Impact Analysis of Flavor Restrictions and Tobacco 21 Policies on Youth Tobacco Use

口味限制和烟草21政策对青少年烟草使用的影响分析

• 批准号: 10367365
• 负责人: Summer Sherburne Hawkins
• 金额: $ 19.56万
• 依托单位: BOSTON COLLEGE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-21 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10367365
• 关键词: 17 year old; 18 year old; 20 year old; Adolescent; Adolescent Development; Adolescent Risk Behavior; Adult; Age; Behavioral Risk Factor Surveillance System; Businesses; COVID-19; Cigar; Cigarette; Data; Data Set; Education; Electronic Nicotine Delivery Systems; Emergency Situation; Ethnic Origin; Evaluation; Family Smoking Prevention and Tobacco Control Act; Goals; Hawaii; Health Insurance; Health Surveys; Health behavior; High School Student; Home; Income; Insurance Coverage; Laws; Massachusetts; Natural experiment; Policies; Race; Reporting; Research; Research Priority; Risk; Sales; Schools; Smokeless Tobacco; Statutes and Laws; Surveys; Telephone; Tobacco; Tobacco 21 policies; Tobacco use; Washington; Youth; aged; authority; base; experience; federal policy; health disparity; high risk; high risk population; innovation; male; non-cigarette tobacco product; public policy on tobacco; sex; sociodemographics; tobacco control; tobacco exposure; tobacco flavor; tobacco products; tobacco regulation; trend

Project Summary Decreasing trends in adolescent tobacco use have been increasingly countered by use of alternative tobacco products. In 2019, 32.7% of adolescents used electronic nicotine delivery systems (ENDS) and 6.0% cigarettes, with over 70% using a flavored product. As evidence mounts on the increased risk of transitioning from ENDS to cigarettes and longer-term tobacco use, innovative policies are needed. Recently, 7 states have enacted bans on flavored tobacco products. Sixteen states and DC enacted state-wide tobacco 21 (T21) policies prior to passage of the federal T21 law in Dec 2019. However, there have been no evaluations of state-wide flavor restrictions or the federal T21 law on adolescent tobacco use overall nor on disparities in use. The overarching goals of the study are to examine the impact of state flavor restrictions and state and federal T21 policies on disparities in tobacco use among youth aged 14-24 years. The Behavior Risk Factor Surveillance System (BRFSS), an annual phone-based survey of health-related behaviors among adults aged 18+ years from all 50 states and DC, introduced questions on ENDS in 2016. The Youth Risk Behavior Survey (YRBS), a biennial school-based survey of health-related behaviors from 44 states, introduced questions on ENDS in 2015. Differences in state tobacco control policies create a natural experiment, allowing us to evaluate their effects using these representative datasets. This project has three Specific Aims. In Aim 1, we will evaluate the impact of flavor restrictions and T21 policies on tobacco use (cigarettes, ENDS, smokeless tobacco) across age (18-20-year-olds versus 21-24- year-olds) in the BRFSS as well as examine the differential impact of both tobacco policies on tobacco use across socio-demographic strata. In Aim 2, we will evaluate the impact of flavor restrictions and T21 policies on tobacco use (cigarettes, ENDS, smokeless tobacco, cigars) across age (14-17-year-olds versus 18-year-olds) in the YRBS as well as examine the differential impact of both tobacco policies on tobacco use across socio- demographic strata. Against this backdrop, Covid-19 was declared a national emergency in mid-March 2020 and states have issued a patchwork of policies, including closure of non-essential businesses and stay-at- home orders. While the decrease in adolescent tobacco use from 2019 to 2020 may be attributable to the enactment of recent tobacco control policies, they have not been formally evaluated. In Aim 3, we will examine the further impact of Covid-19 state closures and re-openings on tobacco use overall, by age and across socio- demographic strata, in addition to flavor restrictions and T21 policies. We propose to conduct an impact analysis that rigorously evaluates flavor restrictions and T21 policies on disparities in youth tobacco use. The goals of this research will be to inform policies within the FDA’s Center for Tobacco Products regulatory authority related to youth tobacco use as well as to reduce the burden of tobacco and tobacco-related health disparities among youth.

项目总结