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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

One or more keywords matched the following items that are connected to DiFranza, Joseph
Item TypeName
Academic Article Tobacco industry efforts hindering enforcement of the ban on tobacco sales to minors: actions speak louder than words.
Academic Article Morbidity and mortality in children associated with the use of tobacco products by other people.
Academic Article Youth access to tobacco: the effects of age, gender, vending machine locks, and "it's the law" programs.
Academic Article A model for the efficient and effective enforcement of tobacco sales laws.
Academic Article The Tobacco Institute's "It's the Law" campaign: has it halted illegal sales of tobacco to children?
Academic Article A comparison of the advertising and accessibility of cigars, cigarettes, chewing tobacco, and loose tobacco.
Academic Article State and federal compliance with the Synar amendment: federal fiscal year 1997.
Academic Article Pharmacy promotion of tobacco use among children in Massachusetts.
Academic Article Preventing teenage tobacco addiction.
Academic Article State and federal compliance with the Synar Amendment: federal fiscal year 1998.
Academic Article Is the standard compliance check protocol a valid measure of the accessibility of tobacco to underage smokers?
Academic Article The effect of enforcing tobacco-sales laws on adolescents' access to tobacco and smoking behavior.
Academic Article Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study.
Academic Article The hardest thing is the habit: a qualitative investigation of adolescent smokers' experience of nicotine dependence.
Academic Article Reliability of selected measures of nicotine dependence among adolescents.
Academic Article Tobacco control for clinicians who treat adolescents.
Academic Article Nicotine-dependence symptoms are associated with smoking frequency in adolescents.
Academic Article Preventing cancer by controlling youth tobacco use.
Academic Article Recollections and repercussions of the first inhaled cigarette.
Academic Article A gadget can't fix what's wrong with the tobacco distribution system.
Academic Article Prenatal and postnatal environmental tobacco smoke exposure and children's health.
Academic Article Trait anxiety and nicotine dependence in adolescents: a report from the DANDY study.
Academic Article State and federal revenues from tobacco consumed by minors.
Academic Article Impediments to the enforcement of youth access laws.
Academic Article Are the federal and state governments complying with the Synar Amendment?
Academic Article The federal initiative to halt the sale of tobacco to children--the Synar Amendment, 1992-2000: lessons learned.
Academic Article Measuring adults' loss of autonomy over nicotine use: the Hooked on Nicotine Checklist.
Academic Article Smoking trajectories of adolescent novice smokers in a longitudinal study of tobacco use.
Academic Article Tobacco chippers report diminished autonomy over smoking.
Academic Article The effect of abstinence on cigarette consumption upon the resumption of smoking.
Academic Article World's best practice in tobacco control.
Academic Article Initial symptoms of nicotine dependence in adolescents.
Academic Article The Tobacco Institute: helping youth say "yes" to tobacco.
Academic Article What is the potential cost-effectiveness of enforcing a prohibition on the sale of tobacco to minors?
Academic Article The extent to which tobacco marketing and tobacco use in films contribute to children's use of tobacco: a meta-analysis.
Academic Article Symptoms of tobacco dependence after brief intermittent use: the Development and Assessment of Nicotine Dependence in Youth-2 study.
Academic Article Diminished autonomy over tobacco can appear with the first cigarettes.
Academic Article Alcoholism and smoking.
Academic Article Assessing college students' autonomy over smoking with the Hooked On Nicotine Checklist.
Academic Article Measuring statewide merchant compliance with tobacco minimum age laws: the Massachusetts experience.
Academic Article Who profits from tobacco sales to children?
Academic Article Perceived accessibility of cigarettes among youth: a prospective cohort study.
Academic Article Restricting the retail supply of tobacco to minors.
Academic Article Enforcement of underage sales laws as a predictor of daily smoking among adolescents: a national study.
Academic Article New insights into the compulsion to use tobacco from an adolescent case-series.
Academic Article Tobacco dependence in light smokers.
Academic Article The loss of autonomy over smoking in relation to lifetime cigarette consumption.
Academic Article Sources of tobacco for youths in communities with strong enforcement of youth access laws.
Academic Article The Autonomy Over Smoking Scale.
Academic Article A systematic review of the Diagnostic and Statistical Manual diagnostic criteria for nicotine dependence.
Academic Article Early course of nicotine dependence in adolescent smokers.
Academic Article Development of a measure of the latency to needing a cigarette.
Academic Article The assessment of tobacco dependence in young users of smokeless tobacco.
Academic Article Does progression through the stages of physical addiction indicate increasing overall addiction to tobacco?
Academic Article An evaluation of a clinical approach to staging tobacco addiction.
Academic Article Research opportunities concerning youth and the Family Smoking Prevention and Tobacco Control Act.
Academic Article Development of symptoms of tobacco dependence in youths: 30 month follow up data from the DANDY study.
Academic Article Health effects of the Federal Bureau of Prisons tobacco ban.
Academic Article Implications of the autonomy theory of nicotine dependence.
Academic Article Adolescents' acquisition of cigarettes through noncommercial sources.
Academic Article Legislative efforts to protect children from tobacco.
Academic Article The state of office-based interventions for youth tobacco use.
Academic Article Seasonality in onset of youth smoking parallels seasonality in cigarette sales.
Academic Article Marketing adolescent tobacco addiction.
Academic Article Screening adolescents for nicotine dependence: the Hooked On Nicotine Checklist.
Academic Article Short term patterns of early smoking acquisition.
Academic Article A sensitization-homeostasis model of nicotine craving, withdrawal, and tolerance: integrating the clinical and basic science literature.
Academic Article Best practices for enforcing state laws prohibiting the sale of tobacco to minors.
Academic Article Tobacco promotion and the initiation of tobacco use: assessing the evidence for causality.
Academic Article A comparison of the Hooked on Nicotine Checklist and the Fagerstr?m Test for Nicotine Dependence in adult smokers.
Academic Article The relationship between level of cigarette consumption and latency to the onset of retrospectively reported withdrawal symptoms.
Academic Article Early dating and smoking initiation: Some thoughts about a common cause.
Academic Article Let the children be heard: lessons from studies of the early onset of tobacco addiction.
Academic Article Hooked from the first cigarette.
Academic Article Time to re-examine old definitions of nicotine dependence.
Academic Article Perceived accessibility as a predictor of youth smoking.
Academic Article Might expectations explain early self-reported symptoms of nicotine dependence?
Academic Article Symptoms of diminished autonomy over cigarettes with non-daily use.
Academic Article A new approach to the diagnosis of tobacco addiction.
Academic Article A systematic review of the International Classification of Diseases criteria for the diagnosis of tobacco dependence.
Academic Article School tobacco policy: a medical perspective.
Academic Article Thwarting science by protecting the received wisdom on tobacco addiction from the scientific method.
Academic Article Commentary on Fidler & West (2010): Curtailing tobacco sales to minors.
Academic Article Children's loss of autonomy over smoking: the Global Youth Tobacco Survey.
Academic Article Which interventions against the sale of tobacco to minors can be expected to reduce smoking?
Academic Article The developmental sequence of tobacco withdrawal symptoms of wanting, craving and needing.
Academic Article A comparison of the autonomy over tobacco scale and the Fagerstr?m test for nicotine dependence.
Academic Article Systematic literature review assessing tobacco smoke exposure as a risk factor for serious respiratory syncytial virus disease among infants and young children.
Academic Article Responses to environmental smoking in never-smoking children: can symptoms of nicotine addiction develop in response to environmental tobacco smoke exposure?
Academic Article Progressive levels of physical dependence to tobacco coincide with changes in the anterior cingulum bundle microstructure.
Concept Tobacco Industry
Concept Tobacco Use Cessation
Concept Tobacco, Smokeless
Concept Tobacco
Concept Tobacco Smoke Pollution
Concept Tobacco Use Disorder
Academic Article Ethnicity and socioeconomic status as risk factors for rapid onset of tobacco addiction.
Academic Article The development and expression of physical nicotine dependence corresponds to structural and functional alterations in the anterior cingulate-precuneus pathway.
Academic Article Commentary on Hu et?al. (2014): the validity of the DSM is not a 'given'.
Academic Article Recalled first reactions to inhaling nicotine predict the level of physical dependence.
Academic Article Retail impact of raising tobacco sales age to 21 years.
Academic Article Item Response Theory analysis of the Autonomy over Tobacco Scale (AUTOS).
Academic Article Confirmatory factor analysis of the Autonomy over Tobacco Scale (AUTOS) in adults.
Academic Article Parental smoke exposure and the development of nicotine craving in adolescent novice smokers: the roles of DRD2, DRD4, and OPRM1 genotypes.
Academic Article A 2015 Update on The Natural History and Diagnosis of Nicotine Addiction.
Academic Article Cohort Profile: The Nicotine Dependence in Teens (NDIT) Study.
Academic Article Tobacco Use Disorder: A Family Disease.
Academic Article Levels of physical dependence on tobacco among adolescent smokers in Cyprus.
Academic Article Stages of physical dependence in New Zealand smokers: Prevalence and correlates.
Academic Article Correlates of nicotine dependence among adolescent waterpipe smokers.
Academic Article Early symptoms of nicotine dependence among adolescent waterpipe smokers.
Academic Article Can tobacco dependence provide insights into other drug addictions?
Academic Article Smoking Cessation in Adolescents: targeted approaches that work.
Academic Article Waterpipe smoking patterns and symptoms of nicotine dependence: The Waterpipe Dependence in Lebanese Youth Study.
Academic Article Assessment of the US Federal Retailer Violation Rate as an Estimate of the Proportion of Retailers That Illegally Sell Tobacco to Adolescents.
Academic Article Determinants of progression of nicotine dependence symptoms in adolescent waterpipe smokers.
Academic Article Neural Remodeling Begins With the First Cigarette.
Academic Article Asking for Identification and Retail Tobacco Sales to Minors.
Academic Article Natural Course of Nicotine Dependence Among Adolescent Waterpipe and Cigarette Smokers.
Academic Article Predictors of nicotine dependence among adolescent waterpipe and cigarette smokers: A 6-year longitudinal analysis.
Concept Tobacco, Waterpipe
Concept Tobacco Products
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  • Tobacco