权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Measuring the Public Health Impact of State-Level Flavored Tobacco Bans on Youth and Adult Tobacco Use

衡量州级调味烟草禁令对青少年和成人烟草使用的公共卫生影响

基本信息

批准号：
10100799
负责人：
Andy SL Tan
金额：
$ 24.31万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10100799
关键词：
Address Adolescent Adopted Adult Age Behavior Behavioral Behavioral Risk Factor Surveillance System Cigar Cigarette Smoker Communities Data Disease Outbreaks Electronic cigarette Emergency Situation Epidemic Experimental Designs Goals Harm Reduction Health Health Benefit Health Personnel Interview Knowledge Laws Massachusetts Measures Mediation Menthol Minor Modeling Modernization New England Outcome Study Participant Pharmaceutical Preparations Policies Population Public Health Regulation Reporting Research Risk Risk Factors Sales Sampling Schools Smoke Smokeless Tobacco Smoker Students Surgeon Surveys Taxes Time Tobacco Tobacco use Youth base cigarillos combustible cigarette electronic cigarette use electronic cigarette user evidence base high school hookah informant lung injury population health prescription drug abuse prevent public policy on tobacco response school district tobacco cessation intervention tobacco control tobacco products tobacco user trend vaping vaping associated lung injury

项目摘要

PROJECT SUMMARY. Massachusettsis the first state inthe nation to restrict retail sales of all flavored tobacco products including e-cigarettes, combustible and smokeless tobacco to 21-and over smoke shops. The new MA law presents a time-limited opportunity to obtain baseline information on the initial impacts of the law on youth and adults' tobacco use and adults' quit attempts following the law's implementation. It is also critical to examine barriers and facilitators of implementing the law's provisions across the state during this initial period. Knowledge gained from this research would provide much needed and time-sensitive evidence to inform other states on the benefits or unintended effects of additional restrictions. Our long-term goals are to prevent all forms of tobacco product use among youth and assist youth and adult tobacco users with evidence- based cessation treatments. The objectives of this study are to estimate the initial impacts of the new MA law on tobacco use behaviors among youth and adults and quit attempts among adults in MA compared with four adjacent New England states and to identify the barriers and facilitators during the initial period of implementing the MA law. Our scientific rationale is based on the Integrated Implementation and Mediation Model of Tobacco Control Policy. We will obtain pre-law data of tobacco use and quit attempts (2019 Youth Risk Behavioral Survey and Behavioral Risk Factor Surveillance System) and collect post-law data through monthly repeated cross-sectional online surveys among youth ages 13-17 (n=1800) and adult current tobacco users ages 18+ (n=1800). Using a quasi-experimental design, we will perform propensity score difference-in- differences (DID) analyses to estimate changes in the study outcomes pre- and post-law among participants in MA and 4 control states (NH, VT, RI, and CT). We will examine the post-law monthly trends in study outcomes in MA and 4 control states. We will conduct key informant interviews with 32 stakeholders in MA (school district superintendents, principals, health providers, health department officials, tobacco retailers) to assess facilitators and barriers of implementing the new law. Our specific aims are: 1) Estimate the pre- and post-law changes in youth and adult use of tobacco products and adult quit attempts in MA compared with 4 control states (NH, VT, RI, and CT), 2) Examine the post-law trends in youth and adult use of tobacco products and adult quit attempts in MA and 4 control states (NH, VT, RI, and CT), 3) Identify policy implementation facilitators and barriers among key stakeholders in MA. Impact: This study will provide time-sensitive data to evaluate the initial impacts of the new MA law on tobacco use and quit attempts compared with less restrictive policies in control states in New England. The study findings will aid in implementing evidence-informed tobacco control regulations in states to prevent youth tobacco use and reduce the population health harms of tobacco use.

项目总结。马萨诸塞州是美国第一个限制所有口味香烟零售的州