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Attitudes About Alcohol and Tobacco - Public Opinions On Smoking

How Many Smoke?

While most Americans do not smoke, about one-quarter of them do. A November 2004 Gallup survey on smoking reported that 25% of the adults interviewed said they had smoked cigarettes during the past week, down from 40% in 1969 and 45% in 1954. (See Figure 5.7 in Chapter 5.) Most smokers consumed one pack (33%) or less (52%) a day, while 14% smoked more than one pack per day, down from a high of 30% in 1978.

As Table 10.8 reveals, most smokers who responded to a 2002 Gallup survey (66%) began their habit prior to or at age eighteen. This table returns to a central theme in this book: people tend to start smoking while they are young. Those who smoke tend to do so for many years, if not a lifetime.

How Many Want to Quit?

Eight out of ten (82%) of the smokers polled in July 2004 reported that they would like to give up smoking, up from 74% in 1990. (See Table 10.9.) More than three-quarters (78%) believed they were addicted to cigarettes, up significantly from 61% in 1990. (See Table 10.10.)

Should Smoking Be Limited?

The proportion of those who consider secondhand smoke harmful increased between 1994 and 2003. In

TABLE 10.4
Public opinion poll on how many alcoholic beverages drunk in the past week, 1987-2004
APPROXIMATELY HOW MANY DRINKS OF ANY KIND OF ALCHOLIC BEVERAGES DID YOU DRINK IN THE PAST SEVEN DAYS?
[Based on 644 who drink alcoholic beverages]
SOURCE: "Approximately How Many Drinks of Any Kind of Alcoholic Beverages Did you Drink in the Past SEVEN Days?" in Poll Topics & Trends: Alcohol and Drinking, Gallup Poll News Service, July 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

0 % 1-7 % 8-19 % 20+ % Don't know % Mean Median
2004 Jul 8-11 31 55 8 5 1 4.9 2
2003 Jul 7-9 30 50 12 6 2 5.1 2
2002 Jul 9-11 34 50 9 5 2 4.4 2
2001 Jul 19-22 39 48 9 4 * 3.4 1
2000 Nov 13-15 43 46 8 3 * 3.3 1
1999 Sep 23-26 40 47 8 4 * 3.7 2
1997 Jun 26-29 41 45 8 5 1 3.6 1
1996 Jun 27-30 47 42 7 2 2 2.8 1
1994 Jun 3-6 44 42 10 3 1
1992 Jan 16-19 51 36 10 2 1
1990 Dec 6-9 50 40 6 3 1
1989 Sep 12-15 33 47 13 5 2
1988 Jul 1-7 32 49 10 6 3
1987 Jul 10-13 29 50 11 6 4

TABLE 10.5
Public opinion poll on drinking more than one should, 1978-2004
DO YOU SOMETIMES DRINK MORE ALCOHOLIC BEVERAGES THAN YOU THINK SHOULD?
[Based on 644 who drink alcoholic beverages]
SOURCE: "Do You Sometimes Drink More Alcoholic Beverages than You Think You Should?" in Poll Topics & Trends: Alcohol and Drinking, Gallup Poll News Service, July 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

Yes % No % No opinion %
2004 Jul 8-11 25 75 *
2003 Jul 7-9 24 76 *
2002 Jul 9-11 21 79 *
2001 Jul 19-22 20 80 *
2000 Nov 13-15 26 74 *
1999 Sep 23-26 24 76 *
1997 Jun 26-29 22 78 *
1996 Jul 25-28 25 75 *
1994 Jun 3-6 29 71 0
1992 Jan 16-19 29 71
1990 Dec 6-9 23 76 1
1989 Sep 12-15 35 65
1987 Jul 1-7 29 71
1985 Feb 15-18 32 68
1978 Nov 10-13 23 77

1994 the Gallup Poll reported that 36% of respondents thought secondhand smoke was very harmful. (See Figure 5.9 in Chapter 5.) In 2003 this number had grown to 51%, an increase of 15%.

In its 2003 survey on tobacco and smoking, the Gallup Organization found that most Americans supported some restrictions on smoking. Most of them were

TABLE 10.6
Public opinion on whether drinking has been a cause of family trouble, 1947-2004
HAS DRINKING EVER BEEN A CAUSE OF TROUBLE IN YOUR FAMILY?
SOURCE: "Has Drinking Ever Been a Cause of Trouble in Your Family?" in Poll Topics & Trends: Alcohol and Drinking, Gallup Poll News Service, July 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

Yes % No % No answer %
2004 Jul 8-11 37 63
2003 Jul 7-9 31 69 *
2002 Jul 9-11 28 72 *
2001 Jul 19-22 36 64 *
2000 Nov 13-15 36 64 *
1999 Sep 23-26 36 64 *
1997 Jun 26-29 30 70 *
1996 Jun 27-30 23 77 *
1994 Jun 3-6 27 72 1
1992 Jan 16-19 24 76
1990 Dec 6-9 23 76 1
1989 Sep 12-15 19 81
1987 Mar 14-18 24 76
1985 Feb 15-18 21 79
1984 Jul 6-9 18 82
1981 22 78
1978 22 78
1976 17 83
1974 12 88
1966 12 88
1947 15 85

in favor of limiting smoking to designated areas. For example, 68% believed smoking should be limited to designated areas in hotels and motels, although a significant percentage thought smoking should be banned in these areas (25%). (See Table 10.11.)

TABLE 10.7
Rank order of public support for alcohol policies with most and least supportive groups, 2001
SOURCE: Eileen M. Harwood, Alexander C. Wagenaar, and Debra H. Bernat, "Table 3. Rank Order of Public Support for Alcohol Policies in 2001 with Most and Least Supportive Groups," in Youth Access to Alcohol Survey: Summary Report, University of Minnesota, Alcohol Epidemiology Program, December 2002, http://www.epi.umn.edu/alcohol/pdf/2002_report.pdf (accessed) March 9, 2005)

Supportive group:
Overall support (percent) Policy type Most Least Range*
93 Restrict drinking on city streets Women 18-24 9
91 Restrict drinking at parks Democrats & women 18-24 6
90 Require server training Liberals & women Republicans 5
89 Require bar owner training 18-24 & women Men 5
88 Restrict drinking on college campuses Women 18-24 14
88 Tip lines to report illegal sales/use Women & conservatives 18-24 12
87 Punish adult providers 25+ 18-24 21
84 Restrict drinking at concerts Women Republicans 14
84 Restrict drinking at street festivals/fairs Women 18-24 18
81 Tax increase for prevention purposes Women Men 12
80 Checking everyone's ID 18-24 & Women Men 11
79 Restrict drinking at beaches Women 18-24 17
78 Restrict legal age for alcohol servers Democrats & Women 18-24 22
74 Require drinking at sports stadiums Women 18-24 22
72 Ban internet sales Republicans & Women Liberals & Democrats 9
72 Zero tolerance for youth (BAC 0.00) Women 18-24 14
70 Ban youth-oriented packaging Women Men 14
70 Compliance checks at liquor stores Conservatives & Republicans 18-24 & liberals 5
69 Tax increase for tax relief 18-24 Men 11
67 Ban liquor ads on TV Women Men 16
64 Ban home delivery of alcohol Women Men 8
64 Ban teens in bars Women & conservatives 18-24 23
63 Allow local controls on alcohol Conservatives 18-24 8
62 Ban alcohol marketing with athletes Women Men 16
62 Require beer keg registration Women Men 10
61 Ban alcohol billboard ads Women Men & 18-24 19
59 Ban beer/wine ads on TV Women Men & 18-24 16
55 Target providers versus youth Liberals Women 6
52 Be lenient on youth offenders Liberals & 18-24 Conservatives 11
48 State control of liquor sales 18-24 Republicans 10
38 Ban happy hours Women & Democrats Liberals 9
34 Tax increase for any government purpose 18-24 Republicans 12
31 Ban beer keg sales to individuals Women Men 12
*Range is calculated by subtracting the lowest from the highest percent to indicate the spread or distance between most and least suportive groups.

Regarding smoking in the workplace, 61% of those polled in 2003 believed smoking should be permitted only in designated areas, while 36% thought smoking should be banned altogether. More than half (52%) wanted smoking limited to designated areas in restaurants, but most of the other half (45%) wanted it banned. Very few (3%) thought there should be no restrictions at all on smoking. Looking at Gallup's figures between 1994 and 2003, the proportion of respondents wanting no restrictions has decreased, while the percentage wanting a total ban has increased. (See Table 10.11.)

In July 2003 the percentage of survey respondents in support of various bans on smoking was somewhat lower than in 2000. Restaurants were still the places in which those surveyed were most likely to favor a total ban (45%), followed by workplaces (36%), and then hotels (25%). People were most willing to set aside areas for smokers in hotels (68%). Bars were the area people were most likely to think should have no smoking restrictions (31%). (See Figure 10.4.)

Responsibility for Health Damages

In 1998 the major tobacco companies settled with state attorneys general to reimburse states for the Medicaid costs of treating smokers. Public health organizations and others have long claimed that the cigarette industry should be held legally and financially responsible for the health problems of those who use its products. In the past, the tobacco industry had defended itself by denying that health hazards had been proved by scientific testing and by asserting that using tobacco is a matter of choice.

Who is responsible for the health problems of smokers and those exposed to secondhand smoke? In 1991, when the Gallup Organization first polled Americans on the topic of liability, only 13% of respondents believed that tobacco companies should be held legally responsible for health damages related to smoking. Sixty-six percent thought that the government-required warnings on tobacco packaging absolved the companies from responsibility. As shown in Table 10.12, by the late 1990s those surveyed were more inclined to think FIGURE 10.1
Public opinion on stiffer punishments for teenagers caught drinking as a deterrent to their drinking
SOURCE: Eileen M. Harwood, Alexander C. Wagenaar, and Debra H. Bernat, "Figure 8.1. Punishment Deters Youth from Drinking," in Youth Access to Alcohol Survey: Charts and Appendices, University of Minnesota, Alcohol Epidemiology Program, December 2002, http://www.epi.umn.edu/alcohol/pdf/Charts_Appendices.pdf (accessed March 7, 2005)
tobacco firms should be held responsible. Between 22 and 30% of Americans thought tobacco companies were completely or mostly to blame for smokers' health problems between 1997 and 2004. The percentage of those who thought blame should be shared between smokers and companies grew from 10% to 14% from 1997 to July of 2000, but then dropped.

It is important to remember that the mid- and late-1990s were years when tremendous attention was paid to the dangers of cigarette smoking and the deceptive marketing practices of tobacco firms. Indeed, the "Tobacco Wars" period hit a high point in 1998 with the Master Settlement Agreement (discussed in Chapter 8).

But despite this increased awareness of the tobacco industry's role in getting—and keeping—people addicted, the public did not absolve smokers of all blame. Sixty-four percent said smokers were mostly or completely to blame in 1997. The figure dropped in 1999 to 55% but increased to 67% in 2003, holding at 66% in 2004. (See Table 10.12.)

In the week following the 1998 tobacco settlement, the Gallup Organization asked Americans their opinions of the settlement. At the time, only about half of the respondents said they had heard much about it. When asked if they favored or opposed the agreement, more than one-third (35%) of the respondents either said they had not heard about it or had no opinion on the tobacco agreement. More of the respondents who had heard about the agreement and had an opinion favored (40%) rather than opposed (25%) the agreement. One-third of the smokers felt the settlement was too tough on the tobacco companies, while one-quarter felt it was not tough enough. Thirty-nine percent of nonsmokers thought it was not tough enough.

FIGURE 10.2
Public opinion on appropriate punishments for teenagers caught drinking
SOURCE: Eileen M. Harwood, Alexander C. Wagenaar, and Debra H. Bernat, "Figure 8.9. Most Appropriate Punishment for Youth Offenders," in Youth Access to Alcohol Survey: Charts and Appendices, University of Minnesota, Alcohol Epidemiology Program, December 2002, http://www.epi.umn.edu/alcohol/pdf/Charts_Appendices.pdf (accessed March 7, 2005)

FIGURE 10.3
Public opinion on legislation providing penalties for older persons who illegally give alcohol to teenagers
SOURCE: Eileen M. Harwood, Alexander C. Wagenaar, and Debra H. Bernat, "Figure 8.5. Favor Penalizing Adult Providers," in Youth Access to Alcohol Survey: Charts and Appendices, University of Minnesota, Alcohol Epidemiology Program, December 2002, http://www.epi.umn.edu/alcohol/pdf/Charts_Appendices.pdf (accessed March 7, 2005)

TABLE 10.8
Public opinion poll on age smoking began, 1991-2002
AT WHAT AGE DID YOU BEGIN SMOKING?
[Based on 213 smokers]
SOURCE: "At What Age Did You Begin Smoking?" in Poll Topics & Trends: Tobacco and Smoking, Gallup Poll News Service, 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

Under 16 % 16-18 % Over 18 % No opinion % Mean %
2002 Jul 9-11 37 29 33 1 18
2000 Nov 13-15 37 39 21 3 17
1999 Sep 23-26 36 35 29 * 18
1994 Mar 11-13 32 37 29 2
1991 Nov 7-10 34 36 29 1

TABLE 10.9
Public opinion on giving up smoking, 1977-2004
ALL THINGS CONSIDERED, WOULD YOU LIKE TO GIVE UP SMOKING, OR NOT?
[Based on 224 smokers]
SOURCE: "All Things Considered, Would You Like to Giveup Smoking, or Not?" in Poll Topics & Trends: Tobacco and Smoking, Gallup Poll News Service, 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

Yes % No % No opinion %
2004 Jul 8-11 82 17 1
2003 Jul 7-9 82 17 1
2002 Jul 9-11 79 18 3
2000 Nov 13-15 82 16 2
1999 Sep 23-26 76 23 1
1997 Jun 26-29 74 24 2
1997 Jun 23-24 64 34 2
1996 May 9-12 73 26 1
1994 Mar 11-13 70 28 2
1991 Nov 7-10 76 22 2
1990 Jul 6-8 74 24 2
1989 May 15-18 63 33 4
1988 Jul 1-7 68 27 5
1987 Mar 14-18 77 20 3
1986 Jun 9-16 75 22 3
1981 Jun 26-29 66 30 4
1977 Aug 19-22 66 29 5

TABLE 10.10
Public opinion on addiction to cigarettes, 1990-2004
DO YOU CONSIDER YOURSELF ADDICTED TO CIGARETTES OR NOT?
[Based on 224 smokers]
SOURCE: "Do You Consider Yourself Addicted to Cigarettes or Not?" in Poll Topics & Trends: Tobacco and Smoking, Gallup Poll News Service, 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

Yes, addicted % No, not % No opinion %
2004 Jul 8-11 78 21 1
2003 Jul 7-9 72 28 *
2000 Nov 13-15 74 26 0
1999 Sep 23-26 72 28 *
1997 Jun 26-29 73 27 *
1997 Jun 23-24 68 31 1
1996 69 31 0
1991 70 29 1
1990 61 39 *

TABLE 10.11
Public opinion on smoking in public places, 1987-2003
WHAT IS YOUR OPINION REGARDING SMOKING IN PUBLIC PLACES? SHOULD THEY SET ASIDE CERTAIN AREAS, SHOULD THEY TOTALLY BAN SMOKING, OR SHOULD THERE BE NO RESTRICTIONS ON SMOKING? HOW ABOUT IN …?
SOURCE: "What Is Your Opinion Regarding Smoking in Public Places?" in Poll Topics & Trends: Tobacco and Smoking, Gallup Poll News Service, 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

set aside areas % Totally ban % No restrictions % No opinion %
Hotels & motels 2003 Jul 7-9 68 25 6 1
2001 Jul 19-22 66 27 6 1
2000 Nov 13-15 65 28 7 *
1999 Sep 23-26 70 24 6 *
1994 Mar 11-13 68 20 10 2
1991 Oct 24-27 70 17 12 1
1990 Jul 6-8 73 18 8 1
1987 Jun 67 10 20 3
Workplaces 2003 Jul 7-9 61 36 3 *
2001 Jul 19-22 58 38 3 1
2000 Nov 13-15 57 37 6 *
1999 Sep 23-26 61 34 4 1
1994 Mar 11-13 63 32 4 1
1991 Oct 24-27 67 24 8 1
1990 Jul 6-8 69 25 5 1
1987 Jun 70 17 11 2
Restaurants 2003 Jul 7-9 52 45 3 *
2001 Jul 19-22 52 44 4 *
2000 Nov 13-15 48 47 5 *
1999 Sep 23-26 56 40 4 *
1994 Mar 11-13 57 38 4 1
1991 Oct 24-27 66 28 5 1
1990 Jul 6-8 66 30 4
1987 Jun 74 17 8 1
Bars 2003 Jul 7-9 44 23 31 2

FIGURE 10.4
Public opinion on preference for smoking location, 2003
SOURCE: Lydia Saad, "Preference for Smoking in Each Location," in Secondhand Smoke a Second-Rate Risk? Americans Resist Severe Public Smoking Restrictions, Gallup Poll News Service, August 4, 2003. Copyright © 2003 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

TABLE 10.12
Public opinion on the blame for health problems faced by smokers, 1997-2004
WHICH OF THE FOLLOWING STATEMENTS BEST DESCRIBES YOUR VIEW OF WHO'S TO BLAME FOR THE HEALTH PROBLEMS FACED BY SMOKERS IN THIS COUNTRY? 1) THE TOBACCO COMPANIES ARE COMPLETELY TO BLAME, 2) THE TOBACCO COMPANIES ARE MOSTLY TO BLAME, 3) SMOKERS ARE MOSTLY TO BLAME, 4) SMOKERS ARE COMPLETELY TO BLAME?
SOURCE: "Which of the Following Statements Best Describes Your View of Who's to Blame for the Health Problems Faced by Smokers in this Country?" in Poll Topics & Trends: Tobacco and Smoking, Gallup Poll News Service, 2004. Copyright © 2004 by The Gallup Organization. Reproduced by permission of The Gallup Organization.

Tobacco companies Smokers
Completely to blame % Mostly to blame % Equally to blame (vol.) % Mostly to blame % Completely to blame % No opinion %
2004 Jul 8-11 4 18 11 35 31 1
2003 Jul 7-9 6 19 7 37 30 1
2002 Jul 9-11 8 18 11 31 30 2
2001 Jul 19-22 6 19 12 33 28 2
2000 Nov 13-15 6 23 8 35 27 1
2000 Jul 14-16 6 20 14 29 30 1
1999 Sep 23-26 9 21 13 31 24 2
1997 May 6-7 5 20 10 38 26 1

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