Effect of local youth-access regulations on progression to established smoking among youths in Massachusetts.
Effect of local youth-access regulations on progression to established smoking among youths in Massachusetts.
复制标题
当地青少年准入法规对马萨诸塞州青少年吸烟进展的影响。
DOI:
10.1136/tc.2006.018002
复制
发表时间:
2007
期刊:
影响因子:
5.2
通讯作者:
Rigotti,NancyA
中科院分区:
文献类型:
--
作者:
Thomson,CareyConley;Hamilton,WilliamL;Siegel,MichaelB;Biener,Lois;Rigotti,NancyA
Objective:To test whether community-level restrictions on youth access to tobacco (including both ordinances and enforcement) are associated with less smoking initiation or less progression to established smoking among adolescents.Design:Prospective cohort study of a random sample of adolescents in Massachusetts whose smoking status was assessed by telephone interviews at baseline and 2-year follow-up, and linked to a state-wide database of town-level youth-access ordinances and enforcement practices.Participants:A random sample of 2623 adolescents aged 12–17 years who lived in 295 towns in Massachusetts in 2001–2 and were followed in 2003–4.Main outcome measures:The relationship between the strength of local youth access restrictions (including both ordinances and level of enforcement) and (1) never-smokers’ smoking initiation rates and (2) experimenters’ rate of progression to established smoking was tested in a multilevel analysis that accounted for town-level clustering and adjusted for potential individual, household and town-level confounders.Results:Over 2 years, 21% of 1986 never-smokers initiated smoking and 25% of 518 experimenters became established smokers. The adjusted odds ratio (OR) for smoking initiation was 0.89 (95% CI 0.61 to 1.31) for strong versus weak youth-access policies and 0.93 (95% CI 0.67 to 1.29) for medium versus weak policies. The adjusted OR for progression to established smoking among adolescents who had experimented with smoking was 0.79 (95% CI 0.45 to 1.39) for strong versus weak local smoking restrictions and 0.85 (95% CI 0.50 to 1.45) for medium versus weak restrictions.Conclusions:This prospective cohort study found no association between community-level youth-access restrictions and adolescents’ rate of smoking initiation or progression to established smoking over 2 years.
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影响因子:
5.1
作者:
M. Siegel;L. Biener;N. Rigotti
通讯作者:
N. Rigotti
DOI:
10.2190/35ma-dty0-r6uq-nk7h
发表时间:
1998
影响因子:
1.3
作者:
K. Cummings;A. Hyland;T. Saunders;J. Perla
通讯作者:
J. Perla
影响因子:
4.7
作者:
Cummings, KM;Hyland, A;Giovino, GA
通讯作者:
Giovino, GA
影响因子:
5.2
作者:
DiFranza, JR;Coleman, M
通讯作者:
Coleman, M
影响因子:
5.2
作者:
Stead, LF;Lancaster, T
通讯作者:
Lancaster, T