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"In March 1991, the Institute of Medicine's Board on Biobehavioral Sciences and Mental Disorders identified the need for a study on preventing nicotine addiction in children and youths as one of its highest priorities, and directed the IOM staff to seek the resources required to conduct such a study." "The material in this report is organized as a blueprint for policymaking. In the context of each type of intervention, the Committee has summarized the pertinent empirical evidence and sought to demonstrate why, in our opinion, the recommended policies or programs are justified. The Committee did not think it necessary to duplicate in this report all the information on the etiology of smoking by children and youths appearing in the surgeon general's recent report. Instead, the Committee presents the information bearing most directly on the potential effects of policies and programs designed to reduce nicotine addiction among children and youths.

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