Youth Access to Tobacco Products in the United States: Findings From Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health Study

Youth Access to Tobacco Products in the United States: Findings From Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health Study
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DOI:
10.1093/ntr/nty238
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发表时间:
2019-12-01
影响因子:
4.7
通讯作者:
Hyland, Andrew
Hyland, Andrew
中科院分区:
医学2区
文献类型:
--
作者:
Tanski, Susanne;Emond, Jennifer;Hyland, Andrew

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目标:美国市场上的烟草产品越来越多样化。鲜为人知的是,青年如何获得烟草产品,鉴于目前的landscape.Methods:数据来自15- 17岁的美国全国代表性的人口烟草与健康评估(PATH)研究的第一波青年样本。过去30天的烟草使用者被问及通常的来源,获得12种不同的烟草产品,如果他们被拒绝销售,因为他们的年龄。结果:在15至17岁的青少年,社会来源(“有人提供”或“问别人”)是主要的通常来源的访问每种烟草产品。“自己购买”是无烟(不包括鼻烟,23.2%),小雪茄(21.0%),香烟(13.8%),水烟(12.0%)和电子烟(10.5%)用户的通常来源。便利店和/或加油站是除水烟外所有产品最常选择的零售来源。在青年谁试图购买,24.3%被拒绝销售的香烟,23.9%的小雪茄,和13.8%无烟tobacco.Conclusions:大多数15至17岁的烟草使用者获得烟草制品通过社会来源,但是,在那些谁购买烟草,大多数报告没有被拒绝销售,因为年龄。在调查时,所有50个州都禁止向18岁以下的人销售香烟和雪茄,47个州和两个地区禁止销售电子烟。2014年年度Synar报告显示,零售商违反禁止向18岁以下儿童销售烟草产品的州和/或地区法律的行为呈上升趋势。监测非法青年销售,进行合规检查检查,并处罚违法行为仍然很重要,以减少青年烟草获得在零售views.Implications:在美国的青年获得烟草产品的频谱仍然主要是通过社会来源。然而,在2014年自行购买烟草的少数青少年烟草使用者中,有少数人报告被拒绝销售:便利店和/或加油站是烟草产品最常见的零售来源。监测青少年非法销售、进行合规检查和惩罚违规行为的战略对于减少青少年在零售场所获得烟草仍然很重要。限制青少年吸烟的来源仍然是减少烟草对公共健康的负担的一个重要重点。
Objectives: Tobacco products in the US market are growing in diversity. Little is known about how youth access tobacco products given this current landscape.Methods: Data were drawn from 15- to 17-year-olds from the Wave 1 youth sample of the US nationally representative Population Assessment of Tobacco and Health (PATH) Study. Past 30-day tobacco users were asked about usual sources of access to 12 different tobacco products, and if they had been refused sale because of their age.Results: Among 15- to 17-year-olds, social sources ("someone offered" or "asked someone") were the predominant usual source of access for each tobacco product. "Bought by self" was the usual source of access for users of smokeless (excluding snus, 23.2%), cigarillos (21.0%), cigarettes (13.8%), hookah (12.0%), and electronic cigarettes (10.5%). Convenience stores and/or gas stations were the most often selected retail source for all products except hookah. Among youth who attempted purchase, 24.3% were refused sale of cigarettes, 23.9% cigarillos, and 13.8% smokeless tobacco.Conclusions: Most 15- to 17-year-old tobacco users obtain tobacco products through social sources; however, among those who purchased tobacco, the majority report not being refused sale because of age. At the time of survey, cigarette and cigar sales to under 18 years were prohibited in all 50 states, and electronic cigarettes sales in 47 states and two territories. 2014 Annual Synar Reports signaled increasing trends in retail violations of state and/or district laws prohibiting tobacco product sales to under 18 years. Monitoring illicit youth sales, conducting compliance check inspections, and penalizing violations remain important to reduce youth tobacco access at retail venues.Implications: Access to the spectrum of tobacco products by youth in the United States remains predominantly through social sources. However, of the minority of youth tobacco users in 2014 who purchased tobacco themselves, a few reported being refused sale: Convenience stores and/or gas stations were the most common retail source for tobacco products. The strategies of monitoring illicit youth sales, conducting compliance checks, and penalizing violations remain important to reduce youth tobacco access at retail venues. Limiting sources of youth tobacco access remains an important focus to reduce the burden of tobacco on the public health.