In this article the authors contend that the social work profession ha
s paid scant attention to the problem of tobacco use. The article revi
ews the literature on the health effects of tobacco, the impact of smo
king on vulnerable populations, and the market practices of the tobacc
o industry. The underlying premise is that personal behavior is heavil
y influenced by the political and social environment and that from chi
ldhood on individuals are enticed to smoke. The article makes recommen
dations for political action, including coalition building, community
organizing, and political advocacy.