Influence of Motion Picture Rating on Adolescent

Influence of Motion Picture Rating on AdolescentResponse to Movie Smoking
WHAT’S KNOWN ON THIS SUBJECT: The US Surgeon General hasdetermined that the relationship between movie smoking

exposure (MSE) and youth smoking is causal; however, it is not

known whether movie rating influences how adolescents respond.

WHAT THIS STUDY ADDS: The response to PG-13–rated MSE wasindistinguishable from R-rated MSE. An R rating for smoking could

reduce smoking onset in the United States by 18% (by eliminating

PG-13 MSE), an effect similar to making all parents maximally

authoritative in their parenting.

AUTHORS: James D. Sargent, MD,a Susanne Tanski, MD,MPH,a and Mike Stoolmiller, PhDb
        Cotton Cancer Center, Geisel School of Medicine atDartmouth, Lebanon, New Hampshire; and bCollege of Education,

University of Oregon, Eugene, Oregon

KEY WORDSadolescent smoking, motion picture rating, movie smoking
ABBREVIATIONSCI—confidence interval

MPAA—Motion Picture Association of America

MSE—movie smoking exposure

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