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

• 批准号: 10249336
• 负责人: Andy SL Tan
• 金额: $ 20.31万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 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/10249336
• 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; 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; Quasi-experiment; 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; combustible tobacco; electronic cigarette use; electronic cigarette user; evidence base; high school; hookah; implementation barriers; implementation facilitators; informant; lung injury; population health; prescription drug abuse; prevent; public policy on tobacco; response; school district; tobacco cessation intervention; tobacco control; tobacco flavor; tobacco products; tobacco user; trend; vaping; vaping associated lung injury

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.

项目摘要。马萨诸塞州第一个限制所有调味的零售的州 烟草产品，包括电子烟​​，可燃和无烟烟草至21起烟店。 新的MA法律提出了一个有时的机会，以获取有关该基线信息的基线信息 法律实施后，有关青年和成人的烟草使用和成人的戒烟法。也是 在此期间，检查全州实施法律规定的障碍和促进者至关重要 初始阶段。从这项研究中获得的知识将提供急需和时间敏感的证据 向其他州告知其他限制的收益或意外影响。我们的长期目标是 防止青年中的所有形式的烟草产品使用，并为青年和成人烟草使用者提供证据 - 基于戒烟。这项研究的目的是估算新MA法律的初步影响 关于青年和成年人的烟草使用行为，并在MA中的成年人中辞职，而四个 邻近的新英格兰各州，并在最初的期间确定 实施MA法律。我们的科学原理是基于集成的实施和调解 烟草控制政策的模型。我们将获得烟草使用和退出尝试的前法律数据（2019年青年 风险行为调查和行为风险因素监视系统）并通过 13-17岁的青年（n = 1800）和成人当前烟草的每月重复横断面在线调查 用户年龄在18岁以上（n = 1800）。使用准实验设计，我们将执行倾向得分差异 差异（DID）分析以估计参与者中法律前和法律后的变化 MA和4个控制状态（NH，VT，RI和CT）。我们将研究法律后的研究结果趋势 在MA和4个控制状态中。我们将对马萨诸塞州的32位利益相关者（学区）进行关键的线人访谈 负责人，校长，卫生提供者，卫生部门官员，烟草零售商）评估 实施新法律的促进者和障碍。我们的具体目的是：1）估计法律前后 与4个对照相比 国家（NH，VT，RI和CT），2）检查青年和成人使用烟草产品的法律后趋势以及 成人退出尝试中的MA和4个控制状态（NH，VT，RI和CT），3）确定政策实施 马萨诸塞州主要利益相关者之间的促进者和障碍。影响：这项研究将提供时间敏感的数据 评估新的MA法律对烟草使用和戒烟尝试的最初影响与限制性较小 新英格兰控制国家的政策。研究结果将有助于实施证据 各州的烟草控制法规，以防止青年烟草使用并减少人口健康危害 烟草使用。