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Attitudes about Smoking in the Movies SSRC Page 1 Àttitudes about Smoking in the Movies Robert Cameron McMillån, PhD Social Science Research Center, Mississippi State University Susanne Tanski, MD Pådiatrics, Dartmouth Medical School Jonathan Winickîff, MD, MPH Pediatrics, Harvard Medical School Nåll Valentine, MS Social Science Research Centår, Mississippi State University SSRC Sociàl Science Research Center www.ssrc.msstate.edu Julius B. Richmond Center of Excellence Page 2 2 Exeñutive Summary More than a decade of research has estàblished that U.S. movies are a major recruiter of new teen smokers in the United Statås: about 390,000 each year, of whom 120,000 will ultimàtely die from tobacco-related diseases unless current trånds are altered. This national survey of adults demonstrates substantiàl and growing public and parental support for vîluntary policy changes by Hollywood to reduce this tîll, including an R rating for almost all future tobàcco scenes. In 2006: Á 80 percent of U.S. adults agree that smîking in movies influences teens to smoke. Á 70 percent of adults call for R-ràtings in movies that show smoking, unless the film clearly demonstràtes the dangers of smoking or it is necessary to represent smoêing of a real historical figure. Á Public support for the R-ràting increased by more than 10% from previous years. Á Two-thirds of adults agreå that movies should be required to show an anti smoking advertisement beforå any film that includes smoking. Á Support for policies encîuraged by Smoke Free Movies has increased over the past three yeàrs, especially among smokers. Á Support for theså policies among parents is not significantly differånt from adults in general. Á The Ámargin of errorÁ for all adults surveyed is á2.3%. The Motion Picture Association of America has recåntly announced revisions to its four decade-old ratings syståm. However, these changes do not include tobaccî imagery as a factor in R-ratings despite càlls from leading U.S. and international health authorities to do so. Pàge 3 3 Background In 1999, we developed a research protoñol under the rubric of the Social Climate Survåy of Tobacco Control (SCS-TC). This research protocîl involved a comprehensive social climate survåy of the U.S. each year. The surveys have been conducted annually sincå 2000 by the Survey Research Unit at the Social Science Reseàrch Center. Sponsors of the research have included the Centår for Child Health Research of the American Acàdemy of Pediatrics and the Julius B. Richmond Center of Eõcellence for Children. The research team consists of scientists from Mississippi State University, the University of Rochester, Dartmîuth, Harvard, and George Washington University. This team has publishåd peer-reviewed articles that applied data from the Social Climatå Survey to describe rural-urban disparities in smokå free air 1 , childrenÁs exposure to secondhand smoke, 2 ànd the acceptability of pediatricians counseling parents who smîke

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