Longer-Term Impact of the Flavored Tobacco Restriction in Two Massachusetts Communities: A Mixed-Methods Study
Longer-Term Impact of the Flavored Tobacco Restriction in Two Massachusetts Communities: A Mixed-Methods Study
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DOI：
10.1093/ntr/ntab115
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发表时间：
2021-06-09
影响因子：
4.7
通讯作者：
Ursprung, W. W. Sanouri
中科院分区：
文献类型：
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作者：
Kingsley, Melody;Setodji, Claude M.;Ursprung, W. W. Sanouri
导言：针对青少年烟草使用率高的问题，许多州和地方正在考虑制定调味烟草制品法规。本研究的目的是评估马萨诸塞州的调味烟草限制（FTRs）是否随着时间的推移抑制了青少年的烟草使用，以及政策实施时间长短对烟草相关结果是否存在剂量反应效应。目的和方法：采用准实验设计，将两个具有FTR的城市（采用城市）与一个没有FTR的比较城市进行匹配。在政策实施之前（2015年12月）和之后（2018年1月和2月）对这些城市的高中生进行了调查（在两个时间点完成了2000多份调查）。在后续行动中，采用该项政策的市政当局分别实施了1年和2年。2019年，对每个城市的高中生进行了焦点小组调查。结果：与对照相比，采用该方法的城市从基线到随访期间当前烟草使用的增幅明显较小（分别为-9.4%[-14.2%,-4.6%]和-6.3%[-10.8%,-1.8%]）。然而，尽管实施时间较短，但在一个采用的城市，政策影响更大。焦点小组指出了造成不同影响的原因，包括靠近没有森林保护区的地方。结论：实施限制措施的城市在实施后1-2年对青少年烟草认知和使用有积极影响。政策的影响取决于调味烟草的剩余获取点，因为随着越来越多的地方限制这些产品，这种政策的有效性可能会增加。
Introduction: In response to high rates of youth tobacco use, many states and localities are considering regulations on flavored tobacco products.The purpose of this study was to assess whether flavored tobacco restrictions (FTRs) in Massachusetts curb youth tobacco use over time and whether a dose-response effect of length of policy implementation on tobacco-related outcomes exists.Aims and Methods: Using a quasiexperimental design, two municipalities with a FTR (adopting municipalities) were matched to a comparison municipality without a FTR. Surveys were administered before (December 2015) and after (January and February 2018) policy implementation to high school students in these municipalities (more than 2000 surveys completed at both timepoints). At follow-up, adopting municipalities had a policy in place for 1 and 2 years, respectively. In 2019, focus groups were conducted with high school students in each municipality.Results: Increases seen in current tobacco use from baseline to follow-up were significantly smaller in adopting municipalities compared to the comparison (-9.4% [-14.2%, -4.6%] and -6.3% [-10.8%, -1.8%], respectively). However, policy impact was greater in one adopting municipality despite shorter length of implementation. Focus groups indicated reasons for differential impact, including proximity to localities without FTRs.Conclusions: Restrictions implemented in adopting municipalities had positive impacts on youth tobacco awareness and use 1-2 years postimplementation. Policy impact varies depending on remaining points of access to flavored tobacco, as such policy effectiveness may increase as more localities restrict these products.