Our top issues

In our fight to end youth and young adult nicotine addiction, we focus on the issues that matter most. We constantly monitor the latest topics and trends in commercial tobacco and substance use.

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Who we are

At Truth Initiative, we are committed to a future free from lifelong addiction, fostering healthier lives and a more resilient nation. We are the nation’s largest nonprofit public health organization dedicated to preventing youth and young adult nicotine addiction and empowering quitting for all.

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Research & resources

Get the latest facts and analyses on the most important issues related to smoking, vaping, nicotine and substance use.

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What we do

By driving behavior and policy change, we prevent addiction, increase quitting, reduce nicotine dependence, and expand cessation support and access. All backed by rigorous research and evaluation.

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Get involved

Join us in preventing youth and young adult nicotine addiction and empowering quitting for all. Learn about how you can help create a future free from nicotine addiction through activism, scholarships, studies, and more. Let’s work together.

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  1. Youth Activists on the National Mall
    Annual Report Report

    2022 Annual Report

    We are pleased to share the significant progress we made in 2022, detailed in this report: Ending Big Tobacco's Influence

  2. Young adults sitting on a bench laughing
    Annual Report Report

    2024 Annual Report

    We are pleased to share the significant progress we made in 2024, detailed in this report: Building a tobacco-free future where anyone can quit

  3. Annual Report Report

    2023 Annual Report

    We are pleased to share the significant progress we made in 2023, detailed in this report: Building a tobacco-free future where anyone can quit

  4. Annual Report Report

    2021 Annual Report

    We are pleased to share the significant progress we made in 2021, detailed in this report: Creating a future free from smoking, vaping, and nicotine.

  5. Young, african-american woman standing proudly in front of an urban mural.
    Annual Report Report

    2020 Annual Report

    We are pleased to share the significant progress we made in 2020, detailed in this report: Creating a future free from smoking, vaping, and nicotine.

  6. Speaker at National Day of Action Rally
    Annual Report Report

    2019 Annual Report

    We are pleased to share the significant progress we made in 2019, detailed in this report: Inspiring a new generation with the truth about smoking, vaping an

  7. Annual Report Report

    2018 Annual Report

    Truth Initiative had a remarkable year in 2018, filled with big wins and new challenges. Millions of lives saved and a new generation to protect.

  8. 2016 Annual Report cover
    Annual Report Report

    2016 Annual Report

    2016 was a year driven by creative inspiration, exciting innovation and measurable impact as we significantly advanced our mission to achieve a culture where

  9. 2014 Annual Report cover
    Annual Report Report

    2014 Annual Report

    Change. Progress. Inspiration.

  10. 2015 Annual Report cover
    Annual Report Report

    2015 Annual Report

    2015 was a transformative year for Truth Initiative, complete with a new name, a new home, a new brand look and a new themeline tying together our work under

  11. 2013 Annual Report cover
    Annual Report Report

    2013 Annual Report

    Refocused & Rededicated.

  12. TV Static
    News Article News Article Research & Resources

    Pervasive tobacco imagery on screen endangers youth and demands action

    Truth Initiative is calling for a comprehensive set of policies to curb tobacco depictions on screens.

    Mar. 23, 2022
    Tobacco in pop culture
    Movies TV