A discarded cigar package survey in New York City: indicators of non-compliance with local flavoured tobacco restrictions

A discarded cigar package survey in New York City: indicators of non-compliance with local flavoured tobacco restrictions
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DOI:
10.1136/tobaccocontrol-2019-055035
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发表时间:
2020-09-01
期刊:
影响因子:
5.2
通讯作者:
Delnevo, Cristine
Delnevo, Cristine
中科院分区:
医学2区
文献类型:
--
作者:
Kurti, Marin K.;Schroth, Kevin R. J.;Delnevo, Cristine

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2009年,纽约市(NYC)限制了调味烟草产品的销售。我们通过分析纽约市的废弃雪茄、小雪茄和钝包装,评估了产品可用性作为潜在不合规的替代品。方法2016年对纽约市94个街区组进行分层随机抽样,进行了一项废弃雪茄包装调查,收集了886个废弃雪茄包装。每个包装被编码为品牌名称,风味描述(明确和隐含)和大小。结果总体而言,19.2%的雪茄包装明确调味。另有9.4%的包装反映了隐含的味道。在Staten Island(调整后OR(AOR)=3.96,95% CI=1.66至9.46),在两个或三个(AOR=8.49,95% CI=4.24至17.02)或四个或更多(AOR=4.26,95% CI=1.95至9.30)的包装尺寸中发现明确口味的雪茄包装的几率增加。近三分之一的雪茄包装是调味产品,这表明存在不合规和持续供应的问题。持牌批发商和零售商继续销售受限制的调味产品,可能会助长潜在的违规行为。一些零售商可能没有意识到,隐式命名的雪茄通常是调味的,因此是非法的。纽约市缺乏针对隐性调味烟草产品的教育或执法,可能会加剧这种对隐性调味雪茄的缺乏认识。
Introduction In 2009, New York City (NYC) restricted the sale of flavoured tobacco products. We assessed product availability as a proxy for potential non-compliance by analysing discarded cigar, cigarillo and blunt wrap packages in New York City. Methods A discarded cigar package survey was conducted in 2016, in a stratified random sample of 94 block groups in NYC resulting in the collection of 886 discarded cigar packages. Each package was coded for brand name, flavour description (explicit and implicit) and size. Findings Overall, 19.2% of the cigar packages were explicitly flavoured. An additional 9.4% of the packages reflected implicit flavours. Explicit flavoured cigar packages were at increased odds of being found in Staten Island (adjusted OR (AOR)=3.96, 95% CI=1.66 to 9.46), in packaging size of two or three (AOR=8.49, 95% CI=4.24 to 17.02) or four or more (AOR=4.26, 95% CI=1.95 to 9.30). Conclusion Nearly one out of three cigar packages were flavoured products suggesting a problematic level of non-compliance and continued availability. Potential non-compliance is likely fueled by licensed wholesalers and retailers who continue to sell restricted flavoured products. Some retailers may be unaware that implicitly named cigars are typically flavoured and are, therefore, illegal. This lack of awareness of implicit flavoured cigars may be exacerbated by NYC's lack of education or enforcement specific to implicitly flavoured tobacco products.