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dc.contributor.authorDiFranza, Joseph R.
dc.contributor.authorSavageau, Judith A.
dc.contributor.authorFletcher, Kenneth E.
dc.date2022-08-11T08:08:34.000
dc.date.accessioned2022-08-23T15:59:59Z
dc.date.available2022-08-23T15:59:59Z
dc.date.issued2009-04-21
dc.date.submitted2009-06-23
dc.identifier.citationBMC Public Health. 2009 Apr 17;9:107. <a href="http://dx.doi.org/10.1186/1471-2458-9-107">Link to article on publisher's site</a>
dc.identifier.issn1471-2458 (Electronic)
dc.identifier.doi10.1186/1471-2458-9-107
dc.identifier.pmid19374735
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30795
dc.description.abstractBACKGROUND: With a goal to reduce youth smoking rates, the U.S. federal government mandated that states enforce laws prohibiting underage tobacco sales. Our objective was to determine if state compliance with tobacco sales laws is associated with a decreased risk of current daily smoking among adolescents. METHODS: Data on tobacco use were obtained from a nationally representative sample of 16,244 adolescents from the 2003 Monitoring the Future survey. The association between merchant compliance with the law from 1997-2003 and current daily smoking was examined using logistic regression while controlling for cigarette prices, state restaurant smoking policies, anti-tobacco media, and demographic variables. RESULTS: Higher average state merchant compliance from 1997-2003 predicted lower levels of current daily smoking among adolescents when controlled for all other factors. The odds ratio for daily smoking was reduced by 2% for each 1% increase in merchant compliance. After controlling for price changes, media campaigns and smoking restrictions, a 20.8% reduction in the odds of smoking among 10th graders in 2003 was attributed to the observed improvement in merchant compliance between 1997 and 2003. A 47% reduction in the odds of daily smoking could be attributed to price increases over this period. CONCLUSION: Federally mandated enforcement efforts by states to prevent the sale of tobacco to minors appear to have made an important contribution to the observed decline in smoking among youth in the U.S. Given similar results from long-term enforcement efforts in Australia, other countries should be encouraged to adopt the World Health Organization Framework on Tobacco Control strategies to reduce the sale of tobacco to minors.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=19374735&dopt=Abstract">Link to Article in PubMed</a>
dc.subjectSmoking
dc.subjectAdolescent
dc.subjectAdolescent Behavior
dc.subjectTobacco
dc.subjectTobacco Industry
dc.subjectCommerce
dc.subjectLaw Enforcement
dc.subjectCommunity Health
dc.subjectOther Medical Specialties
dc.subjectPreventive Medicine
dc.titleEnforcement of underage sales laws as a predictor of daily smoking among adolescents: a national study
dc.typeArticle
dc.source.journaltitleBMC public health
dc.source.volume9
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1123&amp;context=fmch_articles&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/fmch_articles/124
dc.identifier.contextkey879304
refterms.dateFOA2022-08-23T15:59:59Z
html.description.abstract<p>BACKGROUND: With a goal to reduce youth smoking rates, the U.S. federal government mandated that states enforce laws prohibiting underage tobacco sales. Our objective was to determine if state compliance with tobacco sales laws is associated with a decreased risk of current daily smoking among adolescents.</p> <p>METHODS: Data on tobacco use were obtained from a nationally representative sample of 16,244 adolescents from the 2003 Monitoring the Future survey. The association between merchant compliance with the law from 1997-2003 and current daily smoking was examined using logistic regression while controlling for cigarette prices, state restaurant smoking policies, anti-tobacco media, and demographic variables.</p> <p>RESULTS: Higher average state merchant compliance from 1997-2003 predicted lower levels of current daily smoking among adolescents when controlled for all other factors. The odds ratio for daily smoking was reduced by 2% for each 1% increase in merchant compliance. After controlling for price changes, media campaigns and smoking restrictions, a 20.8% reduction in the odds of smoking among 10th graders in 2003 was attributed to the observed improvement in merchant compliance between 1997 and 2003. A 47% reduction in the odds of daily smoking could be attributed to price increases over this period.</p> <p>CONCLUSION: Federally mandated enforcement efforts by states to prevent the sale of tobacco to minors appear to have made an important contribution to the observed decline in smoking among youth in the U.S. Given similar results from long-term enforcement efforts in Australia, other countries should be encouraged to adopt the World Health Organization Framework on Tobacco Control strategies to reduce the sale of tobacco to minors.</p>
dc.identifier.submissionpathfmch_articles/124
dc.contributor.departmentDepartment of Psychiatry
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.source.pages107


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