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Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General, 2012


Executive Summary

Full Report

Consumer Booklet

An easy-to-read guide with practical information and steps every American can take to join the fight against youth tobacco use:

We can make the next generation tobacco free

Fact Sheets

Conversation Cards

  • The Parent Conversation Card [PDF - 710 KB] is intended to help parents talk to their children about tobacco use. This card offers practical ways to initiate conversations with children and provide background information on tobacco use.
  • The Physician Conversation Card [PDF- 624 KB] is intended to help health care providers (e.g., physicians, nurses, pharmacists, etc.) initiate dialogue about tobacco use with adolescent patients and also to help persuade parents to be actively engaged in keeping their children safe from the health effects of smoking.


Every day, more than 1,200 Americans die from smoking. 
Each of these people is replaced by two new smokers under the age of 26.


2012 Surgeon General's Video Contest: Tobacco — I'm Not Buying It

In conjunction with the release of the Surgeon General’s Report, Preventing Tobacco Use among Youth and Young Adults, youth aged 13-17 and young adults aged 18-25 were invited to develop original videos that feature one or more of these findings from the report.  On May 30, 2012, U.S. Surgeon General Dr. Regina Benjamin announced the winners of the video contest. Check out the grand prize winners below:

Ages 13-17: Grand Prize: Tobacco I’m Not Buying It Rap


The Manatee Youth for Christ SOZO team, from Bradenton, Florida, rap about the dangers of tobacco, its effect on youth, and why they’re not buying it. This video, created by Dantreal Waiters, was the grand prize winner in the 13-17 age category of the Surgeon General’s Video Contest: Tobacco—I’m Not Buying It.

Ages 18-25: Grand Prize: You Don’t Smoke Cigarettes, Cigarettes Smoke You  


People think they smoke cigarettes, but with all the negative health consequences, such as heart disease and asthma, could it be said that cigarettes are smoking us? This video, created by Ayyaz Amjad, was the grand prize winner in the 18-25 age category of the Surgeon General’s Video Contest: Tobacco—I’m Not Buying It.

Spanish: Grand Prize: El Tabaco y la industria


Más del 99% de los consumidores de tabaco adultos empezaron a fumar siendo jóvenes. La industria tabacalera trata de hacer que sus productos sean atractivos para los jóvenes, pero, ¿cuál es la verdad sobre el tabaco? Este video, creado por Sarah Skipper, Karolina Almasi, Taylor Crews, Natalie Curtis, y Malorie McKinnon, ganó en el concurso de videos de la Cirujana General de los EE. UU., en la categoría de español de 18 a 25 años de edad:  Tabaco: No me convence.

View more winning submissions on the Surgeon General's Video Contest Winners playlist. Share your favorite videos on your social networks to encourage all young Americans to help make the next generation tobacco free! 

Disclaimer: The videos within the playlist and the public gallery have been submitted as part of the U.S. Surgeon General’s Video Contest: Tobacco — I’m Not Buying It. These videos were submitted by groups or individuals, and feature their own interpretations, opinions and dramatizations, about tobacco use, and do not necessarily represent the views of the United States Surgeon General’s Office or the Department of Health and Human Services. 

Promotional Buttons and eCard

Smoking Harms Health from the Very First Puff

  • The button is available in three sizes and features a photo of a young woman and the following message: “Smoking harms health from the very first puff. Learn more.”  Upload this button to your Web site, blog, or social networking site to help promote the report.  Get buttons
  • The eCard is an electronic greeting that features a photo of a young woman and whose headline reads “Smoking harms health from the very first puff. Learn more.” Use this card to share this key message from the report and provide links to the report.   Add a personal message, too, if desired. Send the eCard to one person or use the option to send to multiple people. Send an eCard 

Additional Resources