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Joseph R DiFranza MD

TitleProfessor Emeritus
InstitutionUMass Chan Medical School
DepartmentFamily Medicine and Community Health
AddressUMass Chan Medical School
55 Lake Avenue North
Worcester MA 01655
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    Other Positions
    InstitutionT.H. Chan School of Medicine
    DepartmentFamily Medicine and Community Health

    InstitutionT.H. Chan School of Medicine

    Collapse Biography 
    Collapse education and training
    University of Massachusetts Amherst, Amherst, MA, United StatesBSPsychology
    University of Massachusetts Medical School, Worcester, MA, United StatesMD

    Collapse Overview 
    Collapse overview


    Joseph DiFranza, MD, Professor of Family Medicine and Community Health, is a recognized national expert on adolescent tobacco utilization. Since 1980, Dr. DiFranza has been conducting research on the topic of tobacco. His research covers a range of tobacco-related topics including the onset of nicotine dependence, the effects of tobacco advertising, tobacco industry public relations programs, tobacco-related complications of pregnancy, school smoking cessation programs, and the effects of environmental tobacco smoke. Dr. DiFranza is recognized nationally for his contribution to the efforts to prevent the illegal sale of tobacco to children.

    Click here to view Dr. Difranza's curriculum vitae


    Longitudinal Preceptor Program


    University of Massachusetts Medical School, Worcester, Massachusetts, Doctor of Medicine, 1981
    University of Massachusetts at Amherst, Bachelor of Science, Summa Cum Laude, Psychology 1976
    Honor Societies: Phi Beta Kappa, Kappa Phi
    University of Massachusetts Medical Center Family Practice Residency Program, Worcester, 1981 1984
    Fellowship in faculty development, University of North Carolina , 1984 1985
    Board Certified by the American Board of Family Medicine 1984, recertified 1990-1997, 1996-2003, 2004-


    Tobacco Control Resource Center, Board of Directors (1985-present)
    American Academy of Pediatrics Center for Child Health Research Tobacco Consortium 2001

    Scholarly Activity

    National Institute on Drug Abuse. “The Transition to Nicotine Dependence.” October 2001- September 2006. $1.8 million. 5 RO1 DA14666-01

    Robert Wood Johnson Foundation: The Synar Amendment: Past, Present and Future. July 1, 2001- June 30, 2004. $121,754 #0456644

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    Newest   |   Oldest   |   Most Cited   |   Most Discussed   |   Timeline   |   Field Summary   |   Plain Text
    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Ebrahimi Kalan M, Bahelah R, Bursac Z, Ben Taleb Z, DiFranza JR, Tleis M, Nakkash R, Jebai R, Alam MM, Cano MÁ, Sutherland MT, Fenni K, Asfar T, Eissenberg T, Ward KD, Maziak W. Predictors of nicotine dependence among adolescent waterpipe and cigarette smokers: A 6-year longitudinal analysis. Drug Alcohol Depend. 2020 12 01; 217:108346. PMID: 33075692.
      Citations: 7     Fields:    Translation:Humans
    2. Bentivegna K, Atuegwu NC, Oncken C, DiFranza JR, Mortensen EM. Electronic Cigarettes Associated With Incident and Polysubstance Use Among Youth. J Adolesc Health. 2021 01; 68(1):123-129. PMID: 32641242.
      Citations: 3     Fields:    Translation:Humans
    3. Ebrahimi Kalan M, Behaleh R, DiFranza JR, Bursac Z, Ben Taleb Z, Tleis M, Asfar T, Nakkash R, Ward KD, Eissenberg T, Maziak W. Natural Course of Nicotine Dependence Among Adolescent Waterpipe and Cigarette Smokers. J Adolesc Health. 2020 12; 67(6):859-867. PMID: 32622925.
      Citations: 3     Fields:    Translation:Humans
    4. Levinson AH, Lee JGL, Jason LA, DiFranza JR. Asking for Identification and Retail Tobacco Sales to Minors. Pediatrics. 2020 05; 145(5). PMID: 32321778.
      Citations: 2     Fields:    Translation:Humans
    5. DiFranza JR. Neural Remodeling Begins With the First Cigarette. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020 06; 5(6):629-630. PMID: 32198003.
      Citations:    Fields:    Translation:Humans
    6. Levinson AH, Ma M, Jason LA, Lee JGL, Landrine H, Glueck DH, DiFranza JR. Assessment of the US Federal Retailer Violation Rate as an Estimate of the Proportion of Retailers That Illegally Sell Tobacco to Adolescents. JAMA Pediatr. 2018 10 01; 172(10):966-972. PMID: 30128544.
      Citations: 5     Fields:    Translation:HumansPHPublic Health
    7. Bahelah R, Ward KD, Ben Taleb Z, DiFranza JR, Eissenberg T, Jaber R, Maziak W. Determinants of progression of nicotine dependence symptoms in adolescent waterpipe smokers. Tob Control. 2019 05; 28(3):254-260. PMID: 29895703.
      Citations: 12     Fields:    Translation:Humans
    8. Poirier GL, Huang W, Tam K, DiFranza JR, King JA. Evidence of Altered Brain Responses to Nicotine in an Animal Model of Attention Deficit/Hyperactivity Disorder. Nicotine Tob Res. 2017 Sep 01; 19(9):1016-1023. PMID: 28444321.
      Citations: 1     Fields:    Translation:Animals
    9. Thompson MF, Poirier GL, Dávila-García MI, Huang W, Tam K, Robidoux M, Dubuke ML, Shaffer SA, Colon-Perez L, Febo M, DiFranza JR, King JA. Menthol enhances nicotine-induced locomotor sensitization and in vivo functional connectivity in adolescence. J Psychopharmacol. 2018 03; 32(3):332-343. PMID: 28747086.
      Citations: 10     Fields:    Translation:HumansAnimals
    10. Kim SS, Fang H, Bernstein K, Zhang Z, DiFranza J, Ziedonis D, Allison J. Acculturation, Depression, and Smoking Cessation: a trajectory pattern recognition approach. Tob Induc Dis. 2017; 15:33. PMID: 28747857.
    11. Bahelah R, DiFranza JR, Ward KD, Eissenberg T, Fouad FM, Taleb ZB, Jaber R, Maziak W. Waterpipe smoking patterns and symptoms of nicotine dependence: The Waterpipe Dependence in Lebanese Youth Study. Addict Behav. 2017 11; 74:127-133. PMID: 28624697.
      Citations: 17     Fields:    Translation:Humans
    12. DiFranza JR. Can tobacco dependence provide insights into other drug addictions? BMC Psychiatry. 2016 10 27; 16(1):365. PMID: 27784294.
      Citations: 1     Fields:    Translation:Humans
    13. Bahelah R, DiFranza JR, Ward KD, Fouad FM, Eissenberg T, Ben Taleb Z, Jaber R, Osibogun O, Maziak W. Correlates of nicotine dependence among adolescent waterpipe smokers. Drug Alcohol Depend. 2016 Nov 01; 168:230-238. PMID: 27716576.
      Citations: 10     Fields:    Translation:Humans
    14. Poirier GL, Huang W, Tam K, DiFranza JR, King JA. Awake whole-brain functional connectivity alterations in the adolescent spontaneously hypertensive rat feature visual streams and striatal networks. Brain Struct Funct. 2017 May; 222(4):1673-1683. PMID: 27680743.
      Citations: 4     Fields:    Translation:Animals
    15. Walton D, Newcombe R, Li J, Tu D, DiFranza JR. Stages of physical dependence in New Zealand smokers: Prevalence and correlates. Addict Behav. 2016 12; 63:161-4. PMID: 27513594.
      Citations: 1     Fields:    Translation:Humans
    16. DiFranza JR, Bhuvaneswar C, Jolicoeur D, Tanski SE, Winickoff J. Tobacco Use Disorder: A Family Disease. J Addict Med. 2016 May-Jun; 10(3):143-7. PMID: 26900668.
      Citations: 1     Fields:    Translation:HumansPHPublic Health
    17. Bahelah R, DiFranza JR, Fouad FM, Ward KD, Eissenberg T, Maziak W. Early symptoms of nicotine dependence among adolescent waterpipe smokers. Tob Control. 2016 12; 25(e2):e127-e134. PMID: 27113610.
      Citations: 34     Fields:    Translation:Humans
    18. Christophi CA, Pampaka D, Paisi M, Ioannou S, DiFranza JR. Levels of physical dependence on tobacco among adolescent smokers in Cyprus. Addict Behav. 2016 09; 60:148-53. PMID: 27149692.
      Citations: 1     Fields:    Translation:Humans
    19. Morgenstern M, DiFranza JR, Wellman RJ, Sargent JD, Hanewinkel R. Relationship between early symptoms of alcohol craving and binge drinking 2.5 years later. Drug Alcohol Depend. 2016 Mar 01; 160:183-9. PMID: 26832933.
      Citations: 4     Fields:    Translation:Humans
    20. Kleinjan M, Engels RC, DiFranza JR. Parental smoke exposure and the development of nicotine craving in adolescent novice smokers: the roles of DRD2, DRD4, and OPRM1 genotypes. BMC Pulm Med. 2015 Oct 08; 15:115. PMID: 26449981.
      Citations: 3     Fields:    Translation:HumansCells
    21. Pbert L, Druker S, Flint AJ, Young MH, DiFranza JR. Perspectives in Implementing a Pragmatic Pediatric Primary Care-Based Intervention Trial. Am J Prev Med. 2015 Sep; 49(3 Suppl 2):S200-7. PMID: 26296555.
      Citations: 2     Fields:    Translation:Humans
    22. Wellman RJ, DiFranza JR, O'Loughlin J. Confirmatory factor analysis of the Autonomy over Tobacco Scale (AUTOS) in adults. Addict Behav. 2015 Nov; 50:217-21. PMID: 26162621.
      Citations: 1     Fields:    Translation:Humans
    23. Towns S, DiFranza JR, Jayasuriya G, Marshall T, Shah S. Smoking Cessation in Adolescents: targeted approaches that work. Paediatr Respir Rev. 2017 Mar; 22:11-22. PMID: 26187717.
      Citations: 12     Fields:    Translation:Humans
    24. Wellman RJ, Edelen MO, DiFranza JR. Item Response Theory analysis of the Autonomy over Tobacco Scale (AUTOS). Addict Behav. 2015 Jun; 45:195-200. PMID: 25697726.
      Citations: 1     Fields:    Translation:Humans
    25. Huang W, Tam K, Fernando J, Heffernan M, King J, DiFranza JR. Nicotine and Resting-State Functional Connectivity: Effects of Intermittent Doses. Nicotine Tob Res. 2015 Nov; 17(11):1311-7. PMID: 25646348.
      Citations: 5     Fields:    Translation:Animals
    26. DiFranza JR. A 2015 Update on The Natural History and Diagnosis of Nicotine Addiction. Curr Pediatr Rev. 2015; 11(1):43-55. PMID: 25938380.
      Citations: 9     Fields:    Translation:Humans
    27. Winickoff JP, Hartman L, Chen ML, Gottlieb M, Nabi-Burza E, DiFranza JR. Retail impact of raising tobacco sales age to 21 years. Am J Public Health. 2014 Nov; 104(11):e18-21. PMID: 25211755.
      Citations: 11     Fields:    Translation:Humans
    28. DiFranza JR. Commentary on Hu et?al. (2014): the validity of the DSM is not a 'given'. Addiction. 2014 Sep; 109(9):1529-30. PMID: 25103104.
      Citations:    Fields:    Translation:Humans
    29. Wellman RJ, DiFranza JR, O'Loughlin J. Recalled first reactions to inhaling nicotine predict the level of physical dependence. Drug Alcohol Depend. 2014 Oct 01; 143:167-72. PMID: 25108583.
      Citations: 4     Fields:    Translation:Humans
    30. O'Loughlin J, Dugas EN, Brunet J, DiFranza J, Engert JC, Gervais A, Gray-Donald K, Karp I, Low NC, Sabiston C, Sylvestre MP, Tyndale RF, Auger N, Auger N, Mathieu B, Tracie B, Chaiton M, Chenoweth MJ, Constantin E, Contreras G, Kakinami L, Labbe A, Maximova K, McMillan E, O'Loughlin EK, Pabayo R, Roy-Gagnon MH, Tremblay M, Wellman RJ, Hulst A, Paradis G. Cohort Profile: The Nicotine Dependence in Teens (NDIT) Study. Int J Epidemiol. 2015 Oct; 44(5):1537-46. PMID: 25022274.
      Citations: 20     Fields:    Translation:Humans
    31. Scragg R, Difranza JR, Youdan B, Laugesen M, Glover M. Ethnicity and socioeconomic status as risk factors for rapid onset of tobacco addiction. Aust N Z J Public Health. 2014 Apr; 38(2):194-5. PMID: 24690062.
      Citations: 1     Fields:    Translation:HumansAnimals
    32. Huang W, King JA, Ursprung WW, Zheng S, Zhang N, Kennedy DN, Ziedonis D, DiFranza JR. The development and expression of physical nicotine dependence corresponds to structural and functional alterations in the anterior cingulate-precuneus pathway. Brain Behav. 2014 May; 4(3):408-17. PMID: 24944870.
      Citations: 29     Fields:    Translation:Humans
    33. Huang W, DiFranza JR, Kennedy DN, Zhang N, Ziedonis D, Ursprung S, King JA. Progressive levels of physical dependence to tobacco coincide with changes in the anterior cingulum bundle microstructure. PLoS One. 2013; 8(7):e67837. PMID: 23861816.
      Citations: 15     Fields:    Translation:Humans
    34. DiFranza JR, Wellman RJ, Savageau JA, Beccia A, Ursprung WW, McMillen R. What aspect of dependence does the fagerström test for nicotine dependence measure? ISRN Addict. 2013; 2013:906276. PMID: 25969829.
    35. Schuck K, Kleinjan M, Otten R, Engels RC, DiFranza JR. Responses to environmental smoking in never-smoking children: can symptoms of nicotine addiction develop in response to environmental tobacco smoke exposure? J Psychopharmacol. 2013 Jun; 27(6):533-40. PMID: 23139384.
      Citations: 6     Fields:    Translation:HumansPHPublic Health
    36. DiFranza JR, Huang W, King J. Neuroadaptation in nicotine addiction: update on the sensitization-homeostasis model. Brain Sci. 2012 Oct 17; 2(4):523-52. PMID: 24961259.
    37. Martin SA, Celli BR, DiFranza JR, Krinzman SJ, Clarke JG, Beam H, Howard S, Foster M, Goldberg RJ. Health effects of the Federal Bureau of Prisons tobacco ban. BMC Pulm Med. 2012 Oct 15; 12:64. PMID: 23067295.
      Citations: 2     Fields:    Translation:HumansAnimals
    38. Kim SS, Fang H, Difranza J, Ziedonis DM, Ma GX. Gender Differences in the Fagerström Test for Nicotine Dependence in Korean Americans. J Smok Cessat. 2012 Aug 01; 7(1):1-6. PMID: 22936953.
    39. DiFranza JR, Masaquel A, Barrett AM, Colosia AD, Mahadevia PJ. Systematic literature review assessing tobacco smoke exposure as a risk factor for serious respiratory syncytial virus disease among infants and young children. BMC Pediatr. 2012 Jun 21; 12:81. PMID: 22721493.
      Citations: 28     Fields:    Translation:HumansPHPublic Health
    40. Difranza JR, Savageau JA, Wellman RJ. A comparison of the autonomy over tobacco scale and the Fagerström test for nicotine dependence. Addict Behav. 2012 Jul; 37(7):856-61. PMID: 22472522.
      Citations: 6     Fields:    Translation:Humans
    41. DiFranza JR, Ursprung WW, Biller L. The developmental sequence of tobacco withdrawal symptoms of wanting, craving and needing. Pharmacol Biochem Behav. 2012 Jan; 100(3):494-7. PMID: 22044715.
      Citations: 10     Fields:    Translation:Humans
    42. Pbert L, Druker S, DiFranza JR, Gorak D, Reed G, Magner R, Sheetz AH, Osganian S. Effectiveness of a school nurse-delivered smoking-cessation intervention for adolescents. Pediatrics. 2011 Nov; 128(5):926-36. PMID: 22007015.
      Citations: 12     Fields:    Translation:Humans
    43. DiFranza JR. Which interventions against the sale of tobacco to minors can be expected to reduce smoking? Tob Control. 2012 Jul; 21(4):436-42. PMID: 21994275.
      Citations: 39     Fields:    Translation:Humans
    44. DiFranza JR. Research opportunities concerning youth and the Family Smoking Prevention and Tobacco Control Act. Nicotine Tob Res. 2012 Jan; 14(1):54-61. PMID: 21975309.
      Citations: 1     Fields:    Translation:HumansAnimals
    45. DiFranza JR, Sweet M, Savageau J, Ursprung WW. An evaluation of a clinical approach to staging tobacco addiction. J Pediatr. 2011 Dec; 159(6):999-1003.e1. PMID: 21784437.
      Citations: 12     Fields:    Translation:Humans
    46. Difranza JR, Wellman RJ, Savageau JA. Does progression through the stages of physical addiction indicate increasing overall addiction to tobacco? Psychopharmacology (Berl). 2012 Feb; 219(3):815-22. PMID: 21779781.
      Citations: 13     Fields:    Translation:HumansAnimals
    47. DiFranza JR, Sweet M, Savageau JA, Ursprung WW. The assessment of tobacco dependence in young users of smokeless tobacco. Tob Control. 2012 Sep; 21(5):471-6. PMID: 21712393.
      Citations: 12     Fields:    Translation:Humans
    48. King J, Huang W, Chen W, Heffernan M, Shields J, Rane P, Bircher R, DiFranza JR. A comparison of brain and behavioral effects of varenicline and nicotine in rats. Behav Brain Res. 2011 Sep 30; 223(1):42-7. PMID: 21527291.
      Citations: 2     Fields:    Translation:Animals
    49. Ursprung WW, Morello P, Gershenson B, DiFranza JR. Development of a measure of the latency to needing a cigarette. J Adolesc Health. 2011 Apr; 48(4):338-43. PMID: 21402261.
      Citations: 9     Fields:    Translation:Humans
    50. DiFranza JR. Who are you going to believe? Adolescents and nicotine addiction. J Adolesc Health. 2011 Jan; 48(1):1-2. PMID: 21185515.
      Citations: 3     Fields:    Translation:Humans
    51. Soteriades ES, Spanoudis G, Talias MA, Warren CW, DiFranza JR. Children's loss of autonomy over smoking: the Global Youth Tobacco Survey. Tob Control. 2011 May; 20(3):201-6. PMID: 21109683.
      Citations: 5     Fields:    Translation:Humans
    52. Difranza JR. Thwarting science by protecting the received wisdom on tobacco addiction from the scientific method. Harm Reduct J. 2010 Nov 04; 7:26. PMID: 21050440.
      Citations: 7     Fields:    
    53. DiFranza JR. Commentary on Fidler & West (2010): Curtailing tobacco sales to minors. Addiction. 2010 Nov; 105(11):1989-90. PMID: 21064258.
      Citations:    Fields:    Translation:Humans
    54. DiFranza J, Ursprung WW. A systematic review of the International Classification of Diseases criteria for the diagnosis of tobacco dependence. Addict Behav. 2010 Sep; 35(9):805-10. PMID: 20493638.
      Citations: 6     Fields:    Translation:Humans
    55. Doubeni CA, Reed G, Difranza JR. Early course of nicotine dependence in adolescent smokers. Pediatrics. 2010 Jun; 125(6):1127-33. PMID: 20439592.
      Citations: 51     Fields:    Translation:Humans
    56. Difranza J. A new approach to the diagnosis of tobacco addiction. Addiction. 2010 Mar; 105(3):381-2. PMID: 20402977.
      Citations: 2     Fields:    Translation:Humans
    57. DiFranza J, Ursprung WW, Lauzon B, Bancej C, Wellman RJ, Ziedonis D, Kim SS, Gervais A, Meltzer B, McKay CE, O'Loughlin J, Okoli CT, Fortuna LR, Tremblay M. A systematic review of the Diagnostic and Statistical Manual diagnostic criteria for nicotine dependence. Addict Behav. 2010 May; 35(5):373-82. PMID: 20056335.
      Citations: 19     Fields:    Translation:Humans
    58. DiFranza JR, Wellman RJ, Ursprung WW, Sabiston C. The Autonomy Over Smoking Scale. Psychol Addict Behav. 2009 Dec; 23(4):656-65. PMID: 20025371.
      Citations: 18     Fields:    Translation:Humans
    59. Ursprung WW, DiFranza JR. The loss of autonomy over smoking in relation to lifetime cigarette consumption. Addict Behav. 2010 Jan; 35(1):14-8. PMID: 19717241.
      Citations: 18     Fields:    Translation:Humans
    60. DiFranza J. Tobacco dependence in light smokers. Nicotine Tob Res. 2009 Sep; 11(9):1122-3; author reply 1124-5. PMID: 19654236.
      Citations:    Fields:    Translation:Humans
    61. O'Loughlin J, Karp I, Koulis T, Paradis G, Difranza J. Determinants of first puff and daily cigarette smoking in adolescents. Am J Epidemiol. 2009 Sep 01; 170(5):585-97. PMID: 19635735.
      Citations: 76     Fields:    Translation:Humans
    62. DiFranza JR, Ursprung WW, Carson A. New insights into the compulsion to use tobacco from an adolescent case-series. J Adolesc. 2010 Feb; 33(1):209-14. PMID: 19406464.
      Citations: 12     Fields:    Translation:Humans
    63. DiFranza JR, Savageau JA, Fletcher KE. Enforcement of underage sales laws as a predictor of daily smoking among adolescents: a national study. BMC Public Health. 2009 Apr 17; 9:107. PMID: 19374735.
      Citations: 29     Fields:    Translation:HumansPHPublic Health
    64. Tutt D, Bauer L, Difranza J. Restricting the retail supply of tobacco to minors. J Public Health Policy. 2009 Apr; 30(1):68-82. PMID: 19367302.
      Citations: 11     Fields:    Translation:Humans
    65. Doubeni CA, Li W, Fouayzi H, DiFranza JR. Perceived accessibility of cigarettes among youth: a prospective cohort study. Am J Prev Med. 2009 Mar; 36(3):239-42. PMID: 19162433.
      Citations: 13     Fields:    Translation:Humans
    66. Savageau JA, Mowery PD, DiFranza JR. Symptoms of diminished autonomy over cigarettes with non-daily use. Int J Environ Res Public Health. 2009 01; 6(1):25-35. PMID: 19440267.
      Citations: 16     Fields:    Translation:Humans
    67. Ursprung WW, DiFranza SM, Costa AD, DiFranza JR. Might expectations explain early self-reported symptoms of nicotine dependence? Addict Behav. 2009 Feb; 34(2):227-31. PMID: 18986771.
      Citations: 5     Fields:    Translation:Humans
    68. Difranza J. Smoking is not a mental illness. Expert Rev Respir Med. 2008 Aug; 2(4):411-4. PMID: 20477204.
      Citations: 1     Fields:    
    69. Doubeni CA, Li W, Fouayzi H, Difranza JR. Perceived accessibility as a predictor of youth smoking. Ann Fam Med. 2008 Jul-Aug; 6(4):323-30. PMID: 18626032.
      Citations: 21     Fields:    Translation:HumansAnimals
    70. DiFranza JR, Riggs N, Ann Pentz M. Time to re-examine old definitions of nicotine dependence. Nicotine Tob Res. 2008 Jun; 10(6):1109-11. PMID: 18584475.
      Citations: 4     Fields:    Translation:Humans
    71. DiFranza JR, Ursprung WW. The latency to the onset of nicotine withdrawal: a test of the sensitization-homeostasis theory. Addict Behav. 2008 Sep; 33(9):1148-53. PMID: 18547736.
      Citations: 12     Fields:    Translation:Humans
    72. DiFranza JR. Hooked from the first cigarette. Sci Am. 2008 May; 298(5):82-7. PMID: 18444329.
      Citations: 17     Fields:    Translation:Humans
    73. Pbert L, Flint AJ, Fletcher KE, Young MH, Druker S, DiFranza JR. Effect of a pediatric practice-based smoking prevention and cessation intervention for adolescents: a randomized, controlled trial. Pediatrics. 2008 Apr; 121(4):e738-47. PMID: 18381502.
      Citations: 26     Fields:    Translation:HumansPHPublic Health
    74. Difranza JR. Nicotine withdrawal in subthreshold smokers. Addiction. 2008 Mar; 103(3):511-2; author reply 512-3. PMID: 18269372.
      Citations: 2     Fields:    Translation:Humans
    75. DiFranza JR, Richmond JB. Let the children be heard: lessons from studies of the early onset of tobacco addiction. Pediatrics. 2008 Mar; 121(3):623-4. PMID: 18310213.
      Citations: 5     Fields:    Translation:Humans
    76. Wellman R, McMillen R, Difranza J. Assessing college students' autonomy over smoking with the Hooked On Nicotine Checklist. J Am Coll Health. 2008 Mar-Apr; 56(5):549-53. PMID: 18400667.
      Citations: 8     Fields:    Translation:Humans
    77. Li Z, DiFranza JR, Wellman RJ, Kulkarni P, King JA. Imaging brain activation in nicotine-sensitized rats. Brain Res. 2008 Mar 14; 1199:91-9. PMID: 18279841.
      Citations: 11     Fields:    Translation:Animals
    78. Scragg R, Wellman RJ, Laugesen M, DiFranza JR. Diminished autonomy over tobacco can appear with the first cigarettes. Addict Behav. 2008 May; 33(5):689-98. PMID: 18207651.
      Citations: 34     Fields:    Translation:Humans
    79. Difranza JR. Hooked from the first cigarette. J Fam Pract. 2007 Dec; 56(12):1017-22. PMID: 18053441.
      Citations: 7     Fields:    Translation:Humans
    80. DiFranza JR, Savageau JA, Fletcher K, Pbert L, O'Loughlin J, McNeill AD, Ockene JK, Friedman K, Hazelton J, Wood C, Dussault G, Wellman RJ. Susceptibility to nicotine dependence: the Development and Assessment of Nicotine Dependence in Youth 2 study. Pediatrics. 2007 Oct; 120(4):e974-83. PMID: 17908753.
      Citations: 64     Fields:    Translation:Humans
    81. Laugesen M, Scragg R, Wellman RJ, DiFranza JR. R-rated film viewing and adolescent smoking. Prev Med. 2007 Dec; 45(6):454-9. PMID: 17707897.
      Citations: 11     Fields:    Translation:Humans
    82. DiFranza JR, Savageau JA, Fletcher K, O'Loughlin J, Pbert L, Ockene JK, McNeill AD, Hazelton J, Friedman K, Dussault G, Wood C, Wellman RJ. Symptoms of tobacco dependence after brief intermittent use: the Development and Assessment of Nicotine Dependence in Youth-2 study. Arch Pediatr Adolesc Med. 2007 Jul; 161(7):704-10. PMID: 17606835.
      Citations: 136     Fields:    Translation:Humans
    83. Kozlowski LT, Giovino GA, Edwards B, Difranza J, Foulds J, Hurt R, Niaura R, Sachs DP, Selby P, Dollar KM, Bowen D, Cummings KM, Counts M, Fox B, Sweanor D, Ahern F. Advice on using over-the-counter nicotine replacement therapy-patch, gum, or lozenge-to quit smoking. Addict Behav. 2007 Oct; 32(10):2140-50. PMID: 17360126.
      Citations: 14     Fields:    Translation:Humans
    84. DiFranza JR, Wellman RJ. Sensitization to nicotine: how the animal literature might inform future human research. Nicotine Tob Res. 2007 Jan; 9(1):9-20. PMID: 17365732.
      Citations: 27     Fields:    Translation:HumansAnimals
    85. Difranza JR, Wellman RJ. Early dating and smoking initiation: Some thoughts about a common cause. Addiction. 2006 Dec; 101(12):1682-3. PMID: 17156163.
      Citations: 1     Fields:    Translation:Humans
    86. Wellman RJ, Sugarman DB, DiFranza JR, Winickoff JP. The extent to which tobacco marketing and tobacco use in films contribute to children's use of tobacco: a meta-analysis. Arch Pediatr Adolesc Med. 2006 Dec; 160(12):1285-96. PMID: 17146027.
      Citations: 61     Fields:    Translation:Humans
    87. Fernando WW, Wellman RJ, Difranza JR. The relationship between level of cigarette consumption and latency to the onset of retrospectively reported withdrawal symptoms. Psychopharmacology (Berl). 2006 Oct; 188(3):335-42. PMID: 16953390.
      Citations: 10     Fields:    Translation:Humans
    88. Pbert L, Fletcher KE, Flint AJ, Young MH, Druker S, DiFranza J. Smoking prevention and cessation intervention delivery by pediatric providers, as assessed with patient exit interviews. Pediatrics. 2006 Sep; 118(3):e810-24. PMID: 16950969.
      Citations: 11     Fields:    Translation:Humans
    89. Wellman RJ, Savageau JA, Godiwala S, Savageau N, Friedman K, Hazelton J, Difranza JR. A comparison of the Hooked on Nicotine Checklist and the Fagerström Test for Nicotine Dependence in adult smokers. Nicotine Tob Res. 2006 Aug; 8(4):575-80. PMID: 16920655.
      Citations: 25     Fields:    Translation:Humans
    90. DiFranza JR, Wellman RJ, Sargent JD, Weitzman M, Hipple BJ, Winickoff JP. Tobacco promotion and the initiation of tobacco use: assessing the evidence for causality. Pediatrics. 2006 Jun; 117(6):e1237-48. PMID: 16740823.
      Citations: 99     Fields:    Translation:Humans
    91. DiFranza JR. Best practices for enforcing state laws prohibiting the sale of tobacco to minors. J Public Health Manag Pract. 2005 Nov-Dec; 11(6):559-65. PMID: 16224293.
      Citations: 11     Fields:    Translation:HumansAnimals
    92. Karp I, O'Loughlin J, Paradis G, Hanley J, Difranza J. Smoking trajectories of adolescent novice smokers in a longitudinal study of tobacco use. Ann Epidemiol. 2005 Jul; 15(6):445-52. PMID: 15967392.
      Citations: 47     Fields:    Translation:HumansAnimals
    93. Wellman RJ, DiFranza JR, Pbert L, Fletcher KE, Flint A, Young MH, Druker S. A comparison of the psychometric properties of the hooked on nicotine checklist and the modified Fagerström tolerance questionnaire. Addict Behav. 2006 Mar; 31(3):486-95. PMID: 15993004.
      Citations: 19     Fields:    Translation:Humans
    94. Wellman RJ, DiFranza JR, Savageau JA, Godiwala S, Savageau N, Friedman K, Hazelton J. The effect of abstinence on cigarette consumption upon the resumption of smoking. Addict Behav. 2006 Apr; 31(4):711-6. PMID: 15982825.
      Citations: 1     Fields:    Translation:Humans
    95. Wellman RJ, DiFranza JR, Wood C. Tobacco chippers report diminished autonomy over smoking. Addict Behav. 2006 Apr; 31(4):717-21. PMID: 15979812.
      Citations: 12     Fields:    Translation:Humans
    96. DiFranza JR, Dussault GF. The federal initiative to halt the sale of tobacco to children--the Synar Amendment, 1992-2000: lessons learned. Tob Control. 2005 Apr; 14(2):93-8. PMID: 15791018.
      Citations: 19     Fields:    Translation:HumansPHPublic Health
    97. DiFranza JR, Wellman RJ. A sensitization-homeostasis model of nicotine craving, withdrawal, and tolerance: integrating the clinical and basic science literature. Nicotine Tob Res. 2005 Feb; 7(1):9-26. PMID: 15804674.
      Citations: 70     Fields:    Translation:Humans
    98. Wellman RJ, DiFranza JR, Savageau JA, Godiwala S, Friedman K, Hazelton J. Measuring adults' loss of autonomy over nicotine use: the Hooked on Nicotine Checklist. Nicotine Tob Res. 2005 Feb; 7(1):157-61. PMID: 15804688.
      Citations: 47     Fields:    Translation:Humans
    99. Wheeler KC, Fletcher KE, Wellman RJ, Difranza JR. Screening adolescents for nicotine dependence: the Hooked On Nicotine Checklist. J Adolesc Health. 2004 Sep; 35(3):225-30. PMID: 15313504.
      Citations: 31     Fields:    Translation:Humans
    100. Wellman RJ, DiFranza JR, Savageau JA, Dussault GF. Short term patterns of early smoking acquisition. Tob Control. 2004 Sep; 13(3):251-7. PMID: 15333880.
      Citations: 29     Fields:    Translation:Humans
    101. DiFranza JR, Savageau JA, Rigotti NA, Ockene JK, McNeill AD, Coleman M, Wood C. Trait anxiety and nicotine dependence in adolescents: a report from the DANDY study. Addict Behav. 2004 Jul; 29(5):911-9. PMID: 15219335.
      Citations: 16     Fields:    Translation:Humans
    102. DiFranza JR, Aligne CA, Weitzman M. Prenatal and postnatal environmental tobacco smoke exposure and children's health. Pediatrics. 2004 Apr; 113(4 Suppl):1007-15. PMID: 15060193.
      Citations: 246     Fields:    Translation:HumansAnimalsPHPublic Health
    103. DiFranza JR, Savageau JA, Fletcher K, Ockene JK, Rigotti NA, McNeill AD, Coleman M, Wood C. Recollections and repercussions of the first inhaled cigarette. Addict Behav. 2004 Feb; 29(2):261-72. PMID: 14732415.
      Citations: 68     Fields:    Translation:Humans
    104. DiFranza JR, Wellman RJ. Preventing cancer by controlling youth tobacco use. Semin Oncol Nurs. 2003 Nov; 19(4):261-7. PMID: 14702860.
      Citations: 3     Fields:    Translation:Humans
    105. O'Loughlin J, DiFranza J, Tyndale RF, Meshefedjian G, McMillan-Davey E, Clarke PB, Hanley J, Paradis G. Nicotine-dependence symptoms are associated with smoking frequency in adolescents. Am J Prev Med. 2003 Oct; 25(3):219-25. PMID: 14507528.
      Citations: 98     Fields:    Translation:Humans
    106. Wellman RJ, DiFranza JR. Seasonality in onset of youth smoking parallels seasonality in cigarette sales. Tob Control. 2003 Sep; 12(3):339. PMID: 12958399.
      Citations: 4     Fields:    Translation:Humans
    107. Soteriades ES, DiFranza JR. Parent's socioeconomic status, adolescents' disposable income, and adolescents' smoking status in Massachusetts. Am J Public Health. 2003 Jul; 93(7):1155-60. PMID: 12835202.
      Citations: 51     Fields:    Translation:Humans
    108. Pbert L, Moolchan ET, Muramoto M, Winickoff JP, Curry S, Lando H, Ossip-Klein D, Prokhorov AV, DiFranza J, Klein JD. The state of office-based interventions for youth tobacco use. Pediatrics. 2003 Jun; 111(6 Pt 1):e650-60. PMID: 12777581.
      Citations: 11     Fields:    Translation:Humans
    109. DiFranza JR. Adolescents' acquisition of cigarettes through noncommercial sources. J Adolesc Health. 2003 May; 32(5):331-2; author reply 332. PMID: 12729980.
      Citations: 3     Fields:    Translation:HumansAnimals
    110. Soteriades ES, DiFranza JR, Savageau JA, Nicolaou M. Symptoms of nicotine dependence and other predictors of student smoking at school: implications for school smoking policy. J Sch Health. 2003 Apr; 73(4):154-8. PMID: 12728614.
      Citations: 3     Fields:    Translation:Humans
    111. Sargent JD, DiFranza JR. Tobacco control for clinicians who treat adolescents. CA Cancer J Clin. 2003 Mar-Apr; 53(2):102-23. PMID: 12691267.
      Citations: 8     Fields:    Translation:Humans
    112. DiFranza JR. A gadget can't fix what's wrong with the tobacco distribution system. J Public Health Policy. 2003; 24(3-4):269-73. PMID: 15015860.
      Citations:    Fields:    Translation:HumansAnimalsPHPublic Health
    113. DiFranza JR. Is it time to abandon youth access programmes? Tob Control. 2002 Sep; 11(3):282; author reply 283-4. PMID: 12198288.
      Citations: 5     Fields:    Translation:Humans
    114. DiFranza JR, Savageau JA, Rigotti NA, Fletcher K, Ockene JK, McNeill AD, Coleman M, Wood C. Development of symptoms of tobacco dependence in youths: 30 month follow up data from the DANDY study. Tob Control. 2002 Sep; 11(3):228-35. PMID: 12198274.
      Citations: 129     Fields:    Translation:Humans
    115. DiFranza JR. Implications of the autonomy theory of nicotine dependence. MedGenMed. 2002 Aug 28; 4(3):8. PMID: 12466751.
      Citations: 4     Fields:    Translation:Humans
    116. O'Loughlin J, Tarasuk J, Difranza J, Paradis G. Reliability of selected measures of nicotine dependence among adolescents. Ann Epidemiol. 2002 Jul; 12(5):353-62. PMID: 12062924.
      Citations: 22     Fields:    Translation:Humans
    117. Difranza JR, Clark DM, Pollay RW. Cigarette package design: opportunities for disease prevention. Tob Induc Dis. 2002 Jun 15; 1(2):97-109. PMID: 19570250.
    118. O'Loughlin J, Kishchuk N, DiFranza J, Tremblay M, Paradis G. The hardest thing is the habit: a qualitative investigation of adolescent smokers' experience of nicotine dependence. Nicotine Tob Res. 2002 May; 4(2):201-9. PMID: 12028853.
      Citations: 28     Fields:    Translation:Humans
    119. DiFranza JR, Savageau JA, Fletcher K, Ockene JK, Rigotti NA, McNeill AD, Coleman M, Wood C. Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study. Arch Pediatr Adolesc Med. 2002 Apr; 156(4):397-403. PMID: 11929376.
      Citations: 125     Fields:    Translation:Humans
    120. DiFranza JR, Coleman M. Sources of tobacco for youths in communities with strong enforcement of youth access laws. Tob Control. 2001 Dec; 10(4):323-8. PMID: 11740022.
      Citations: 51     Fields:    Translation:Humans
    121. DiFranza JR, Savageau JA, Bouchard J. Is the standard compliance check protocol a valid measure of the accessibility of tobacco to underage smokers? Tob Control. 2001 Sep; 10(3):227-32. PMID: 11544386.
      Citations: 15     Fields:    Translation:Humans
    122. DiFranza JR, Celebucki CC, Mowery PD. Measuring statewide merchant compliance with tobacco minimum age laws: the Massachusetts experience. Am J Public Health. 2001 Jul; 91(7):1124-5. PMID: 11441743.
      Citations: 16     Fields:    Translation:HumansAnimals
    123. DiFranza JR. State and federal compliance with the Synar Amendment: federal fiscal year 1998. Arch Pediatr Adolesc Med. 2001 May; 155(5):572-8. PMID: 11343500.
      Citations: 6     Fields:    Translation:HumansAnimals
    124. DiFranza JR, Peck RM, Radecki TE, Savageau JA. What is the potential cost-effectiveness of enforcing a prohibition on the sale of tobacco to minors? Prev Med. 2001 Feb; 32(2):168-74. PMID: 11162343.
      Citations: 11     Fields:    Translation:Humans
    125. DiFranza JR, Rigotti NA, McNeill AD, Ockene JK, Savageau JA, St Cyr D, Coleman M. Initial symptoms of nicotine dependence in adolescents. Tob Control. 2000 Sep; 9(3):313-9. PMID: 10982576.
      Citations: 163     Fields:    Translation:HumansAnimals
    126. DiFranza JR. State and federal compliance with the Synar amendment: federal fiscal year 1997. Arch Pediatr Adolesc Med. 2000 Sep; 154(9):936-42. PMID: 10980799.
      Citations: 4     Fields:    Translation:Humans
    127. Difranza JR. Youth access: the baby and the bath water. Tob Control. 2000 Jun; 9(2):120-1. PMID: 10841839.
      Citations: 5     Fields:    Translation:Humans
    128. Laugesen M, Scollo M, Sweanor D, Shiffman S, Gitchell J, Barnsley K, Jacobs M, Giovino GA, Glantz SA, Daynard RA, Connolly GN, Difranza JR. World's best practice in tobacco control. Tob Control. 2000 Jun; 9(2):228-36. PMID: 10841861.
      Citations: 7     Fields:    Translation:HumansPHPublic Health
    129. DiFranza JR, Coleman M, St Cyr D. A comparison of the advertising and accessibility of cigars, cigarettes, chewing tobacco, and loose tobacco. Prev Med. 1999 Nov; 29(5):321-6. PMID: 10564622.
      Citations: 7     Fields:    Translation:HumansAnimals
    130. DiFranza JR. Are the federal and state governments complying with the Synar Amendment? Arch Pediatr Adolesc Med. 1999 Oct; 153(10):1089-97. PMID: 10520619.
      Citations: 7     Fields:    Translation:Humans
    131. DiFranza JR, Librett JJ. State and federal revenues from tobacco consumed by minors. Am J Public Health. 1999 Jul; 89(7):1106-8. PMID: 10394327.
      Citations: 5     Fields:    Translation:HumansAnimals
    132. DiFranza JR, Rigotti NA. Impediments to the enforcement of youth access laws. Tob Control. 1999; 8(2):152-5. PMID: 10478398.
      Citations: 6     Fields:    Translation:Humans
    133. DiFranza JR, Celebucki CC, Seo HG. A model for the efficient and effective enforcement of tobacco sales laws. Am J Public Health. 1998 Jul; 88(7):1100-1. PMID: 9663163.
      Citations: 6     Fields:    Translation:HumansAnimals
    134. Rigotti NA, DiFranza JR, Chang Y, Tisdale T, Kemp B, Singer DE. The effect of enforcing tobacco-sales laws on adolescents' access to tobacco and smoking behavior. N Engl J Med. 1997 Oct 09; 337(15):1044-51. PMID: 9321533.
      Citations: 62     Fields:    Translation:HumansCTClinical Trials
    135. DiFranza JR, Lew RA. Morbidity and mortality in children associated with the use of tobacco products by other people. Pediatrics. 1996 Apr; 97(4):560-8. PMID: 8632946.
      Citations: 52     Fields:    Translation:HumansPHPublic Health
    136. DiFranza JR, Savageau JA, Aisquith BF. Youth access to tobacco: the effects of age, gender, vending machine locks, and "it's the law" programs. Am J Public Health. 1996 Feb; 86(2):221-4. PMID: 8633739.
      Citations: 34     Fields:    Translation:HumansAnimals
    137. DiFranza JR, Godshall WT. Tobacco industry efforts hindering enforcement of the ban on tobacco sales to minors: actions speak louder than words. Tob Control. 1996; 5(2):127-31. PMID: 8910994.
      Citations: 5     Fields:    Translation:Humans
    138. Tye J, Altman DG, DiFranza JR. Marketing adolescent tobacco addiction. Md Med J. 1995 Oct; 44(10):767-73. PMID: 7475998.
      Citations:    Fields:    Translation:Humans
    139. DiFranza JR, Lew RA. Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome. J Fam Pract. 1995 Apr; 40(4):385-94. PMID: 7699353.
      Citations: 92     Fields:    Translation:Humans
    140. DiFranza JR, Brown LJ. The Tobacco Institute's "It's the Law" campaign: has it halted illegal sales of tobacco to children? Am J Public Health. 1992 Sep; 82(9):1271-3. PMID: 1503171.
      Citations: 18     Fields:    Translation:HumansPHPublic Health
    141. DiFranza JR. Preventing teenage tobacco addiction. J Fam Pract. 1992 Jun; 34(6):753-6. PMID: 1593250.
      Citations:    Fields:    Translation:Humans
    142. DiFranza JR, McAfee T. The Tobacco Institute: helping youth say "yes" to tobacco. J Fam Pract. 1992 Jun; 34(6):694-6. PMID: 1593241.
      Citations: 10     Fields:    Translation:HumansAnimals
    143. Brown LJ, DiFranza JR. Pharmacy promotion of tobacco use among children in Massachusetts. Am Pharm. 1992 May; NS32(5):45-8. PMID: 1590207.
      Citations: 3     Fields:    Translation:Humans
    144. DiFranza JR, Richards JW, Paulman PM, Wolf-Gillespie N, Fletcher C, Jaffe RD, Murray D. RJR Nabisco's cartoon camel promotes camel cigarettes to children. JAMA. 1991 Dec 11; 266(22):3149-53. PMID: 1956102.
      Citations: 60     Fields:    Translation:Humans
    145. DiFranza JR, Tye JB. Who profits from tobacco sales to children? JAMA. 1990 May 23-30; 263(20):2784-7. PMID: 2332922.
      Citations: 14     Fields:    Translation:HumansAnimals
    146. DiFranza JR, Guerrera MP. Alcoholism and smoking. J Stud Alcohol. 1990 Mar; 51(2):130-5. PMID: 2308350.
      Citations: 114     Fields:    Translation:Humans
    147. DiFranza JR. School tobacco policy: a medical perspective. J Sch Health. 1989 Nov; 59(9):398-400. PMID: 2607754.
      Citations:    Fields:    Translation:Humans
    148. DiFranza JR, Moser BE, Ockene JK. Smoking cessation counseling by family physicians. J Fam Pract. 1988 Apr; 26(4):377, 380-5. PMID: 3356972.
      Citations: 1     Fields:    Translation:Humans
    149. DiFranza JR, Norwood BD, Garner DW, Tye JB. Legislative efforts to protect children from tobacco. JAMA. 1987 Jun 26; 257(24):3387-9. PMID: 3586269.
      Citations: 19     Fields:    Translation:HumansAnimals
    150. DiFranza JR, Winters TH, Goldberg RJ, Cirillo L, Biliouris T. The relationship of smoking to motor vehicle accidents and traffic violations. N Y State J Med. 1986 Sep; 86(9):464-7. PMID: 3490643.
      Citations: 15     Fields:    Translation:Humans
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