Adoption, diffusion, and implementation of Tobacco 21 policies to address health disparities

采用、推广和实施烟草 21 政策以解决健康差异

• 批准号: 10445038
• 负责人: CRISTINE D DELNEVO
• 金额: $ 60.04万
• 依托单位: RUTGERS BIOMEDICAL AND HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10445038
• 关键词: Address; Adolescent and Young Adult; Adopted; Adoption; Adult; Affect; Age; Behavior; Case Study; Characteristics; Cigar; Cigarette; Cities; Complex; Data; Data Analyses; Diffusion; Disease; Drug usage; Electronic cigarette; Elements; Environment; Ethnic Origin; Ethnic group; Female; Future; Goals; Health; Health Policy; Institute of Medicine (U.S.); Interview; Lead; Legal; Local Government; Maintenance; Methods; Minor; Modeling; Modernization; Movement; Neighborhoods; New Jersey; Outcome; Pattern; Persons; Policies; Prevalence; Process; Public Health; Race; Reach Effectiveness Adoption Implementation and Maintenance; Regulation; Reporting; Research; Research Project Grants; Sales; Sampling; Smoke; Smokeless Tobacco; Smoker; Smoking; State Government; Stream; Surveys; Time; Tobacco; Tobacco 21 policies; Tobacco Industry; Tobacco use; Variant; Youth; base; cigarette smoking; comparative; design; ethnic diversity; evidence base; health disparity; improved; informant; man; models and simulation; news; non-cigarette tobacco product; polytobacco use; prevent; racial and ethnic; racial diversity; recruit; reduce tobacco use; response; smoking initiation; social; success; tobacco products; tool; young adult

ABSTRACT Raising the minimum age of legal access (MLA) to tobacco products to 21 decreases access and would likely prevent or delay initiation of tobacco use by adolescents and young adults. However, modern tobacco behavior use among young people is increasingly complex and is characterized by decreased cigarette use, increased use of non-cigarette tobacco product use and, poly tobacco use. In addition, tobacco use patterns and tobacco sales to minors vary based on race/ethnicity. While there has been recent and rapid diffusion of Tobacco 21 policies, little data exist on the process, content, or outcomes of Tobacco 21 laws. The existing evidence for increasing the MLA to 21 holds promise to further reduce tobacco use among young people but the extent to which such policies will be effective for all tobacco products as well as all racial/ethnic groups is largely unknown. Using the Multiple Streams Framework and the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) Framework as our conceptual frames we operationalize and assess health policy factors that impact Tobacco 21 Adoption, Implementation and Maintenance. This project uses a mixed methods approach to understand the implementation and impact of policies that raise the MLA to 21, seeking to expand the evidence base with a focus on racial/ethnic groups in the context of a diverse tobacco environment. Specifically, we will: (1) carry out a comparative case study of 15 states using document analysis of Tobacco 21 bills, news media content analysis, and key informant interviews to identify factors that may contribute to the adoption or rejection of Tobacco 21 legislation; (2) conduct a repeated cross sectional tobacco product purchase study to examine implementation of a statewide Tobacco 21 law in New Jersey; and, (3) describe the impact of Tobacco 21 laws by modeling tobacco use behavior among 13 to 25 year olds in states with and without Tobacco 21 laws using data from the National Survey on Drug Use and Health. The relevance of the proposed research to public health is its ability to improve existing and future Tobacco 21 policies and reduce tobacco use disparities.

抽象的 将合法获得烟草制品的最低年龄 (MLA) 提高到 21 岁会减少获得烟草产品的机会，并可能 防止或延迟青少年和年轻人开始使用烟草。然而，现代烟草行为 年轻人的吸烟情况日益复杂，其特点是吸烟量减少、吸烟量增加 使用非卷烟烟草产品的使用和聚合烟草的使用。此外，烟草使用模式和烟草 向未成年人的销售因种族/民族而异。虽然烟草最近迅速传播 21 关于烟草 21 法的流程、内容或结果的数据很少。现有证据 将 MLA 增加到 21 有望进一步减少年轻人的烟草使用，但程度 此类政策对所有烟草制品以及所有种族/族裔群体是否有效，很大程度上取决于 未知。使用多流框架及其范围、有效性、采用、实施和 维护（RE-AIM）框架作为我们的概念框架，我们实施和评估卫生政策 影响烟草 21 采用、实施和维护的因素。本项目采用混合 方法来了解将 MLA 提高到 21 的政策的实施和影响， 寻求扩大证据基础，重点关注多元化背景下的种族/族裔群体 烟草环境。具体来说，我们将：（1）对15个州进行比较案例研究，使用 烟草 21 法案的文件分析、新闻媒体内容分析以及关键知情人访谈，以识别 可能导致烟草 21 立法通过或否决的因素； (2) 进行重复交叉 部门烟草产品购买研究，以审查新州全州烟草 21 法的实施情况 球衣; (3) 通过对 13 至 25 人的烟草使用行为进行建模来描述《烟草 21》法律的影响 21 岁的儿童使用来自全国药物使用调查的数据和 健康。拟议研究与公共卫生的相关性在于其改善现有和未来的能力 烟草 21 世纪政策并减少烟草使用差异。

项目成果

Can States Continue to Set the Agenda for Tobacco 21? Insights From US News Coverage Between 2012 and 2020.

各国能否继续制定 21 世纪烟草议程？

• DOI: 10.1093/ntr/ntac025
• 发表时间: 2022
• 期刊: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
• 作者: Hrywna,Mary;Singh,Binu;Wackowski,OliviaA;Hudson,ShawnaV;Delnevo,CristineD
• 通讯作者: Delnevo,CristineD

Retailer Compliance With Tobacco 21 in New Jersey, 2019-2020.

• DOI: 10.1001/jamanetworkopen.2022.35637
• 发表时间: 2022-10-03
• 期刊: JAMA NETWORK OPEN
• 影响因子: 13.8
• 作者: Hrywna, Mary;Kong, Amanda Y.;Ackerman, Christopher;Hudson, Shawna V.;Delnevo, Cristine D.
• 通讯作者: Delnevo, Cristine D.

Assessing the Effectiveness of Tobacco 21 Laws to Reduce Underage Access to Tobacco: Protocol for a Repeated Multi-Site Study.

• DOI: 10.3390/mps6020027
• 发表时间: 2023-03-10
• 期刊: Methods and protocols
• 影响因子: 2.4
• 作者: Hrywna M;Kong AY;Ackerman C;Giovenco DP;Spillane TE;Lee JGL;Hudson SV;Delnevo CD
• 通讯作者: Delnevo CD

Neighborhood distribution of availability of newer tobacco products: A US four-site study, 2021.

• DOI: 10.1016/j.pmedr.2022.102028
• 发表时间: 2022-12
• 期刊: PREVENTIVE MEDICINE REPORTS
• 影响因子: 2.8
• 作者: Rose, Shyanika W.;Annabathula, Arati;Westneat, Susan;van de Venne, Judy;Hrywna, Mary;Ackerman, Christopher;Lee, Joseph G. L.;Sesay, Mahdi;Giovenco, Daniel P.;Spillane, Torra;Hudson, Shawna, V;Delnevo, Cristine D.
• 通讯作者: Delnevo, Cristine D.

A Pilot Study to Examine Retailer Compliance Before and After Tobacco 21 in New Jersey.

• DOI: 10.4148/2572-1836.1117
• 发表时间: 2022-01-01
• 期刊: Health behavior research
• 作者: Hrywna, Mary;Ackerman, Christopher;Delnevo, Cristine D
• 通讯作者: Delnevo, Cristine D