Cigarette acquisition and proof of age among US high school students who smoke

Cigarette acquisition and proof of age among US high school students who smoke
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DOI:
10.1136/tc.11.1.20
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发表时间:
2002-03-01
期刊:
影响因子:
5.2
通讯作者:
Crossett, LS
Crossett, LS
中科院分区:
医学2区
文献类型:
--
作者:
Jones, SE;Sharp, DJ;Crossett, LS

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目的:为了确定美国高中生谁是18岁以下的吸烟者如何获得他们的香烟,以及他们是否被要求提供年龄证明。设计和设置:数据来自疾病控制和预防中心1995年,1997年,和1999年全国青年危险行为调查,其中采用了9-12年级学生的全国概率样本(年龄14-18岁)。主要结果测量:通常的香烟来源和年龄证明的要求与诸如性别、种族/民族、等级和吸烟频率等变量的关联。1999年,在18岁以下的吸烟者中,(95%置信区间(0),-4.5%至+4.5%)通常在商店购买香烟;在这些学生中,69.6%(95%CI-5.7%至+5.7%)没有被要求出示年龄证明。随着吸烟天数的增加,在商店买烟(p < 0.001)和给别人钱买烟(p <0.001)的依赖性增加,而经常借烟减少(p < 0.001)。从1995年开始,依靠商店购买大幅减少(从38.7%(95% CI-4.6%至+4.6%)至23.5%)(95% CI-4.5%至+4.5%));通常给别人买烟的钱大大增加了(从15.8%(95%CI-3.6%至+3.6%)至29.9%(95%CI-4.5%至+4.5%))。结论:需要更严格地执行烟草获取法律,以支持其他社区和学校减少青少年烟草使用的努力。此外,需要制定和实施有效的干预措施,减少非商业性烟草来源,包括社会来源。
Objective: To determine how US high school students who are under 18 years of age and who smoke obtain their cigarettes and whether they are asked for proof of age.Design and setting: Data from the Centers for Disease Control and Prevention's 1995, 1997, and 1999 national Youth Risk Behavior Surveys which employed national probability samples of students in grades 9-12 (ages 14-18 years).Main outcome measures: Associations of usual source of cigarettes and request for proof of age with variables such as sex, race/ethnicity, grade, and frequency of smoking.Results: In 1999, among current smokers under age 18 years, 23.5% (95% confidence interval (0), -4.5% to +4.5%) usually purchased their cigarettes in a store; among these students, 69.6% (95% Cl -5.7% to +5.7%) were not asked to show proof of age. As days of past month smoking increased, reliance on buying cigarettes in a store (p < 0.001) and giving someone else money to buy cigarettes (p < 0 001) increased, and usually borrowing cigarettes decreased (p < 0.001). From 1995 relying on store purchases significantly decreased (from 38.7% (95% Cl -4.6% to +4.6%) to 23.5% (95% Cl -4.5% to +4.5%)); usually giving someone else money to buy cigarettes significantly increased (from 15.8% (95% Cl -3.6% to +3.6%) to 29.9% (95% Cl -4.5% to +4.5%)).Conclusions: Stricter enforcement of tobacco access laws is needed to support other community and school efforts to reduce tobacco use among youth. Furthermore, effective interventions to reduce non-commercial sources of tobacco, including social, need to be developed and implemented.