New York City flavoured tobacco product sales ban evaluation
New York City flavoured tobacco product sales ban evaluation
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DOI：
10.1136/tobaccocontrol-2015-052418
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发表时间：
2017-01-01
期刊：
影响因子：
5.2
通讯作者：
Johns, Michael
中科院分区：
文献类型：
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作者：
Farley, Shannon M.;Johns, Michael
简介 调味烟草产品的可用性与开始吸烟和青少年吸烟的增加有关。 2009 年 10 月，纽约市禁止销售所有调味雪茄、小雪茄、小雪茄、咀嚼烟、鼻烟、鼻烟、烟草、斗烟、手卷烟和可溶解物品（薄荷醇除外）；执法于 2010 年 11 月开始。本文描述了销售禁令的评估。 方法 使用间断时间序列方法对雪茄、无烟烟和其他烟草产品（如斗烟和手卷烟）的零售烟草销售数据进行分析，估计调味和非调味烟草产品通货膨胀调整后美元销售额的总体变化以及按产品类型的变化。使用多变量逻辑回归估计青少年中曾经使用过调味烟草产品、任何烟草产品的使用情况以及吸烟率的变化。 结果 禁令执行后，调味烟草产品的销量总体下降（87%；p< 0.001），调味雪茄（86%；p< 0.001）以及调味烟斗和卷烟（91%；p< 0.001），而非调味烟草销量则有所增加雪茄（5%；p=0.003）以及烟斗和卷烟（4%，p=0.030）。在调整后的模型中，与 2010 年的青少年相比，2013 年青少年尝试过调味烟草产品的几率降低了 37%（p<0.001），使用任何类型烟草产品的几率降低了 28%（p=0.025），并且当前吸烟率没有显着变化（p=0.114）。 结论 调味烟草产品销售和曾经使用调味烟草产品的几率禁令执行开始后，青少年使用任何烟草产品的人数显着下降。总的来说，这些发现证明了调味烟草产品销售禁令在纽约市取得成功的重要证据，并且可能在其他地方取得成功。
Introduction The availability of flavoured tobacco products is associated with increased initiation and youth smoking. New York City prohibited all sales of flavoured cigars, cigarillos, little cigars, chew, snuff, snus, tobacco, pipe tobacco, roll-your-own tobacco, and dissolvables, excluding menthol, in October 2009; enforcement began in November 2010. This paper describes the sales ban evaluation.Methods Data on retail tobacco sales of cigars, smokeless and other tobacco products such as pipe tobacco and roll-your-own, were analysed using interrupted time series methods, estimating changes in flavoured and non-flavoured tobacco product inflation-adjusted dollar sales overall, and by product type. Changes in ever use of flavoured tobacco products, any tobacco product use, and smoking prevalence among adolescents were estimated using multivariable logistic regression.Results Sales of flavoured tobacco products declined overall (87%; p< 0.001), and for flavoured cigars (86%; p< 0.001) and flavoured pipe and roll-your-own (91%; p< 0.001) following ban enforcement, while non-flavoured sales increased for cigars (5%; p= 0.003) and pipe and roll-your-own (4%, p= 0.030). In adjusted models, teens in 2013 had 37% lower odds of ever trying flavoured tobacco products (p< 0.001), 28% lower odds of using any type of tobacco product (p= 0.025), and a non-significant change in current smoking prevalence (p= 0.114) compared with teens in 2010.Conclusions Flavoured tobacco product sales and odds of ever using flavoured tobacco products or using any tobacco products among teens declined significantly after ban enforcement began. Collectively these findings demonstrate significant evidence that the flavoured tobacco products sales ban was successful in New York City, and could succeed elsewhere.