AI Article Synopsis
- The study analyzes the impact of Tobacco-21 (T21) policies on cigarette, cigar, and electronic nicotine delivery system (ENDS) use among 18- to 20-year-olds.
- Increased coverage of T21 laws shows a significant decrease in tobacco use among this age group, particularly when policies do not include possession, use, or purchase (PUP) penalties.
- The findings suggest that state policymakers should consider enacting T21 laws that omit PUP penalties to more effectively reduce underage tobacco and nicotine use.
Article Abstract
To estimate Tobacco-21 policies' relationships to 18- to 20 year-old youth cigarette, cigar, and electronic nicotine delivery system (ENDS) use, and to test for effect modification by policy attributes. In fall 2022, we used Tobacco 21 Population Coverage Database data to calculate the percentage of state residents covered by state or local Tobacco 21 (T21) laws monthly through June 2020. Matching T21 coverage to Population Assessment of Tobacco and Health and Behavioral Risk Factor Surveillance System data, we used 2-way fixed effect analyses to assess the relationship between T21 laws and 18- to 20-year-old youth cigarette, cigar, and ENDS use, and tested for differences by policy attributes: possession, use, or purchase (PUP) penalties, retailer noncompliance penalties, and compliance check requirements. Increased T21 exposure yielded significant reductions in cigarette and cigar use, as well as in ENDS use, when accounting for policy attributes. These effects were dampened in T21 laws with PUP penalties relative to those without. Tobacco-21 laws yield reductions in 18- to 20-year-old youth cigarette, cigar, and ENDS use, with dampened effects when policies include PUP penalties. State policymakers should consider implementing T21 laws without PUP penalties to reduce underage nicotine and tobacco use. ( 2024;114(1):90-97. https://doi.org/10.2105/AJPH.2023.307447).
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10726938 | PMC |
| http://dx.doi.org/10.2105/AJPH.2023.307447 | DOI Listing |
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