Smoking in youth-rated movies has not declined despite a pledge two years ago by Hollywood studios to encourage producers to show less “gratuitous smoking,” according to an anti-smoking group. The American Medical Association Alliance, pointing to research that big-screen smoking leads teens to pick up the tobacco habit, called for an R-rating for any movie with smoking scenes.

The head of the group that gives U.S. movies their ratings, however, said the smoke has been clearing from youth-rated movies, a result of the film industry’s sensitivity to the issue.

The alliance, the medical association’s advocacy arm, launched a summer campaign this week aimed at publicly shaming studios into making smoke-free films.

“Research has shown that one-third to one-half of all young smokers in the United States can be attributed to smoking these youth see in movies,” said Dr. Jonathan Fielding, head of the Los Angeles County Public Health Department.

Fielding cited another study that he said “found that adolescents whose favorite movie stars smoked on screen are significantly more likely to be smokers themselves and to have a more accepting attitude toward smoking.”

Overall, 55 percent of the movies rated in the past two years showed some smoking, but 75 percent of those with smoking scenes were given R ratings. Twenty-one percent were rated PG-13 and the remaining 5 percent were PG.

The alliance will keep an online scorecard throughout the summer to count “how many tobacco impressions each studio delivers to G, PG and PG-13 audiences.”

Motion Picture Association of America spokeswoman Angela Martinez said the group “is very sensitive to the concerns of parents about the purpose of the rating systems.”

“It’s reflective of society,” Martinez said. “It’s really a tool for parents to help determine what their kids see.”

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