247094\/original\/file-20181124-149320-3m4rcj.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=534&amp;fit=crop&amp;dpr=3 2262w\" sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\"><figcaption>\n              <span class=\"caption\">This ad from the World War II era encouraged people to send Chesterfields to men in the armed forces.<\/span><br \/>\n              <span class=\"attribution\"><a class=\"source\" href=\"https:\/\/www.industrydocumentslibrary.ucsf.edu\/tobacco\/docs\/syvd0050\">University of California Tobacco Archives<\/a>, <a class=\"license\" href=\"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA<\/a><\/span><br \/>\n            <\/figcaption><\/figure>\n<p>Many campaigns <a href=\"http:\/\/americanhistory.si.edu\/blog\/2014\/03\/smoke-gets-in-your-eyes-20th-century-tobacco-advertisements.html\">featured celebrity endorsements<\/a>. One 1947 Chesterfield ad featured popular comedian Bob Hope, saying \u201cDorothy Lamour is my favorite brunette.  Chesterfield is my favorite cigarette.\u201d A 1950 Chesterfield holiday campaign showcased actor and future U.S. President Ronald Reagan, a cigarette dangling from his lips, saying \u201cI\u2019m sending Chesterfields to all my friends. That\u2019s the merriest Christmas any smoker can have.\u201d<\/p>\n<p>To promote sales to men, campaigns linked cigarettes to masculinity. The Marlboro Man, conceived by advertising executive Leo Burnett in 1954, <a href=\"https:\/\/adage.com\/article\/special-report-the-advertising-century\/marlboro-man\/140170\/\">aimed to enhance the male appeal<\/a> of filtered cigarettes, which had a feminine connotation. Running from 1954 to 1999, Marlboro ads featured rugged cowboys on the open range, often backed by bold music, such as the theme from the film, \u201cThe Magnificent Seven.\u201d Ironically, many of the Marlboro Men eventually succumbed to tobacco-related diseases.<\/p>\n<p>In the years following World War I, cigarette companies had been disappointed to find that smoking was much less popular among women than men. They soon turned to advertising to stoke demand. One campaign, \u201ctorches of freedom,\u201d <a href=\"https:\/\/tobaccocontrol.bmj.com\/content\/9\/1\/3\">was developed<\/a> by Sigmund Freud\u2019s nephew <a href=\"https:\/\/theconversation.com\/the-manipulation-of-the-american-mind-edward-bernays-and-the-birth-of-public-relations-44393\">Edward Bernays<\/a>, who paid young women to light cigarettes during a 1929 Easter parade, symbolizing their emancipation. By 1935, cigarette purchases by women had more than tripled.<\/p>\n<p>By the 1970s, women\u2019s cigarette marketing often focused on themes of liberation. For example, Virginia Slims, which sponsored the women\u2019s professional tennis tour, often promoted images of irrepressible young women with the tag line \u201c<a href=\"https:\/\/flashbak.com\/youve-come-a-long-way-baby-virginia-slims-advertising-year-by-year-365664\/\">You\u2019ve come a long way, baby<\/a>.\u201d The implication? By lighting up, women could strike a blow for an oppressed minority, announce their independence, and cast their lot with a svelte cadre of role models.<\/p>\n<h2>Where are we now?<\/h2>\n<p>Cigarette use has fallen to an all-time low in part because the last television cigarette ad appeared at 11:59 p.m. on Dec. 31, 1970, just one minute before a federal ban went into effect. But cigarette marketing is not dead. For example, many point-of-sale campaigns can be found in convenience stores, gas stations and even pharmacies. <a href=\"https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/tobacco_industry\/marketing\/index.htm\">Such promotions now account<\/a> for most of the $8.7 billion U.S. cigarette marketing budget.<\/p>\n<p>Although cigarette marketing has declined considerably since its heyday, the timeliness of its lessons remains undiminished. Americans today are still subjected to marketing for a variety of hazardous products, from <a href=\"https:\/\/www.businessinsider.com\/heres-how-guns-are-advertised-in-america-2012-12\">firearms<\/a> and <a href=\"https:\/\/www.researchgate.net\/publication\/46302105_Impact_of_Gambling_Advertisements_and_Marketing_on_Children_and_Adolescents_Policy_Recommendations_to_Minimise_Harm\">gambling<\/a> to less obvious threats such as social media, the excessive use of which is <a href=\"https:\/\/www.forbes.com\/sites\/alicegwalton\/2018\/11\/16\/new-research-shows-just-how-bad-social-media-can-be-for-mental-health\/#68254c157af4\">linked to depression<\/a>. So long as there is money to be made in moving such merchandise, it seems, someone will be on hand with a battery of techniques to promote sales.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" src=\"https:\/\/counter.theconversation.com\/content\/107185\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: http:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><span><a href=\"https:\/\/theconversation.com\/profiles\/richard-gunderman-103804\">Richard Gunderman<\/a>, Chancellor&#8217;s Professor of Medicine, Liberal Arts, and Philanthropy, <em><a href=\"http:\/\/theconversation.com\/institutions\/indiana-university-1368\">Indiana University<\/a><\/em><\/span><\/p>\n<p>This article is republished from <a href=\"http:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/smoking-rates-in-us-have-fallen-to-all-time-low-but-how-did-they-ever-get-so-high-107185\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Richard Gunderman, Indiana University The Centers for Disease Control and Prevention calls cigarette smoking \u201cthe leading cause of preventable disease and death in the U.S., accounting for over 480,000 deaths per year.\u201d The CDC just announced that smoking rates among U.S. adults have fallen to the lowest level ever recorded \u2013 only 14 percent, less [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":14492,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[42],"tags":[1811,5530,5529,5528,2977,4718],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/14494"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=14494"}],"version-history":[{"count":1,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/14494\/revisions"}],"predecessor-version":[{"id":14495,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/14494\/revisions\/14495"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/14492"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=14494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=14494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=14494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}