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Surprisingly, the implementation of increased rules and regulation has done little to slow the efforts of tobacco advertisements, as since 1981, as cigarette consumption in the United States have declined, tobacco industry expenditure on advertising and promotion have grown 10 times greater.[4] Even though the general public understands the health effects of cigarettes, these companies push even harder to lure in potential customers, and maintain current sales levels

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In an accompanying comment, Matthew Steliga and Carolyn Drewsler observe that although in most places more men than women are smokers, more men than women quit smoking and "in some societies the number of female smokers is rising." Further, they note, "the tobacco industry views women as its growth market." They conclude that "targeting of both sexes is imperative for smoking prevention and cessation on a global, national, and individual basis." Here is the press release from the Lancet: The increased risk of developing coronary heart disease conferred by smoking is 25% higher for women compared with men An Article published Online First by The Lancet shows that the increased risk of developing coronary heart disease conferred by smoking is 25% higher for women compared with men

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