Community reductions in youth smoking after raising the minimum tobacco sales age to 21

Community reductions in youth smoking after raising the minimum tobacco sales age to 21
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DOI:
10.1136/tobaccocontrol-2014-052207
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发表时间:
2016-05-01
期刊:
影响因子:
5.2
通讯作者:
O'Donnell, Lydia
O'Donnell, Lydia
中科院分区:
医学2区
文献类型:
--
作者:
Schneider, Shari Kessel;Buka, Stephen L.;O'Donnell, Lydia

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目的将烟草销售年龄提高到21岁,作为减少青少年吸烟的一项有前景的策略得到了支持,但几乎没有直接证据表明它对青少年吸烟的影响。使用区域青年调查数据,我们比较了马萨诸塞州尼达姆(2005年提高了最低购买年龄)和周边16个社区的青年吸烟趋势。方法大都会西部青少年健康调查是对波士顿以西社区的高中青年进行的两年一次的人口普查;从2006年到2012年,每个时间点都有超过16000名学生参与。使用这些汇集的横截面数据,我们使用通用的估计方程模型来比较Needham当前吸烟和卷烟购买的趋势,相对于16个没有类似条例的对照社区。为了确定吸烟趋势是否特定于烟草,我们还调查了同一时期青少年饮酒的趋势。结果从2006到2010年,李约瑟30天吸烟率的下降(从13%到7%)显著高于对照社区(从15%到12%;p
Objective Raising the tobacco sales age to 21 has gained support as a promising strategy to reduce youth cigarette access, but there is little direct evidence of its impact on adolescent smoking. Using regional youth survey data, we compared youth smoking trends in Needham, Massachusetts-which raised the minimum purchase age in 2005-with those of 16 surrounding communities.Methods The MetroWest Adolescent Health Survey is a biennial census survey of high school youth in communities west of Boston; over 16 000 students participated at each of four time points from 2006 to 2012. Using these pooled cross-section data, we used generalised estimating equation models to compare trends in current cigarette smoking and cigarette purchases in Needham relative to 16 comparison communities without similar ordinances. To determine whether trends were specific to tobacco, we also examined trends in youth alcohol use over the same time period.Results From 2006 to 2010, the decrease in 30-day smoking in Needham (from 13% to 7%) was significantly greater than in the comparison communities (from 15% to 12%; p