New Report Warns: Viral Smoking Imagery Could Undermine Youth Prevention Gains
In recent times, the decline of youth e-cigarette use marked a remarkable achievement in public health, hitting a decade-low. However, a new and alarming trend in pop culture appears to threaten these pivotal gains. A report by the Truth Initiative, entitled "Lights, Camera, Addiction: How Persistent On-Screen Tobacco Imagery Continues to Fuel Nicotine Addiction Among Young Audiences," suggests that the glamorization of smoking in entertainment and social media might reverse the progress made in preventing youth from engaging with nicotine products.
The troubling statistics presented in the report reveal a staggering increase — a 70% rise in smoking depictions in films in 2023 compared to previous years. This marks the first uptick in tobacco portrayals since 2020. Notably, the exposure to such imagery is concerning as current research indicates that seeing tobacco content can triple the likelihood of young people starting to vape. As Dr. Jessica Rath, Senior Vice President of the Truth Initiative, articulates, although vaping rates among youth are declining, the resurgence of tobacco imagery poses a significant risk to that progress.
The Shocking Presence of Tobacco in Popular Media
The detailed findings highlight that of the top 15 most popular shows watched by 15- to 24-year-olds in 2023, seven prominently featured tobacco use. Familiar animated series like "The Simpsons," "Family Guy," and "American Dad" continue to perpetuate this issue. Furthermore, the movie industry has seen an alarming increase in tobacco depictions, with 41% of top films in 2023 showcasing tobacco, up from 35% the preceding year.
This trend is further underscored by the revelation that eight out of the ten films nominated for Best Picture at the 2025 Academy Awards included tobacco imagery, which features young actors like Timothée Chalamet and Selena Gomez in smoking scenes. Even though some genres, such as music videos, saw a slight reduction in tobacco depiction — with 23% of top Billboard songs featuring tobacco in 2023 — the overall impact on young audiences remains significant with nearly five billion views accumulated on YouTube.
The Escalating Role of Binge-Watching
One alarming statistic from the report is the increase in tobacco content associated with binge-watching. In 2023, the number of binge-watched streaming shows containing tobacco imagery surged to 70%. Series such as "American Dad," "Law & Order: SVU," and even animated programs like "SpongeBob SquarePants" have contributed to amplifying tobacco imagery. This continuous normalization of smoking through well-loved characters and storylines creates a dangerous relationship between exposure and potential addiction prospects.
Moreover, two of the year's most popular shows showcasing tobacco were anime adaptations, reinforcing the notion that this rhetoric transcends cultural boundaries and influences a diverse audience.
The Need for Change in Content Regulation
The Truth Initiative emphasizes that entertainment executives, policy makers, and content creators must be diligent in their efforts to mitigate the harm caused by depicting tobacco on screen. Suggestions include adopting explicit anti-tobacco policies in youth-rated content, raising awareness among industry leaders of how on-screen tobacco content can drive addiction, and providing support for actors to say no to tobacco portrayals.
Dr. Rath aptly summarizes the situation: "The data are clear - tobacco imagery on-screen causes tobacco initiation among youth and young adults. The entertainment industry has a choice. It can help protect an entire generation or continue to expose them to harmful images that make nicotine addiction more likely."
The time for action is now, as capabilities exist to cultivate a healthy media environment free from the glorification of tobacco use. By prioritizing healthier content for young viewers, we can protect the progress made against nicotine addiction and ensure the health and well-being of future generations. For more detailed information and recommendations, visit
Truth Initiative.