Tobacco use is a major public health issue that has its onset primaril
y during the pediatric years. Preventing the onset of tobacco use by c
hildren and adolescents should be a priority. A comprehensive strategy
includes interventions by pediatricians and other health professional
s, policy changes, advertising restrictions, comprehensive school heal
th education programs, and community advocacy. Because the physician-p
arent-chiId relationship is unique, physicians have many opportunities
to help prevent tobacco use, both in their offices and in their commu
nities.