A survey of over 1,700 Hong Kong adolescents indicates that their smoking-related behaviors are related to their exposure to cigarette advertising, promotional products, and movies. American media and tobacco firms dominate these industries, resulting in strong preferences for American cigarette brands, particularly Marlboro. As a correlational study, this research does not, of itself, address the issue of causality. However, these findings do add one more dimension to a growing body of literature that cumulatively suggests a causal relationship between exposure to tobacco advertising and promotion and youth smoking.The author wishes to thank Dr. Judith Mackay, director of the Asian Consultancy on Tobacco Control, Hong Kong, and executives of the Hong Kong Council on Smoking and Health (HKCOSH) for their help in this project.