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    "title": "Tobacco Minorities [2]",
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        "Records of the Domestic Policy Council (Clinton Administration)",
        "Bruce Reed's Tobacco Files"
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    "ocrText": "04/23/98 THU 11:21 FAX 202 690 7318\nDHHS/ASPA\n5\n012\n1\nclearly. I say disheartening because these recent increases appeared after several\nyears of substantial decline among teens in all the groups.\nOn a proportional basis, the increase is most striking among African\nAmerican youths, who had the greatest decline of the four groups during the 1970s\nand 1980s. Still, African American teens smoke less than any other racial or\nethnic group in the country. But if current patterns continue, an estimated 1.6\nmillion African Americans who are now under the age of 18 will become regular\nsmokers. About 500,000 of them will die of a smoking-related disease.\nThe report's fourth major conclusion is that no single factor determines\npatterns of tobacco use among racial/ethnic minority groups. These\npatterns are the result of complex interactions of multiple factors, such as\nsocioeconomic status, cultural characteristics, acculturation, stress, biological\nelements, targeted advertising, and the price of tobacco products.\nThe report documents the close association between tobacco and significant\nevents and rituals in the history of many ethnic communities. In addition to its\nmarketing practices, the tobacco industry's long history of providing economic\nsupport to many ethnic groups poses a big challenge to prevention efforts.\nOur final conclusion flows from the other four: We need more rigorous\nresearch on these patterns of tobacco use and all of these factors that influence\nthem. Without aggressive prevention research programs, we will not be\nsuccessful at finding ways to attack tobacco use in our minority communities.\nWe do know that smoking among members of the four ethnic groups is\nassociated with depression, psychological stress, and environmental factors such\nas peers who smoke and tobacco marketing practices, as is also the case in the\ngeneral population. Clearly, the role that these factors play in determining tobacco\n3"
}