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This will be an inside-baseball mini-rant 
about interpretations of trends in youth cigarette smoking in the US. Not a big deal, but you might find it interesting.
1/6
about interpretations of trends in youth cigarette smoking in the US. Not a big deal, but you might find it interesting.1/6
First the good news that youth smoking is at historic lows. Per the 2019 YRBS only 8.8% of high school students have smoked in the past 30 days. Smoking may literally disappear.
That is Tony the Tiger Grrrrrreat!
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That is Tony the Tiger Grrrrrreat!
2/6
Now I've heard some discussion at #SRNT2021 and at other recent meetings that these declines in youth smoking since their mid90s peak were expected, pre-ordained--almost destiny.
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I believe that is a creative retelling; here's why:
In 2009, gov't experts set the #HealthyPeople 2020 objectives and targeted 16% for HS smoking. These are pros with all of the best data, and they try to balance aspiration and reality.
4/6
In 2009, gov't experts set the #HealthyPeople 2020 objectives and targeted 16% for HS smoking. These are pros with all of the best data, and they try to balance aspiration and reality.
4/6
The rub is that 16% was *also* the HP2010 goal set in 1999. So after a decade, and with an abiding desire to improve things, the experts couldn't justify forecasting even a 1% point drop for 2020.
5/6
5/6
For important whys/whats go to rockstars ( @ArielleSelya @CrisDelnevo @mikepesko @jamie_tam @DrSarahEJackson) but present this argument to those who would have you believe that 8.8% was foreseeable (or unforeseeable--see "In the Loop" if you haven't!)
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