Deaths caused by smoking have reached epidemic proportions. In the United States alone, 430,000 people die annually from smoking-related illnesses such as cancers and lung disease. Stephen Jay, chair of the Department of Public Health at Indiana University School of Medicine, states that tobacco's "human toll far exceeds the Black Death of the 14th century, the global influenza pandemic of 1918-19, and the modern tragedy of HIV-AIDS."

Health care advocates, concerned about tobacco-related deaths and illnesses, have worked tirelessly to discourage cigarette smoking in the United States through education campaigns that warn the public about the potential health dangers of tobacco use. A particular target for these antismoking messages is teen smokers. According to 2001 data collected by the American Cancer Society, teen smoking rates have gradually decreased since their rapid rise throughout the 1980s and most of the 1990s. Despite this encouraging decrease in the number of teen smokers...