Comprehensive Tobacco Control

We sought to study gender differences in young adult smoking de-clines and enrollment in populationwide cessation services. Methods. The New York City (NYC) Department of Health and Mental Hygiene implemented populationwide cessation programs to distribute free nicotine re-placement therapy (NRT); demographic data were collected from enrollees. Smok-ing prevalence was assessed using data from the Community Health Survey, an annual population-based survey. Results. Between 2002 and 2005, smoking among young adults in NYC declined from 23.8 % to 18.8%, which was explained entirely by a 41.8 % decline among young adult women (23.2 % to 13.5); prevalence remained at 24 % among young adult men. More young adult women enrolled in cessation services than did men, although once enrolled, the likelihood of using NRT was high among both groups. Conclusions. Among young adults, women have been responsive to compre-hensive tobacco control, but men require more-intensive strategies. Population-wide NRT distribution can be effective with young adults overall; however, addi-tional resources need to be devoted to identifying successful outreach strategie