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The survey has been conducted annually in the state since 1985, and knowledge gained from it is used to inform and guide the New York State Tobacco Control Program's (TCP) efforts to "reduce morbidity and mortality and alleviate the social and economic burden caused by tobacco use in New York State." The goals of the program are to (1) prevent the initiation of tobacco use among youth and young adults, (2) promote cessation from tobacco use, (3) eliminate exposure to second-hand smoke, (4) decrease the social acceptability of tobacco use, (5) build and maintain an effective tobacco control infrastructure, and (6) contribute to the science of tobacco control