Environmental Influences on Tobacco Use: Evidence from Societal and Community Influences on Tobacco Use and Dependence

K Michael Cummings, Geoffrey T Fong, Ron Borland

Annual Review of Clinical Psychology | ANNUAL REVIEWS | Published : 2009


There is little doubt that nicotine addiction sustains tobacco use in most people and that individual variation in response to tobacco has a strong biological basis. However, the great diversity in tobacco use behaviors observed between countries and within countries over time suggests that biology alone cannot fully explain these variations. This review examines the role of the social environment in understanding tobacco use behaviors and efforts to curb tobacco use at the population level. We conclude that the social environment plays a critical role in determining how innate biological factors involved in nicotine dependency actually get expressed at the population level. Tobacco use as r..

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