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A prospective study of the impact of its antismoking television advertisements on children aged 12 and 13 years found that children who reported high levels of exposure to the advertisements in 19934 were only half as likely to be established smokers four years later as those who did not report early exposure to the advertisements.11 The increase in the cost of cigarettes in Massachusetts has probably been an important factor in the decline of smoking in both adults and teenagers.12 More than 3% of adult smokers reported that the 1993 price increase was part of the reason they stopped smoking, and a substantial number of adult and teenage smokers reported that they reduced their intake of cigarettes because of the increased cost.13 Massachusetts has spent more money per capita on tobacco control than any other US state

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