HOW TO USE THIS INDEX The Surgeon General's Report on Smoking and Health consists of 23 chapters and an Appendix. Each includes a detailed table of contents to lead the reader to the information sought and to give a quick overview of content. The index reflects the contents of all 23 chapters and the Appendix. It was attempted to use the natural language of the Report whenever possible, but to achieve consistency in the terminology. some concepts had to be reworded. Major concepts are expressed in primary terms (in bold. all upper case letters), which are modified by the secondary terms (indented, lower case. followed by page numbers), in order to convey the specific topic. In order to lead the reader to primary terms related to the one of interest. cross references follow many primary terms, e.g. ALLERGY (See ulso ALLERGY, TOBACCO: HYPERSENSITIVITY) If a certain concept could have appeared as more than one primary term, the reader is referred to the primary term actually used in the following manner: Areca nut See BETEL NUT Secondary terms are followed by the pagination. The latter consists of one bold figure, referring to the Report chapter, a colon, followed by the page number(s). The following examples illustrate this: chapter t I ADOLESCENTS antismoking education. attitudes toward smoking, 17:5-6.17:8-10 17:6 (This entry refers to Chapter 17. page 6.) 17:9-12, 18:7. A:6-9 (This entry refers to Chapter 17. pages 9-12: Chapter 18. page 7; and Appendix. pages 6-9.) INDEX ABORTION in female tobacco workers, 39 maternal smoking and, 8:9, 83632 relative risk for smokers vs. non- smokers, 8:31-32 research needs, 877 in smokers vs. nonsmokers, 830-32 smoking and wanted vs. unwanted pregnancy and, 830-32 ARRUPTIO PLACENTAE gestational age and risk in smoking vs. nonsmoking mothers, 844, 8% maternal smoking and, 8:39 smoking and stillbirth, 839 smoking levels and, 8:39 smoking levels and perinatal mortali- ty, 8:40 ABSENTEEISM effect of smoking, 3:8, 310 effect of smoking, summary of find- ings, 1:1213 smokers vs. nonsmokers vs. ex-smok- ers, 3:8, 3:l2-14 ARSORPI'ION nicotine, 14S toxic elements in respiratory tract, 14:98 ABSTINENCE malea vs. females, 15% smoking habit and, 15% Almtinence syndrome SE-e Tw3Acco WITHDRAWAL SYNDROME ACADEMIC ACHIEVEMENT smoking and, 1716, 268 Teenage Self Test scores and, 2622 ACCIDENT3 smoking on the job and, 7:15 ACROLEIN eye and nose irritation and, 11% humectants and, 1463 levels, effect of smoking in enclosed spacea, 1125 Adenoma See NROPLASMS ADDICTION (See also HAIHTUATION) cessation of smoking and, 18:22 identification of addicted smokers, 18:13 laboratory models, 16:l2 to nicotine, 167-9, 18:X?. smoking vs. drug addiction, 16:10-11 ADOLESCENTS (See also TEENAGERS) antismoking education, 17:G, 17:17-22, 205-26, 21:25 attitudes toward smoking, 175-6, 17%10 cessation of smoking, 18:19 drug abuse and smoking, 1723, 18:14 effect of school smoking policies, 2353-12 illegality of tobacco use, 23:7 influence of role models, 21:11-14 recommendations for prevention of smoking, 1722-25 smoking habit, 17:7-3, 18:16, 23:9 smoking habit in males vs. females in the United States, 19:21 social factors in smoking initiation, 17:l217 Adrenaline See CATECHOLAMINES ADULT EDUCATION Adult Basic Education, 21:7, 21:9 Adult Performance Level Program, 21:7-9 antismoking education, 21:10-11, 21:~26 participation statistics, 215-6 ADULTS cigarette consumption patterns in the United States, A:23 increase of cigarette consumption over time, A:17 patterns of smoking prevalence, A:ll, A:l2-14 self-reported smoking characteristics, A:2122 smoking prevalence by educational level, A:14-16 smoking prevalence by family in- come, A:1416 smoking surveys in the United States. AS-10, A:18 ADVERTISING antismoking information, 19:9, 21:15 effect on smoking rates, 18:2223, 2123 effect on youth, 17:56, 17:15, 1722, 20:67 Federal Communications Commission rules, A:7 lung disease campaign, 21:lO restrictions in Denmark, 1822, 22:6 revenues from tobacco interests, 21:18 ADVERTISING BAN effect on consumption in Great Brit- ain, 182223 effect on consumption in Ireland, 1822 effect on consumption in Italy, 1822 effect on consumption in New Zea- land, 1822 effect on consumption in the United States, 1823 effect on per capita consumption, A:8 ADVISORY COMMITTEE TO THE SURGEON GENERAL ON SMOK- ING AND IIEALTB summary of 1964 Report, 1%9 summary of 1979 Report, 1:10-35 AFLATOXIN BI as tobacco contaminant, 1422 AGE initiation of smoking and, 17:89 motivation for smoking and, 18:ll recidivism and, 19:31 AGE GROUPS absenteeism and, 3:13 bed disability and, 3:12 wtion of smoking and, 3:18 heart conditions and, 3:19 mortality ratio, 2:17 mortality ratio, mortality rates and excess deaths in the United states, 2:ll percent distribution of cigar, eiga- rette and pipe smokers in the United Statea, 13:9 AGING (See also TOBACCO AGING) atherosclerosis in smokers vs. non- smokers and, 4~12, 4:14 effect on antipyrine pharmaco kinetics in smokers vs. nonsmokers, 12:!&30 Agricultural chemicals See PESTICIDES AIR POLLUTION bronchopulmonary diseases and, 1x9 chronic obstructive lung disease and, 6:36 in lung neoplasm etiology, 5:25-27 lung pathology in smokers vs. non- smokers and, 6:36-37 smoking and chronic obstructive lung disease and, 6:37-38 smoking and respiratory symptoms and, 6137 AIRPLANES effect of smoking on nonsmokers, 11% ALBANY CML SERVANT STUDY angina pectoris, 446 sudden cardiac death, 443 ALCOHOL and benzo(a)pyrene in esophageal neoplasm induction in animals, 544 content of cigarette smoke, 1442 pharmacokinetics in smokers vs. non- smokers, 1239 ALCOHOL CONSUMPTION beer, and motivation for smoking, 18:ll cessation of smoking and, 18:20 effect on esophagus, 1325 interactive effect with smoking on atherosclerosis, 4:13, 4:15 smoking, coffee drinking and peptic ulcer and, 9:6 smoking and laryngeal neopiaams and, 5:32, 534 smoking and oral neoplasms and, 546-41 smoking in esophageal neoplasm eti- ology and, 543-44 smoking rate and, 16:13, 18:14 ALDEHYDES (See also ACROLEIN) content of cigarette smoke, 1442 humectants and, 1463 ALKALOID CONTENT (See ah NICOTINE CONTENT) in cigar vs. cigarette smoke conden- sate, 13:ll reduction in particulate phase ciga- rette smoke, 14:108 ALKALOIDS, TOBACCO (See alm COTININE; NICOTINE; NORNICOTINE) pharmacological activity, 14:93 relative molar potency in cigarette smoke, 1496 structural formulae, 1446 ALICANE CONTRNT in cigarette smoke, 1445 .ALKENEs in cigarette smoke, 1448 ALLERGIC RHINITIS passive smoking and, lo:21 smoking and, 10% .ALLERGY (See aleo ALLERGY, TOBACCO; HYPRRSENSITMTY) childhood respiratory infections and, 10% clinical manifestations, 1020 definition, 10%9 diagnosis, 10:5 effect of tobacco smoke-exposure, 10:14 involuntary smoking and, 11:31 nicotine in induction of, 10% predisposition, and broncho-eonstric- tion and chest infections, 1022 skin test reactions to tobacco leaf extracts in smokers vs. nonsmok- ers, lo:13 smoking and, summary of findings, 1 B-24 thromboangiitis obliterans and, 4:66 tobacco and tobacco smoke in etiolc- gy of, 10:5, 10:%24 tobacco smoke as secondary factor, ALLERGY, TOBACCO asthma and, lo:21 basic mechanisms, 10:5 cardiovascular diseases and, 1022-23 diagnosis, 1024 diagnostic criteria, lo:67 epidemiology, lO:l214 tests, IO:6 treatment and prevention, 1024 Alveolar macrophages See MACROPHAGES, ALVEOLAR AMBIENT AIR QUALITY STAN- DARD smoking in enclosed spaces and, 11:21 AMBLYOPLA, TOBACCO etiology, 1266 AMERICAN ASSOCLATION FOR HRALTH, PHYSICAL EDUCA- TION, AND RECRRATION recommendations for school pro- grams, 17:15 statement on school smoking policies, 2X3-9, 23:13-14 training of health educators, 2332 AMERICAN CANCER SOCIETY campaign against hospital cigarette sales, 2229 group cessation program, 19:lO study of physicians' smoking habits, 22:ll survey of teachers' smoking habits and attitudes, 17:15, 21:13 withdrawal clinics, 21:16 youth antismoking programs, 2922 youth smoking studies, 17:8, 1815, 21:11-12 AMERICANDENTALASSOCIATION school programs on oral health, 2623 AMBRICAN HRALTH POUNDATION cessation program, 21:16 "Know Your Body" program, 2190 AMERICAN HEART ASSOCIATION adolescent antismoking demonstration projects, 2922 withdrawal clinics, 21:16 AMERICAN LUNG ASSOCLATION antismoking curriculum models, 2022-23 withdrawal clinics, 21:16 AMERICAN MEDICAL ASSOCLVI'ION 10s antismoking advice to patients, 22:16 AMERICAN PHARMACELJTICAL AS- SOCLU'ION recommendation against cigarette sales, 22:9 AMERICAN PUBLIC HRALTH ASSO- CIATION members' smoking attitudes, 22:7, 22:15 AMERICAN SCHOOL HEALTH AS- SOCIATION state school health programs survey, 235-23-7 AMINES bladder neoplasms and, 14:47 content in cigarette smoke, 14:41, 14:47 content in tobaazo and tobacco smoke, 12:74 AMMONIA CONTENT in cigar smoke, 14:39 in cigarette smoke, 1439 in sidestream smoke, 14:41 Amount smoked See SMOKING LEVRIS; CIGA- RE'ITE CONSUMPTION ANALYTICAL MEmoD! fiber optic probe system, 14:9 Thermal Energy Analyzer. 14:9 ANGINA PECTORIS (See aho CORONARY HEART DISEASE) clinical features and prognosis, 4:46 effect of carbon monoxide and niw tine, C:47 effect of involuntary smoking, 11:36- 31 effect of low level carbon monoxide exposure, 11:30, 11% effect of nicotine, 439 effect of smoking, 4:47 morbidity ratio, effect of smoking levels, 448 morbidity ratio in smokers vs. non- smokers, 448 research needs, 4:47, 4:49 ANIMAL MODEIS atherosclerosis, 4:9, 4:16X3 cerebrovaacular disease, 4:49-56 esophageal neoplasms, 54.4 laryngeal neoplaams, 53435 lung neoplaams, 29:31 myocardial infarction, 426, 446 oral neoplasms, 41-42 pancreatic neoplasms, 5:51-53 peripheral vascular disease, 453 sudden cardiac death, 443 tobacco induced carcinogenesis, 55% 54 tobacco induced carcinogenesis, sum- mary of methods, 529-39 ANNOYANCE effect of involuntary smoking in nonsmokers, 11% smoking in public transportation and, 11% ANOXL4 maternal smoking and infant mortal- ity, 847 ANTEPAETUM HRMORRHAGE maternal smoking and, 8:39 ANTICOAGUUNTS effect of smoking on metabolism, 1254-55 ANTIGEN-ANTIBODY REACTIONS effect of cigarette smoke in mice, 12:59 response to viral vaccines in smokers vs. nonsmokers, 1258-59 ANTIPYRINE clearance in lung neoplasm patients, 12:31 pharmacokinetics in sfnokers vs. non- smokers, 1229-31 ANTIGENS identification in tobacco leaf and smoke, 1O:ll tobacco proteins, 1O:ll ANTISMOKING CAMPAIGNS (See also CESSATION OF SMOK- ING; PREVJXNTION OF SMOK- ING) absenteeism and, 3:8 in asbestos plants, 7:l2 in coal miners, 7:15 education in Winnipeg schools, 2613 education of youth in Great Britain, 2O:lO effect on per capita consumption, A:7 effect on youth, 17:17-18 effectiveness, 1823, 199-10 German youth, 268-g hospital smoking policy guidelines in Canada, 22:%21 hospital smoking policy guidelines in Great Britain, 22% hospital smoking policy guidelines in Scotland, 22:21 in occupational settings, 7:1819 Women's Christian Temperance Union, 23:1%13 youth to youth programs, 299 ANTISMOMNG MATERIAIS posters, 19:9 in school programs, 268, 267-15, 20:17 ANTISOCIAL TENDENCIES smoking habit and, 18:9 .ANTITOBACCO CHEWING GUM in smoking reduction, 19:17 ANTITRYPSIN DEFICIENCY bronchopulmonary diseases and, 1:19 in emphysema etiology, 63334 risk for chronic obstructive lung dis- ease, 633-34 .4NXIETT (See also STRESS; NEUROTICISM) in deprived smokers, 16:78 reduction by smoking, 16:ll smoking habits in medical students and, 18:8 AORTIC ANEURYSM clinical and hi&pathological fea- tures, 4% cmonary heart disease and, 455 mortality ratios, effect of smoking levels, 455 research needs, 456 smoking in etiology of, 456 Areca chewing See BETEL CHEWING; TOBACCO CHEWING Areca nut See BETEL NUT AROMATIC AMINES (See ah HETEROCYCLIC COM- POUNDS: NAF'-NES) bladder neoplaams and, 5:47 occupational hazards, 7:16 smoking and occupational risk of bladder neoplaams, 7:16 AROMATIC HYDROCARBONS (See also BENZANTHRACENES; BENZO(a)F'YRENE; METHYL- CHOLANTHRENE) aryl hydrocarbon hydroxylase activity in fetus after maternal exposure benzo(a)pyrene as indicator of carci- nogenic potential of cigarette smoke, 14:169-110 in cigarette smoke, 14:4142, 14:51, 14:54 in cigarette vs. cigar vs. pipe smoke, 13:11-12 as cocarcinogens, 14:52 effect of increased tobacco combusti- bility on reduction, 14:lll effect on caffeine pharmacokinetics in rata, 12:3%33 effect on cytochrome PiA56 induc- tion, 12:7-8 effect on cytochrome Pi456 synthe- sis, 12:X-26 effect on drug metabolism, 12:7-g effect on enzyme activity, 12:7-g effect on enzyme activity in micro- somes, 12:76 effect on liver function, 12:7-8 incomplete combustion and, 14:49 maternal-fetal exchange in animals, 866 reduction in particulate phase ciga- rette smoke, 14:199 structural formulae, 1453 AROUSAL effect of nicotine, 15:ll ARSENIC CONTENT in mainstream cigarette smoke, 14:59 ARTERIES effect of carbon monoxide and nice- tine in animals, 4:56 effect of smoking on atherosclerosis in distal aorta and iliac arteries, 453 hyaline thickening in myocardium in smokers vs. nonsmokers, 4:16 ARTERIOLES effect of smoke inhalation in dogs, 4:18 hyaline thickening in myocardium in smokers vs. nonsmokers, 4:16 Arteriosclerosis See ATHEROSCLEROSIS ARTIFICLAL SWEEI'ENERS bladder neoplasms and, 5~47 ARYL HYDROCARBON BYDROxn ABE (See also ENZYMES) in rata, 866 activity, 12:7-g effect of benzo(a)pyrene or cigarette smoke on activity in rats, 12%) effect of cessation of smoking on activity, 12:41 effect of cigarette smoke on activity in liver vs. lung, 12:76 effect of smoking on activity, 5:57 fetal, activity after maternal aromat- ic hydrocarbon exposure in rata, 8% inducibility in laryngeal and lung neoplasm patients, 5:57 role in antipyrine ph armacokineties, 1230-31 role in drug metabolism, 12:7-g ASBESTOS occupational hazards, 7:11-13 smoking and laryngeal neoplaams and, 534 and smoking in lung neoplasm etiolo gy, 5% ASBESTOSIS (See ah OCCUPATIONAL DIS- EASES) smoking and, 7:11-13 Aaaubic acid See VITAMIN C ASPHYXIA in infants of smokers vs. nonsmok- ers, 869 ASPIRIN consumption in smokers vs. nonsmok- ers, 18:13 ASTHMA (See ah RESPIRATORY TRACT DISEASES) effect of smoking in patients, lo:22 passive smoking and, lo:21 tobacco allergy and, lo:21 in tobacco workers, lo:21 ATHEROSCLEROSIS alcohol consumption and smoking and, 4:15 carbon monoxide and, 4:18 in cardiovascular disease etiology, 4:8 in coronary heart disease etiology, 4:7 effect of alcohol consumption and smoking levels, 4:13 effect of carbon monoxide in choles- terol fed animals, 4:17 effect of smoking levels, 4%16 experimental induction in animals, 4:9, 4:16-18 histology and pathogenesis, 4:7-16 in myocardial infarct etiology, 4:13 20 nicotine and, 14:79 research needs, 4:18 risk factors, 4%9 smokers vs. nonsmokers, 4:10-16 somatic cell mutation theory of pathogenesis, 4:lO thromboangiitis obliterans and, 466 ATHLETIC PERFORMANCE smoking and, 20:8 ATTITUDES (See also BEHAVIOR) cessation of smoking and, 1822 drug abuse, l&10 parents, 17:13-14 teachers, 2023, 21:X?-13 youth, 175-6, 17:8, 17:10, 17:17, 17:23, 20:6, 20-13-14, 20:17-18, 20:21, 2023, 21311-12 AVERSIVE THERAPY in cessation of smoking, 16:1616 covert sensitization, 1923 electric shock, 19:Z? medical risks, 19:2%X in multicomponent treatments, 19:19, 1927, 19:30 rapid smoking, 19:24-26 satiation, 192526 Schick Smoking Control Centers, 21:16 Aza-arenea See HETEROCYCLIC COM- POUNDS BEHAVIOR (See also A'ITITUDES; MOTIVA- TION; PERSONALITY) effect of maternal smoking on chil- dren, 1:21 effect on pharmacokinetica, 12:4041 smoking habit and, summary of find- ings, 1:32-33 BEHAVIOR, ANIMAL effect of nicotine, 15:16 effect of nicotine in monkeys, 15:12 effect of nicotine in rats, 15:11, 15:18 BEHAVIOR MODIFICATION (See also AVERSIVE THERAPY: STIMULUS CONTROL TREAT- MENT; CONTINGENCY CON- TRACTING; MULTICOMPONENT TREATMENT) in cessation of smoking, 16:1518, 19:19-29 BENZANTHRACENES (See also AROMATIC HYDROCAR- BONS) in oral neoplasm induction in ham- sters, 5:42 BENZENE threshold limit values, 14:51 tobacco pyrolysis and, 14:49 BENZO(a)PYRENE (See also AROMATIC HYDROCAR- BONS) as aromatic hydrocarbon indicator in cigarette smoke, 14:169110 effect on caffeine pharmacokinetics in rata, 12:32--S effect on fetus, research needs, 8:81 effect on maternal and fetal aryi hydrocarbon hydroxylase activity in rata, 866 effect on phenacetin pharmacokinet- ica in rats, 12:59 effect on warfarin pharmacokinetics in rata, 1238 and ethanol in esophageal neoplasm induction in animals, 544 in laryngeal neoplasm induction in hamsters, 534-35 in lung neoplasm induction in ham- sters, 530 maternal-fetal exchange in animals, 856 neoplasms in progeny after maternal exposure in mice, 8:67 in oral neoplasm induction in ham- sters, 542 reduction methods, 14:114 structural formula, 1453 BENZO(a)PYRENE CONTRNT in cigar vs. cigarette vs. pipe smoke, 13:11-12 in cigarette smoke condensate, 14:112 effect of smoking in enclosed spaces, 11% BERKELEY CHILD HEALTH AND DEVEUlPMENT STUDIES, 8:14 Berkeley Project See SCHOOL HEALTH CURRJCU- LUM PROJECT BETA-ADRENERGIC BLOCKING AGENTS interactive effect with cigarette smoke on airways, 1254 interactive effect with cigarette smoke on cardiovascular system, 1253-54 BETA-NAP-NE occupational hasards, 7:16 BETEL CHEWING (See also TOBACCO CHEWING) leukoplakia and, 5:41 in oral neoplasm etiology, 1346-41 BETEL NUT use in chewing tobacco, 13:39 BICARBONATE LEVELS in infants of smokers vs. nonsmok- ers, 859 BILIRUBIN LRYELS effect of maternal smoking on ne nate, 1234 smokers vs. nonsmokers, 1234 BIOASSAY ciliatoxic agents and, 14:105 in determining biological effects of tobacco leaf characteristics, 1423, 1425 in determining physiological response to cigarette smoke, 14:73 relationship of tobacco leaf charac- teristics, smoke constituents and biological response, 14-22-23 BIRTH WEIGHT (See also FETAL GROWTH) effect of carbon monoxide exposure in pregnant rata, 866, 14:79 effect of impaired protein met&o lism in smoking mothers, 12:65- 66 effect of maternal injection of nico- tine in animals, 853 effect of maternal smoking, 8:9, 8:11-13, 8:17, 826-21 effect of maternal smoking, research needs, 8:78 effect of maternal smoking, summa- ry of findings, 1:21 effect of maternal smoking and bio- logic and socioeconomic factors, 8:14-15 effect of maternal smoking and ges- tational age, 8:19-20 effect of maternal smoking and weight gain, 8% effect of tobacco smoke in animals, 8:52 infant mortality in smokers vs. non- smokers and, 829 infants of future smokers, smokers, nonsmokers, and ex-smokers, 8:2627 BLADDER NEOPLASMS amines and, 14:47 artificial sweeteners and, 5:47 correlation with pancreatic ne+ plaams. 5:47 male vs. female smokers, 54547 mortality ratio in smokers, 54546 risk in ex-smokers, 546 smoking and occupational exposure and, 5~47 smoking and occupational exposure to aromatic amines and, 7:16 smoking and radiation and, 1296 smoking and, summary of findings, 1:17 smoking in coal gas workers and, 7:16 smoking in etiology of, 545-47 BLOOD CHEMICAL ANALYSIS albumin, creatinine and uric acid lev- els in smokers vs. nonsmokers, 12:40, 12% effect of cessation of smoking, 12:87 effect of smoking, summary of find- ings, 1:26 BLOOD CHOIXSTBROL LEVELS in atherosclerosis induction in ani- mals, 4:9 in cigarette vs. cigar vs. pipe smok- elg, 4:61, 139 coronary heart disease and, 4:6162 effect of carbon monoxide in ani- mals, 4:17, 61 effect of smoking levels, 4:62 smokers vs. nonsmokers, 4:61-62 in smokers vs. nonsmokers vs. ex- smokers, 1283-84 BLOOD CIRCULATION (See &o HEMODYNAMICS) effect of smoking, 454 in maintenance of smoking habit, 15:19-26 smokers vs. nonsmokers, 15:12-13 BLOOD COAGULATION effect of tobacco proteins, 469 smokers vs. nonsmokers, I284-85 smoking and thrombosis and, 4:59 BLGOD GLUCOSE levels in smokers vs. nonsmokers, 12% BLOOD LIPIDS effect of tobacco smoke and constitu- ents on levels in animals, 4:61 levels in smokers vs. nonsmokers, 1255 levels in smokers vs. nonsmokers vs. ex-smokers, I2:83-84 BLOOD PLATRLEI'S effect of smoking, 12:%85 BLQOD PRESSURE (See ah HYPERTENSION) effect of cigar smoking, 1334 effect of cigarette smoke vs. nico- tine, 14:87 effect of involuntary smoking in children, 112'7 effect of nicotine, 458, 14:79 effect of nicotine and oxprenolol, 1254 effect of nicotine and propranolol, 1253 effect of nicotine vs. cotinine, 14:91 effect of pipe smoking, 13% effect of propranolol in smokers, 12:37 effect of smoke inhalation in cats, 14:77 effect of smoking, 12:15-16 effect of smoking in enclosed spaces, 1127 ex-smokers, 4:57 smokers vs. nonsmokers, 4:57 BLOOD PROTRINS levels in smokers vs. nonsmokers, 12% BODY HEIGHT s- children, effect of maternal smoking, 8:21-23 infants, effect of maternal smoking, 8: 19-21 BODY WBIGBT (See also OBESITY) blood pressure in smokers vs. ex- smokers and, 4~57 children, effect of maternal smoking, 821-23 effect of cessation of smoking, 15:21 effect of smoking during pregnancy, 824 effect of tobacco smoke in pregnant animals, 858 BORON TRIFLUORIDE smoking and occupational exposure, 7:7 BOSTON COLLABGRATIYB DRUG SURVEILLANCE PROGRAM clinical drug effects in smokers vs. nonsmokers, 1235-37 BRAIN effect of nicotine, 158 BREAST FEEDING (See ah LACTATION) maternal smoking and, 851 maternal smoking and, research needs, 8:78-79 in smokem vs. nonsmokers, 848 tobacco factory workers and, 8:48 BRRATH carbon monoxide content as measure of tobacco usage, 1590 BRITISH PERINATAL MORTALITY STUDY 8-29, 8~42 BroneKal clearance See TRACBROBRONCHLU CLEARANCE BRONCHIAL NEOPLASMS (See also LUNG NEOPLASMS) pipe smoking in etiology of, 1328-29 BRONCHITIS (See also BRONCHOPULMONARY DISEASES; CHRONIC OBSTRUC- TIVE LUNG DISEASE; OB- STRUCTIVE AIRWAY DISEASES) in coal miners , 1335 effect of smoking on mortality, 2:41 mortality in cigar vs. cigarette vs. pipe smokers, 1334-35 prevalence in the United States, 6:19 small airways function and, 6:18 in smokers vs. nonsmokers, 6:39 smoking and, summary of findings, 1:18 smoking in etiology of, 3:5 smoking in gold miners and, 7~15 BRONCHOPULMONARY DISEASES (See also BRONCHITIS; CHRONIC OBSTRUCTIVE LUNG DISEASE: OBSTRUCTIVE AIRWAY DIS- EASES) air pollution and occupational expo sure and, 1:19 antitrypsin deficiency and, 1:19 cigar and pipe smoking and, summa- ry of findings, 1~28 heredity and, 1:19 smoking and, summary of findings, 1:18-19 BUSES effect of involuntary smoking on nonsmokers, 11:26 BUSINESSMEN cessation of smoking, 22:19 BYSSINOSIS (h'ee Cd80 OCCUPATIONAL DIS- EASES) smoking in cotton workers and, 7:9 CADMIUM (See also METALS) content in mainstream cigarette smoke, 1480 levels in smokers vs. nonsmokers, 1273 occupational hazards, 7 : 15 CAPPRINB consumption and cessation of smok- ing, 1829 consumption and smoking as factors in heart disease, 18:14 consumption in smokers vs. nonsmok- ers, 18:13. 18:15 effect of aromatic hydrocarbons on pharmacokinetics in rats, 12:32- 38 effect of benzo(a)pyrene on clearance in rats, 12:32-X! CALCIUM (See also METALS) blood levels in smokers vs. nonsmok- ers, 1284 CANADIAN HOSPITAL ASSOCIA- TION hospital smoking policy recommenda- tions, 2220 CANADIAN PUBLIC BEALTB ASSO- CIATION members' smoking attitudes, 22:7, 22:15 Cancer See NEOPLASMS CANNABIS (See also DRUG ABUSE; MARI- JUANA ) effect on enzyme activity in animals and man, 124243 CARBARYL smoking and occupational exposure, 7:7 CARBOHYDR4TES effect of smoking on metabolism, 1265 CARBON DIOXIDE assimilation, and tobacco leaf quality, 14:15 cardiovascular diseases and, 4:62 CARBON DISULFIDE cardiovascular diseases and, 4:62 CARBON MONOXIDE absorption, 14:98 animal model for hyperkinesis, 865 in aortic aneurysm etiology, 4:56 atherosclerosis and, 4:18 calculation of buildup in enclosed spaces, 11% effect of low level exposure on angi- na pectoris patients, 11:30, 1134 effect of low level exposure on chronic obstructive lung disease patients, 11:31 effect of low level exposure on core- nary patients, 1130 effect of maternal exposure on fetal growth in rata, 860 effect on arteries in animals, 4:56 effect on blood cholesterol levels in animals, 4:17, 4:61 effect on carboxyhemoglobin levels in dogs and monkeys, 1430 effect on cardiovascular system in guinea pigs, 14:79 effect on cardiovascular system in monkeys, 1430 effect on cerebrovsscular circulation, 4:50 effect on exercise induced angina pectoris, 4:47 effect on fertility and pregnancy outcome in rats, 8:60 effect on fetal growth in animals, 8:52 effect on fetus, research needs, 8:80 effect on heart in monkeys with myocardial infarction, 440 effect on hemoglobin levels and red cell mass, 12:82-33 effect on intermittent claudication, 454 effect on ischemia, 439 effect on lung function and cardio- vascular system, 11558 effect on maternal and fetal carbox- yhemoglobin levels, 8:71-72 effect on maternal and fetal oxygen tension, 8:61, 8:72 effect on maternal and fetal oxy- hemoglobin saturation curves, 8:62, 8:72 effect on mother and fetus after maternal exposure in monkeys, 865 effect on newborn animals, 865 effect on pregnant mother and fetus in animals, 8:57 effect on psychomotor performance, 11:28, 1134 effect on tissue oxygenation, 8:61 effect on smoking habit, 15:6 hypoxia of sheep fetus and, 8S3-65 in maintenance of smoking habit, 15:X maternal-fetal exchange in sheep, 8:59 maternal-fetal exchange in sheep and dogs, 858 metabolism in maintenance of smok- ing habit, 15:17 monitoring in cessation studies, 19:7, 19:20 myocardial infarct and, 420 occupational hazards, 7% reduction methods, 14:114 smoke dosimetry and, 14:75 smoking and ambient air quality standard, 11:21 in sudden cardiac death induction in cholesterol-fed monkeys, 4% CARBON MONOXIDE LEVELS (See also CARBOXYHEMOGLOBIN LEVELS) in breath, and carboxyhemoglobin levels in blood, 15:30 in cigar smoke, 1433 in cigar vs. cigarette smoke, 12:12 in cigar vs. pipe smoke, 14:104 in cigarette smoke, 1433 effect of filters, 14:105 effect of smoking in airplanes and buses, 11% effect of smoking in enclosed spaces, 11:15, 1133-34 in main- and side&ream smoke, 11:15 reduction in cigarette smoke, 14:104 in tobacco smoke, and health charac- teristics, 3:ll in various tobacco products, 11:15 CARBOXYBEMOGLOBIN LEVELS (See also CARBON MONOXIDE LEVELS) angina pectoris, intermittent claudi- cation and myocardial infarction and, 454 carbon monoxide occupational expo- sure in smokers vs. nonsmokers and, 73 cigarette smoke inhalation and, 2:21 in determination of inhalation levels in cigar and pipe smokers, 13:18 effect of carbon monoxide in dogs and monkeys, 14:80 effect of involuntary smoking, 11:21, 1123 effect on driving ability, 11:2%29 effect on fetal blood flow, 8:7273 effect on fetal mortality in sheep, 8:62-63 effect on maternal and fetal oxygen tension, 8:61-64, 8:72-73 as indicatoi of carbon monoxide in blood, 3:l2 in infants of smokers vs. nonsmok- ers, 8:69 maternal, effect of smoke inhalation in pregnant sheep, 8~53 matemsl, effect on placental oxygen consumption, 8:6S69 maternal and fetal, effect of carbon monoxide, 8:70-72 maternal and fetal, effect of mater- nal smoking, 8:70 maternal and fetal, in monkeys, 8:65 maternal and fetal, in nonsmokers, 8:70 maternal and fetal, in rabbits, 860 maternal and fetal, in sheep, 8:5&59, 8:61 maternal and fetal, oxyhemoglobin saturation curves and, 8:6%63 in measuring tobacco usage, 1529 in methylene chloride workers, 7:%9 monitoring in smoking cessation, 19:7 in nonsmokers, 1123 in nonsmoking blood donors, 11% ss smoke inhalation indicator, 14:75 CARBOXYLIC ACIDS levels in tobacco varieties, 14:57 CARCINOEMBRYONIC ANTIGEN in colonic neoplasm diagnosis, 12:5% 62 levels in smokers vs. nonsmokers, 12:61-62 levels in smokers vs. nonsmokers vs. ex-smokers, 12:86 in lung neoplasm diagnosis, 12:61 CARCINOGENESIS (See also NEOPLASMS) catechols and, 14:106 cigarette tar and beta radiation in mice, 7:lO effect of polyaromatic hycrocarbon reduction, 14:109 interaction of carcinogens, cocarcino gens and tumor promoters, 5:54- 55 isoprenoids in, 14:49 mechanisms, 5:5358 multi-stage model, 5:58 polynuclear aromatic hydrocarbons in, 14:5152 role of enzyme activity, 5:55, 57 tobacco in animals, 5:5354 tobacco in animals, summary of methods, 5:5&X5 tobacco tars in animals, 13:31-32 CARCINOGENS (See also COCARCINOGENS; TU- MOR PROMOTERS) cigar and pipe tobacco condensates, I:28 in cigar vs. cigarette vs. pipe tars, 133932 cigarette smoke constituents, 1:30 metals in tobacco, 14:5%66 in tobacco smoke gas phase, 554-55 tobacco smoke PAH structural for- mulae, 1453 in tobacco smoke particulate phase, 554-56, 14:65 CARDIOVASCULAR CURRICULUM EDUCATION PROJECT programmed instruction, 23:19, 23:21- 22 CARDIOVASCULAR DISEASES (See ah CORONARY HEART DISEASE; CEREBROVASCULAR DISEASES; ISCHEMIA; MYO- cARDL4L INFARCT} atherosclerosis in etiology of, 4:8 cessation of smoking as preveutive medicine, 4% cessation of smoking in patients, 22:18, 22:17 cigar and pipe smoking and, summa- ry of findings, 128 cigar smoking in etiology of, 13:32- 34 effect of involuntary smoking, 11:29- 30 effect of oral contraceptives and smoking on risk, 4S9-61 effect of smoking on mortality ratio, 2:39 mortality in cigar vs. cigarette vs. pipe smokers, 1333-34 mortality ratio in smokers vs. non- smokers in Japan, 4:21, 434-35 nicotine and, 14:79 pipe smoking in etiology of, 13:32-34 research needs, 4S4-66 smoking and, summary of findings, IS-15 smoking and carbon monoxide occu- pational exposure and, 7:8 sudden cardiac death, 4:42-B tobacco smoke constituents and, 4:62-63 CARDIOVASCULAR SYSTEM (See also ARTERIES; ARTERI- OLES; HEART) allergic response to tobacco, lo:2223 effect of carbon monoxide exposure, 11:2?-28 effect of carbon monoxide in guinea pigs, 14:79 effect of carbon monoxide in mon- keys, 1439 effect of cessation of smoking, 152%21, 1523 effect of nicotine, 12:52-54, 1439 effect of nicotine in animals with coronary heart disease, 440 effect of nicotine or tobacco smoke in animals with myocardial in- farct, 4% effect of propranolol and nicotine, 1253 effect of propranolol in smokers, 1237 effect of rapid smoking, 19:2&26 effect of smoke inhalation, 14:74-75 effect of smoking, 15:l2-13, 15:19 maternal and fetal, effect of nicotine injection in animals, 8:5556 CASING MATJ3RfA.W effect on smoke constituents, 1428 CATRCHOIAMINES effect of nicotine in rata, 14:88 effect of nicotine on levels, 14:78, 14x3 effect of smoking on plasma levels, 1438 fatty acids and, 14% hyperglycemia and, 1490 smoking habit and, 15:8 CATBCHOIS in mainstream cigarette smoke, 1454 reduction in gas phase cigarette smoke, 14:196 in side&ream cigarette smoke, 1454 structural formulae, 14:56 CENTRAL NERVOUS SYSTEM effect of carbon monoxide and nico- tine on blood circulation, 450 effect of cessation of smoking, 15:21 effect of cigarette smoke, 15:ll effect of nicotine, 14:89 effect of smoking, 15:1%19 fetal and neonatal, effect of mater- nal nicotine injection in animals, 856-57 CEREBROVASCULAB DISEASES (See also CARDIOVASCULAR DIS- EASES) animal models, 4:49-50 cigar smoking in etiology of, 13:32- 33 clinical diagnostic classification, 4:49 effect of smoking on risk, 450-52 mortality rates and ratios in male vs. female smokers vs. nonsmok- ers, 4:51 pipe smoking in etiology of, 13:3X%3 research needs, 4:52 risk factors, 4:49 smoking and, summary of findings, 1:lP15 smoking in etiology of, 450 CESSATION OF SMOKING (See ah ANTISMOKING CAM- PAIGNS; PREVENTION OF SMOKING; WITHDRAWAL CLIN- ICS) adult programs, 21:X-15, 2122-26 age groups and sex ratio and, 3:18 antismoking campaigns and, 19910 behavioral interventions, 16:14-18, 19:19-29 businamen, 22:19 cardiovascular diseases and, summary of findings, 1:14-15 college students, 22:18 coronary heart disease prevention programs, 19:lP16, 1934. 21:24- 25 counseling, 19:X2-14 degree of deprivation and, 152'7 drug therapy, 19:16-17 early behavioral effects, 1522 early physiological effects, 1520-22 effect on bladder neoplasm risk, 545 effect on blood chemical analysis, 1287 effect on blood circulation, 454 effect on calcium and iodine levels in blood, 12:84 effect on carcinoembryonic antigen levels, 12% effect on coronary heart disease morbidity and mortality ratios, 428-q 434-35, 4-38 effect on enzyme activity, 12:41 effect on laryngeai neoplasm risk, 534, 5:37-38 effect on lung function, 622-23 effect on lung neoplasm risk and mortality ratio, 534-26 effect on morbidity, summary of findings, l:E!-13 effect on mortality, 226-30 effect on mortality ratio, summary of findings, 1:ll evaluation of programs, 1:32-33 hypnosis, 19:17-U? laryngeal neoplasms and, summary of findings, 1:X-17 long term physiological effects, 15:~24 lung neoplasma and, summary of findings, 1:16 medical students, 22:18 methods, 19:X-30 motivation, 18: 1920 myocardial infarct patients, 19:14 nicotine pharmacology and, 1494, 14:97 obesity and, 12:67 patients with respiratory or cardio vascular diseases, 22:18 personality and, 18:17-18, 18:21-22 personality of smokers vs. nonsmok- ers, vs. ex-smokers and, 1524 physician's advice and, 3:15-B, 21:ll pregnant women, 22:16, 22:18, 22% as preventive medicine for cardiovas- cular diseases, 466 program in Sweden, 19:15 recidvism, 15:2%23 research design, 16:17, 195.9, 19:32- 36 self-motivated, 1933, 19:35, 21:15 smoker's reporting and, 15:31 Smoking Withdrawal Study Center (Toronto), 19:ll tobacco withdrawal syndrome time course, 15:26 and weight gain, 19:31 withdrawal clinics in Great Britain, 19:15 Chewing gufn See NICOTINE CHEWING GUM; ANTITOBACCO CHEWING GUM CHILDREN (See ah INFANTS) attitudes toward smoking, 1756 effect of involuntary smoking on ai- lergies, lo:14 effect of involuntary smoking on heart rate and blood pressure, 1127 effect of maternal smoking during pregnancy, 8:21-23 effect of parental smoking, 11:31 effect of parental smoking on respi- ratory disease prevalence, 11:32, 11:34 Health Activities Project, 2120 smoking and respiratory tract dis- eases, 6:ll CHLORINE occupational hazards, i':lO CIILOROMETIIYL ETHERS occupational hazards, 7:15-16 and smoking in lung neoplasm etiolc+ gy, 5s Cholesterol See BLOOD CHOLESTEROL LEV- ELS CHRONIC OBSTRUCTIVE LUNG DIS- EASE (See ah BRONCHITIS; BRON- CHOPULMONARY DISEASES; EMPBYSEMA; OBSTRUCTIVE AIRWAY DISEASES; RESPIRA- TORY TRACT DISEASES) air pollution and, 6:36 cigar smoking in etiology of, 13:34- 38 effect of low level carbon monoxide exposure, 11:31 effect of smoking on mortality, 2:41 mortality, 6:lO mortality in cigar vs. cigarette vs. pipe smokers, 1334-35 nitrogen oxide absorption and, 1499 pipe smoking in etiology of, 133438 small airways function and, 6:11-12 small airways function and respira- tory symptoms and, 6:13, 6:18 smoking and air pollution and, 6:37 smoking and antitrypsin deficiency and, 634 smoking and heredity and, 6:3&36 smoking and occupational exposure to dust and, 6:36 smoking and socioeconomic status and, 6:38 smoking as risk factor, research rec- ommendations, 6:4142 smoking history and, 6:lO Chronic obutrwtive pulmonary diaeaae See CHRONIC OBSTRUCTIVE LUNG DISEASE Cigar smoke See SMOKE, CIGAR CIGARE'ITE CONSUMF'TION (See also SMOKING LBVEIS) annual per capita, United States 1925-1959, A:5 annual per capita, United States 1950-19'78, A:5 annual per capita, United States 1963-1977, A:7 changes from 1963-1977, A:6 effect of composition, A:&19 FTC, DOA, and Maxwell Report sta- tistics, A:6 historical trends in the United states, 1:5 increase in adults over time, A:17 low-tar brands, A:20-21 reasons for increase, A:17 in the United States, A:2223, 14:13 CIGARETI'E MANUFACTURING effect on carcinogenicity, 1429-30 effect on cigarette smoke constitu- ents, 1428-36 levels in the United States, 14:ll role in smoke constituent delivery, 14:9 tobacco types in the United States and, 14:13 CIGARE'ITE PAPER effect on carbon monoxide levels, 14:104 effect on smoke constituents, 1429 effect on temperature profile, 14% Cigarette smoke See SMOKE, CIGARETTE Cigarette smoke, gan phase See GAS PIIASE. CIGARETI'E SMOKE Cigarette smoke. particulate phaee See PARTICULATE PHASE, CIG- AREl'IX SMOKE; TARS, CIGA- RElTE Cigarette smoking See SMOKING Cigarette tam See TARS, CIGARE'ITE CIGARElTES (See also SMOKE, CIGARETTE; SMOKERS; SMOKING, CIGA- RE'ITE; TOBACCO, CIGARElTE) effect of design on ciliatoxicity, 14:105 effect of nicotine and tar content on mortality, 222 effect of static burning temperature on smoke formation, 14:36 experimental, carcinogenicity, 14:29- 30 manufacturing levels, 14:ll nicotine reduction, 14:44 phenol levels in filtered vs. nonfil- t&Ted, 14:57 pyrolysis reactions, 14:9 sales weighted average tar content 1954-197'7, A:19 tar reduction, 14:43 temperature profiles, 14:35-36 United States Government definition, 13:lO CIGAREITES, FILTER consumption patterns, A:23 increase in consumption, A:19 CIGARETTES, HIGH-NICOTINE anxiety levels and, 16:7-8 effect on self-regulation of smoking, 16:19 CIGARITI'ES, LESS HAZARDOUS effect on coronary heart disease mortality rates, 438 effect on laryngeal neoplasm risk, 5334-36 effect on lung neoplasm mortality ratio, 5:15-l? effect on lung neoplasm risk, 5:16, 5:lb19 effect on mortality ratio, 1:ll effect on mortality ratio in males vs. females, 2:2%25 isoprenoids and, 14:49 nicotine reduction and, 14:lOS research and development, 1:31 research recommendations, 14:l2O tar reduction and, 14:108 CIGARE'I-IXS, LOW-NICOTINE anxiety levels and, 16T-3 consumption trends, 16:1&-U, 1929 degree of deprivation and, 1527 dependence and, 14:98 effect on mortality ratio, 223 effect on self-regulation of smoking, 16:19 promotion in hospital setting, 2222 smoker preference, 15% CIGARETI'ES, LOW-TAR (See also CIGARElTES, LESS HAzARDous) consumption patterns, A:%21 market share 1967-1978, A:%21 trends in tar and nicotine content, A:23-24 CIGARE'ITES, NON-NICOTINE as reinforcers, 16:%9 CIGARE'ITES, NONTOBACCO effect on ciliary activity in pro& moans, 6~32 patellar reflexes and, 14:92 CIGARS (See also SMOILE, CIGAR; SMOK- ERS, CIGAR; SMOKING, CIGAR: TOBACCO, CIGAR) consumption in the United States, 14:13 effect of manufacturing process, 14:30 smoking characteristics of ex-ciga- rette smokers, 19:29 tar levels, 14:44 United States Government definitio 13:lO CIGARS, LI'ITLE effect of filters on nitrogen oxide content, 14% nicotine levels, 14:44, 14:87 tar levels, 14:44 CILIARY ACTIVITY (See also MUCOCILIARY SYSTEM) effect of cigarette smoke, 6:32 effect of phenol, 14:81 effect of smoke from nontobacco cig- arettes in protozoans, 633 effect of smoking, 1O:lP15 effect of tobacco smoke, 6:32 gas phase cigarette smoke and, 14:195 CILIATOXICITY agent reduction methods, 14:114 cigar smoke, 13:3637 cigarette design and, 14:105 effect of carbon filters, 14:167 effect of charcoal filtration, 14:195 gas phase, cigarette smoke, 14:196 gas phase, tobacco smoke, 55455 reduction in gas phase, cigarette smoke, 14:164-105 COAL dust, occupational hazards, 7:9 COCARCINOGENS (See alao CARCINOGENS; TUMOR PROMOTERS) asbestos and cigarette smoke, 528 catechols and cigarette smoke, 14:196 polynuclear aromatic hydrocarbons, 14:52 role in carcinogenesis, 554 in tobacco smoke particulate phase, 554-55 uranium and cigarette smoke, 523 coffee See CAFFEINE COLLARORATIVE PERINATAL PROJJZCT OF THE NINCDS. 8:30, 8:45 COLONIC NEOPLASMS carcinoembryonic antigen test in di- agnosis of, 12:5962 COMMiJNITY PROGRAMS antismoking education, 23:lP15 D-day project (Monticello, Minneso ta), 2125 CONGENITAL MALFORMATIONS effect of carbon monoxide exposure in pregnant rata, 860-61 effect of maternal' nicotine injection in mice, 854 CONTINGENCY CONTRACTING aversive therapy and, 1936 modification of smoking behavior, 19:21-z& 1923-29 stimulus control treatment and, 16:16 CONTRACEPTIVES, ORAL cardiovascular diseases and smoking and, summary of findings, 1:14 effect on high density lipoprotein levels, 4:62 interactive effect with smoking on cardiovascular disease risk, 450, 460-61 interactive effect with smoking on myocardial infarct risk, 4:35 interactive effect with smoking on subarachnoid hemorrhage risk, 4:6@61 mortality risk compared with preg- nancy and childbirth, 12:52 myocardial infarct and smoking and, l2:5152 stroke and smoking and, 12:51 thromboemboliim and smoking and, 4:59, l2:51 COOPERATIVE EXTENSION SER- VICE dissemination of health information, 2122 CORONARY HEART DISEASE (See also ANGINA PEZTORIS; ATHEROSCLEROSIS; ISCHEMIA; MYOCARDLU'INFARCT; SUDDEN CARDIAC DEATH; THROMBOSIS) aortic aneurysm and, 455 atherosclerosis in etiology of, 4:7 cigar smoking in etiology of, 13:32-, 33 effect of age, smoking duration and smoking levels on annual proba- bility of death, 435 effect of low level carbon monoxide exposure, 11:30 effect of physical activity in smok- ers, 438 heredity and, 466 high density lipoprotein levels and, 4:61-62 morbidity and mortality r&s and ratios in ex-smokers, 423-31, 4:3435,4-38 morbidity and mortality ratios in smokers vs. nonsmokers, 4:2%X$ 436-37 mortality ratio in smokers, 239 nicotine and, 1439 pipe smoking in etiology of, 13:32-33 risk factors, 4:21, 436 smoking and, 4:21 smoking and hypertension and, 458 sudden cardiac death and, 4:41-43 CORONARY PRBVBNTION PRO- GRAMS effect on cessation of smoking, 19:lP16, 19:34, 2124-25 North Karelia Project, 19:15 workplace detection program, 22:16 17, 22:19 Coet See ECONOMICS COTININE (See also ALKALOIDS, TOBACCO; NICOTINE METABOLITES) in amniotic fluid after maternal in- jection in animals, 854 effect on blood pressure and heart rate, 14:91 levels in measuring tobacco usage, 15:30 metabolism, 14% relative molar potency in cigarette smoke, 1496 as smoke inhalation indicator, 14:75 structural formula, 1446 CO'ITON dust, occupational hazards, 7:9 COUGH effect of chloromethyl ether exposure in smokers vs. nonsmokers, 7:16 Curine See TOBACCO CURING CYANIDES (See ah HYDROGEN CYANIDE; THIOCYANATE LEVEIS) absorption, 14% in cigarette smoke, 14:3940 effect on hemoglobin levels and red cell mass, 12% Cyclopentanediines See HETEROCYCLIC COM- POUNDS CrnHROME 65 role in drug metabolism, 12:11, 12:13 CYTOCHROME P-W-J role in drug metabolism, 12:7-8, 12:lwal spectral properties, 12:18-26 storage and activity sites, 12:16 cYTocHRoME P1450 effect of aromatic hydrocarbons, 12:7-8 effect of aromatic hydrocarbons on synthesis, 12:17-20 spectral properties, 1231~20 D-DAY PROJECT (MONTICELLO, MINNESOTA) community cessation program, 21% DDT in breast milk of smoking mothers, 8:51 as tobacco residue, 14:61 DENTISTS antismoking advice to patients, 21:11-E?, 22:16-17 smoking habits, 22:l2-14 DEPENDENCE effect of smoking characteristics, 14:97, 15% low-nicotine cigarettes and, 14:98 in maintenance of smoking habit, 15:17-18 nicotine and, 1497 tobacco withdrawal syndrome and, 1524-25 DEPRIVATION effect of gradual reduction, 1527 low-nicotine cigarettes and, 1527 DERMATITIS, CONTACT in tobacco workers, 1023 DEXAMElWASONR effect of smoking on corticosteroid secretion, 12:37 DIABETES peripheral vascular disease in smok- ers vs. nonsmokers and, 453 DIBENZ(a, &4NTHRACENE structural formula, 1453 DIENBS in cigarette smoke, 14:41 DIET in atherosclerosis induction in ani- mals, 4:9 pancreatic neoplasms and, 5:51 DIETHYLNFTROSAMINE (See also NITROSAMINE CON- TENT: NITROSAMINES) effect of smoking on levels in enc- losed spaces, 11% in lung neoplasm induction in ham- sters, 5:30 DINITRO-ORTHO-CREOSOL smoking and occupational exposure, 7:7 cotton, "Monday morning fever" and, 7:9 DIURNAL VARIATIONS in smoking habit, 1525-26 DOSIMEI'RY cotton, obstructive airway diseases and, 7:9-10 gold, chronic bronchitis and, 7:15 rubber, occupational hazards, 7:13 effect of carbon monoxide levels, 14:75 ECONOMICS in smoke inhalation methodology, 14:74 DRMNG ABILITY effect of alcohol and carbon monox- ide, 1129 cigarette cost and cessation, l&l9 cigarette cost and consumption, 18:2%24 cigar&k tax revenues, 21:13 EMPHYSEMA effect of carboxyhemoglobin levels, 11% DRUG ABUSE (See also CANNABIS; MARIJUA- NA) attitudes and smoking habit, l&10 smokers vs. nonsmokers, 18:13-15 smoking in youth and, 17% DRUG METABOLISM (See also PHARMACODYNAMICS; PHARMAcoK.INETIcs ) effect of aromatic hydrocarbons, 12:7-g (See also BRONCHOPULMONARY DISEASES; CHRONIC OBSTRUC TIVE LUNG DISEASE) antitrypsin deficiency in etiology of, 6:M effect of smoking, summary of find- ings, 125-26 in coal miners , 1335 effect of smoking on mortality, 2:41 enzyme induction and, 628 mortality in cigar vs. cigarette vs. pipe smokers, 334-35 prevalence in the United States, 620 small airways function and, 6:18 smoking and, 625 smoking and, summary of findings, 1:s19 ethanol, in smokers vs. nonsmokers, 12:39 mechanisms of enzyme induction, 12:2&22 smoking in etiology of, 3:5 smoking in uranium miners and, 7:14 smoking levels and lung pathology, 624 role of aryl hydrocarbon hydroxylase, 12:7-g role of cytochrome bg, 12:11, 12:13 role of cytochrome P-450, 12:7-8, 12:10-26 role of microsomal electron transport system, 12:10-15 role of microsomal mixed function oxidase systems, 12:1G?? role of NADPH reductase, 12:10-15 warfarin, effect of smoking, 125.5 DRUG THERAPY smoking cessation and, 19:1617 Duodenal ulcer See ULCER, PEPTIC DUODENOGASTRIC REFLUX effect of smoking, 9:16 DUST Employee programs See WORKPLACE PROGRAMS ENVIRONMENT effect on mortality, 2:42 ENZYME ACTIVITY (See also ARYL HYDROCARBON HYDROXYLASE) in cotinine metabolism, 1494 effect of aromatic hydrocarbons, 12:7-g effect of cessation of smoking, 12:41 effect of cigarette smoke conden- sates, 629 effect of cigarette smoke constitu- ents, 12:7 effect of narijuana, 12:4243 effect of methylcholanthrene, 12:21- 22 coal, obstructive airway diseases and, effect of nicotine, 1227-28, 14:87 7:9 effect of nicotine in rat intestines, cotton, byssinosis and, 7:9 12:76 effect of nitric oxide in rats, 14:81 effect of smoke inhalation in dogs, 14:78 effect of smoking, 125-26, 5:57, 12:&9 effect of tobacco smoke, 10:16, 1227-28, 12:75-76 in emphysema etiology, 6% mechanism of induction in drug me- tabolism, 1229-22 nicotine metabolism and, 14:87 role in carcinogenesis, 5:55, 5:57 role of RNA and protein synthesis, 12:21-22 ENZYMES (See also ARYL HYDROCARBON HYDROXYLASE) alkaline phosphatase, l2:76 aminoazo dye Ndemethylase, 12:9 guanylate cyclase, 1486-81 role of microsomal mixed function oxidase systems in drug metabc- lism, 12:16-22, 12-76 role of NADPH reductase in drug metabolism, 12:10-15 serum glutamic oxalacetic transami- nase, 1284 EPIDEMIOLUGY American Cancer Society O-State Study, 2:15 American Cancer Society 25State Study, 2:12, 2:14 British Doctors Study, 2:12 California men in various occupa- tions, 2:15 Canada Veterans Study, 2:1415 Japanese Study, 2:14 smoking related mortality studies, 2:13 Swedish Study, 2:15 United States Veterans Study, 2:14 ERYTHROCYTES smokers vs. nonsmokers, 128283 ESOPHAGEAL NEOPLASMS alcohol consumption and smoking in etiology of, 54344, 132.526 animal models, 5:44 induced by benxo(a)pyrene and etha- nol in animals, 5:44 induced by nitrosamines in animals, 5:44 mortality in cigar vs. cigarette vs. pipe smokers, 1324-25 mortality ratio in cigar and pipe smokers, 5:43 mortality ratio in smokers, 5:4243 relative risk ratio in cigar vs. ciga- rette vs. pipe smokers, 1326 smoking and, summary of findings, 1:17 ESOPHAGUS effect of smoking, 5:4.4 effect of smoking and alcohol con- sumption, 132526 ESTROGENS effect on heart attack risk in males, 4:61 myocardial infarct and smoking and, 12:52 Ethanol See ALCOHOL EX-SMOKERS absenteeism, 38, 3:13 activity limitation, 3:14 annual probability of dying, 2:36-34 bladder neoplasm risk, 5:46 blood chemical analysis, 12:87 blood circulation, 454 blood lipid levels, 1283 blood pressure, 4:57 calcium and iodine levels in blood, 12:&l carcinoembryonic antigen levels, 12:86 chronic obstructive lung disease and mortality, 6:1&11 coronary heart disease morbidity and mortality rates and ratios, 4%~ 31, 434-35, 438 effect of smoking duration and smoking levels on mortality ratio, 228-29 heart conditions, 3:1617, 3:19 hospitalization, 3:lP16 laryngeal neoplasm risk, 534, 5:37-38 leukocyte count, 12:81 lung function, 623 lung function and sex ratio, 623 lung neoplasm mortality ratio, 5:24- 26 morta!ity, 226-30 mortality and years since quitting, 22730, 22.5 mortality in cigar and pipe smokers, 13:8 mortality ratio and reasons for quit- ting, 227-29 myocardial infarct, 4:21 perception of health status, 3:lP15 personality and cessation of smoking 15-24 physician visits, 3:15, 3:17 respiratory tract diseases in young adults, 6:l2 small airways function, 6:lP16 smoking levels and lung pathology, 624, 6:ZJ EXCESS DEATHS (See also MORTALITY) age groups in the United States, 2:ll definition, 2:ll EXERCISE (See ah PHYSICAL ACTWITY) effect of smoke inhalation in dogs, 14:77-78 effect of smoke inhalation in rats, 1437 EXTRAVERSION cessation of smoking and, 18:17-18 maintenance of smoking and, 185-7 EYE IRRITATION effect of smoking in enclosed spaces, 11% effect of tobacco smoke, lo:21 effect of ventilation rate, 1126-27 FATTY ACIDS catecholamines and, 1496 effect of nicotine, 1496 effect of nicotine on levels in blood, 12% levels in cigarette smoke, 1458 FEDERAL CIGARETTE LABELLING AND ADYERTISING ACT, A:7 FEDERAL COMMUNICATIONS COM- MISSION Fairness Doctrine, 1823 FEDERAL TRADE COMMISSION cigarette tar content and, 14:44 Females See WOMEN Feminism See WOMEN'S MOYEMENT FEIXL GROWTH (See also BIRTH WEIGHT) effect of maternal exposure to car- bon monoxide, 866 effect of maternal smoking, 8:I2, 8:17-19, 8:21 effect of maternal smoking, aumma- ry of findings, 1:21 effect of maternal smoking in ani- mals, research needs, 8:78 effect of tobacco smoke in animals, 8:52 maternal smoking and maternal weight gain and, 824-25 FETAL MORTALITY (See also MORTALITY; NEONA- TAL MORTALITY; PERINATAL MORTALITY) carboxyhemoglobin levels in sheep and, 8:62 effect of maternal smoking and ges- tational age, 843 effect of maternal smoking and oth- er factors, 8:41 research needs, 8:75 smoking, abruptio placentae, placenta previa and bleeding in pregnancy and, 8% FJTlTJS (See. also PLACENTA; PREGNAN- CY; PRETERM DELIYERY) effect of maternal smoking, 8:67-68 effect of oxygen availability, 8:17 FIBER OPI'ICS in tobacco analysis, 14:9 FIBROSIS smoking in asbestos workers and, 7:I2 smoking levels and asbestos expc+ sure, 7:13 Filter cigareti See CIGARKITES, FILTER FILTERS effect on carbon dioxide content, 1438, 14:104-105 effect on catechol content in gas phase cigarette smoke, 14:106 effect on ciliatoxic agent content, 14:105, 14:107 effect on cyanide content, 1440 effect on laryngeal neoplasm risk, 534-86 effect on lung neoplasm risk, 5:16, 5:18-19 effect on nitrogen oxide content, 1439 effect on nitrosamine content, 1439 effect on nitrosamine content in gas phase cigarette smoke, 14:107 effect on phenol content, 1454, 14:57, 14:106 effect on polonium-210 content, 14:113 effect on smoke constituents, 1429 effect on tar delivery, 14:44 effect on temperature profile, 1435 summary of research and develop ment, 1:31 FLAVORINGS in cigarette manufacturing, effect on smoke constituents, 142319 FLUORIDES, INORGANIC smoking and occupational exposure, 7:7 PLUOROCARRON POLYMERS smoking and polymer fume fever, 7:6 FORMALDEHYDE smoking and occupational exposure, 4-R & See COOPERATIVE EXTENSION SERVICE FRAMINGHAM HEART STUDY angina pectoris, 4:46 high density lipoprotein levels in smokers vs. nonsmokers, 4:6162 peripheral vascular disease, 453 sudden cardiac death, 443 FUROSEMIDE effect of smoking on diuretic action, 12:37, 1254 FUTURE SMOKERS maternal, and infant birth weight, 8:26-Z maternal, and personality characteris- tics, 8:26 GAS PHASE, CIGARElTE SMOKE chemical composition, 1438 ciliatoxic agent levels, 14:106 constituent levels, 15:67 constituents in main- vs. sidestream smoke, 11:6 definition, 1435 effect of filters on ciliatoxicity, 14:107 reduction of carbon monoxide, 14:104 reduct.ion of eatechols, 14:106 reduction of ciliatoxic agents, 14:195 reduction of phenols, 14:106 reduction of nitrosamines, 14:107 reduction of toxicity, 14:104 toxic agent levels, 14:44 toxicity reduction methods, 14:114 GASTRIC SECRETION effect of nicotine, 9:1%14 effect of nicotine in cats, 9:1213 effect of smoking in peptic ulcer pa- tients and the normal population, 9:13 Gastric ulcer See ULCER PEPl'IC GASTRITIS smoking in etiology of, 9:16 GEORGIA HEART ASSOCIATION hypertension education program, 21:21 GESTATION effect of maternal nicotine injection in rats, 854 smoking and duration of, 318 GESTATIONAL AGE effect of maternal smoking levels on birthweight, 8% maternal smoking and birthweight, 8:19 maternal smoking and risk for abruptio placentae, placenta pre- via, and premature membrane rupture, 8~44, 8:46 maternal smoking and risk for pre- term delivery, 844 GLUTETHIMIDE pharmacokinetics in smokers vs. non- smoken, 1233 GLYCERIN levels in cigarettes, 1463 GLYCOIS levels in cigarettes, 1463 GOLD dust, occupational hazards, 7:15 GROUP PROGRAMS American Cancer Society, 19:lO 5-Day Plan, 19:10, 21:1.%16 hypnosis and, 19:17-18 SmokEnders, 19:11, 21:16 Smoking Withdrawal Study Centre, 19:ll HAHITUATION opponent process model, 16:9-11, 16.14-15 HEALTH ACTMTIES PROJECT health education for children, 2126 HEALTH AND NUTRITION EXAMI- NATION SURVRY, 3:11-E, 3:17 HEALTH EDUCATION (See also SCHOOL PROGRAMS; ADULT EDUCATION) evaluation of School Health Curricu- lum Project, 20:21 information dissemination, 23:2728 nonschool antismoking programs for youth, 2022-24 role of health professionals, 22:14-19 role of schools, 17:15 Saskatoon Smoking Study, 20:11-K?, 23% summary of methodologies and pro- grams, 1:33-34 teacher certification requirements, 2323-31 Teenage Self Test, 2022 HEALTH INTRRYIEW SURVEY, 3% 18 smoking prevalence data, A:13 smoking prevalence in white and black adults 1965-1976, A:15 HEALTH PROFESSIONALS (See also PHYSICIANS; NURSES; PHARMACISTS; DENTISTS) cessation of smoking advice, 19:13 14, 21:11-12 as health educators, 225-6, 22:14-19 as role models, 22:69 smoking habits, 22:9-14, 22% HEART (See also CARDIOVASCULAR SYSTEM; HEART RATE; MYO- CARDIUM) conditions, in smokers vs. nonsmokers vs. ex-smokers, 3:1617, 3:19 effect of nicotine, 14:78 effect of smoke inhalation and exer- cise in dogs, 14:78 effect of smoke inhalation in cats, 14:77 function. in animals with coronary heart disease, 4:40 Heart disease See CARDIOVASCULAR DIS- EASES; CORONARY HEART DIS. EASE HEART RATE effect of involuntary smoking in children, 1127 effect of nicotine, 458 effect of nicotine vs. cotinine, 14:91 effect of smoking, 12:15-16 fetal, effect of maternal smoking, 8:10, 8:67 sudden cardiac death and ventricular fibrillation, 4:43 sudden cardiac death and ventricular premature beats, 4:42 HEMATOCRFT infants of smokers vs. nonsmokers, 8:69 smokers vs. nonsmokers, 12:82-83 HEMODYNAMICS (See also BLOOD CIRCULATION) effect of smoke inhalation in dogs, 14:76 HEMOGLOBIN LEVEIS (See also CARBON MONOXIDE; CARBOXYHEMOGLOBIN LEV- ELS; ERYTHROCYTES) effect of carbon monoxide, 12:82-83 effect of cyanide, 1233 smokers vs. nonsmokers, 12:82-X! HEREDITY atherosclerosis in animals and, 4:9 bronchopulmonary diseases and, 1:19 coronary heart disease and, 466 in establishing smoking habit, 15% 10 lung neoplasms and, 523 smoking and chronic obstructive lung disease risk, 635-36 smoking related mortality and, 2:41- 42 HEIEROCYCLIC COMPOUNDS (See also AROMATIC AMINES) in cigarette smoke, 14:52, 14:57 structural formulae of tobacco smoke carcinogens, 14:55 weakly acidic, structural formulae, 1456 HIGH DENSLTY LIPOPROTEINS coronary heart disease and, 4:61-62 effect of oral contraceptives on lev- els, 4:62 effect of smoking on levels in males vs. females, 4:61-62 levels in smokers vs. nonsmokers, 4:61-62 HOMOGENIZED LEAF CURING (See also TOBACCO CURING) effect on smoking quality, 14:19 effect on tobacco leaf components, 1427-28 HORMONES antidiuretic, effect of nicotine on secretion, 12:37 corticosteroids, effect of smoking on secretion, 12:37, 1240 effect of cessation of smoking, 15:~24 effect of smoking, 1520 in establishing smoking habit, 15:lO in maintenance of smoking habit, 15- 20 HOSPITAL ADMISSION RATES children, maternal smoking and, 11:x3 smokers vs. nonsmokers vs. ex-smok- erg 3:lP16 HOSPITALS smoking policies, 2220-23 HUMECTANTS effect on smoke constituents, 1429 levels in mainstream cigarette smoke, 14:68 HYDRAZINES levels in cigarette smoke, 14:41 HYDROGEN CYANIDE (See also CYANIDES) cardiovascular diseases and, 4:62 occupational hazards, 7:7-8 pharmacology, 78 HYPERGLYCEMIA induced by nicotine in cats, 1496 HYPERKINESIS carbon monoxide in animal model, 865 maternal smoking and, 823 HYPEROXIA effect on atherosclerosis, 4:17 HYPERTENSION (See also BLOOD PRESSURE) biological control mechanisms, 4:56 57 cardiovascular and cerebrovascular diseases and, 4157 myocardial infarct and, 426 nicotine and, 14:79 research needs, 4:58 school health education program, 21:21 smokers vs. nonsmokers, 4:57 HYPERSENSITIVITY (See also ALLERGY) basic mechanisms, lo:15 classification, 10:9 HYPNOSIS in smoking cessation, 19:17, 19:26 HYPOXIA effect of carbon monoxide in sheep fetus, 86365 effect on atherosclerosis, 4:17 effect on myocardium, 420 fetal, effect of maternal smoking, 8:17 fetal mortality and, research needs, 8:75 fetal response in sheep, 864 Illinois Antismoking Education Study See UNM3RNTY OF ILLINOIS ANTISMOKING EDUCATION STUDY IMIPRAMINE effect of smoking on pharmaeokinet- its, 1233 IMMUNE SYSTEM B and T lymphocytes in smokers vs. nonsmokers, 6:31 effect of cigarette smoke in rabbits, lo:18 effect of cigarette smoke on anti- body response in mice, 12:59 effect of cigarette smoke on humoral immunity in mice, lo:18 effect of smoking, 10:14-Xl effect of smoking on lymphocytes, 10:17 effect of smoking, summary of find- ings, 1:18-19, 123-24, 1% effect of smoking on cellular ele- ments, 1020 effect of tobacco smoke, 6:36.31, 10:5 hyperresponsiveness in smokers, lo:20 response to viral vaccines in smokers vs. nonsmokers, 12:5%59 INFANT MORTALITY (See also MORTALITY RISK; NEONATAL MORTALITY; PERI- NATAL MORTALITY) birth weight in smoking vs. non- smoking mothers and, 829 black vs. white smoking mothers, 828, 8:30 British Perinatal Mortality Study, 829 Collaborative Perinatal Study of the NINCDS (1959-1986), 8:30 effect of maternal smoking, 8:10, 828, 8:32, 83435 effect of maternal smoking, age, parity, and education, 82931, 833 effect of maternal smoking and ges- tational age, 8:43 effect of maternal smoking and pre- term delivery, 842 etiology of perinatal death in smok- ers vs. nonsmokers, 8:3638 maternal smoking levels and, 835, 8 :3940 Ontario Perinatal Mortality Study, 833-35 prospective and retrospective studies, 829 synergism of maternal smoking and other risk factors, 8% INFANTS (See also SMOKING, MATERNAL) breastfed, effect of maternal smok- ing, 8:51 effect of maternal smoking on birth weight, 8:12-13 effect of maternal smoking on body height, 8:19 INFECTIOUS DISEASES (See aleo RESPIRATORY TRACT INFECTIONS) in smoking vs. nonsmoking pregnant women, lo:19 INFLUENZA (See also RESPIRATORY TRACT INFECTIONS) incidence in smokers vs. nonsmokers, 10:19 INITIATION OF SMOKING age and, 17:7 behavioral factors, 16:5-13 developmental and social psychology, 17%12 medical students, 22:18 psychoanalytic theory, 17:Wll psychosocial factors in adolescence, 17:l%17 INTELL.ECTUAL DEVELOPMENT (See also LEARNING) effect of maternal smoking on chil- dren, 1:21, 821-23 INTERMITTENT CIAUDICATION effect of carbon monoxide, 454 smoking and, 453-54 INTERNATIONAL ATHEROSCLERO- SIS PROJECT atherosclerosis risk factors, 4:8 summary of epidemiological data, 4:7 INVOLUNTARY SMOKING absorption of nicotine by nonsmokers, 11:24 absorption of tobacco constituents by nonsmokers, 11:6 allergy and, 11:31 asthma and, lo:21 effect of psychological factors on physiologic response, 1127 effect on angina pectoris patients, 11:30-31 effect on carboxyhemoglobin levels, 11:21, 1123 effect on cardiac patients, 11:2%30 effect on children with respiratory diseases, 11:32 effect on fetus and breastfed in- fants, 8:51 effect on heart rate and blood pres- sure in children, 1127 effect on lung function in asthmatic patients, 1022 effect on nonsmokers, lO:l2 11-5, 11:15, 1128 effect on respiratory tract infections in infants, 845 effect on skin temperature, 1127 health effects, 21:17 health effects, summary of findings, 124-25 research goals, 11% hwphtocy ceaerve vohmw meamue- menta See RESPIRATORY FUNCTION TESTS IODINE blood levels in smoker3 vs. nonsmok- ers, 12% ISCHEMIA (see also cARD10vAScuLAR DISEASE& CORONARY HEART DISEASE) effect of carbon monoxide and nico- tine, 439 effect on myocardium, 4:19-26 in myocardial infarct etiology, 4:19 20, 439-46 sudden cardiac death and, 4:43 ISOPRENOIDS structural formulae, 14:56 in tobacco, 14:48-49 KETONES content in cigarette smoke, 1442 formation from humectants, 1463 KIDNEY NBOPUSMS, 5:47-49 mortality and risk ratios in smokers, 5A8-49 smoking and, summary of findings, 1:17 KIDNEYS organ weight in smokers vs. non- smokers, I29 KIWANIS CLUB youth-tiyouth antismoking program, 20:15 KNOW YOUR BODY PROGRAM antismoking education component, 2611 description, 21:21l LACTATION (See also BREAST FEEDING) effect of maternal smoking, 856 effect of maternal smoking, summa- ry of findings, 122 effect of nicotine in animals, 8:49 and maternal smoking, research needs, 8:7%79 in smoking vs. nonsmoking mothers, 8:48 LARYNGEAL NEOPLASMI (See aho RESPIRATORY TRAtX NBOPLASMS) animal models, 534-35 aryl hydrocarbon hydroxylase induci- bility and, 5:57 asbestos and smoking and, 534 cigar and pipe smoking and, summa- ry of findings, 127 effect of alcohol consumption and smoking on risk, 5:32, 534 effect of cessation of smoking on risk, 534, 5:3738 effect of filters on risk, 53436 effect of smoking duration on risk, 534 effect of smoking levels on risk, 533-36 induced by benzo(a)pyrene in ham- sters, 534-35 induced by cigarette smoke in ham- sters, 534-35 morbidity and mortality in cigar vs. cigarette vs. pipe smokers, 1324 mortality ratio in cigar vs. cigarette vs. pipe smokers, 13% mortality ratio in smokers, 532-33 radiation and smoking and, 1296 smoking and, summary of findings, 1:16-17 (See also MEWIS) levels in smokers vs. nonsmokers, 1233 smoking and occupational exposure, 717 LRAD-210 levels in cigarette smoke, 1466 as tobacco contaminant, 1426-21 LEARNING (See also INTELLECTUAL DE- VELOPMENT) effect of smoking, 15:13-19 smokers vs. nonsmokers, 15:19 LEGISLATION Federal adult education laws, 21:7 minors' purchase and use of tobacco, 23:7-a National Consumer Health Informa- tion Act of 1976, 2l:lO ordinances restricting smoking in public places, 21:18