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The effects of community policies to reduce youth access to tobacco

Author

Listed:
  • Forster, J.L.
  • Murray, D.M.
  • Wolfson, M.
  • Blaine, T.M.
  • Wagenaar, A.C.
  • Hennrikus, D.J.

Abstract

Objectives. This study tested the hypothesis that adoption and implementation of local policies regarding youth access to tobacco can affect adolescent smoking. Methods. A randomized community trial was conducted in 14 Minnesota communities. Seven intervention communities participated in a 32- month community-organizing effort to mobilize citizens and activate the community. The goal was to change ordinances, merchant policies and practices, and enforcement practices to reduce youth access to tobacco. Outcome measures were derived from surveys of students before and after the intervention and from tobacco purchase attempts in all retail outlets in the communities. Data analyses used mixed-model regression to account for the clustering within communities and to adjust for covariates. Results. Each intervention community passed a comprehensive youth access ordinance. Intervention communities showed less pronounced increases in adolescent daily smoking relative to control communities. Tobacco purchase success declined somewhat more in intervention than control communities during the study period, but this difference was not statistically significant. Conclusions. This study provides compelling evidence that policies designed to reduce youth access to tobacco can have a significant effect on adolescent smoking rates.

Suggested Citation

  • Forster, J.L. & Murray, D.M. & Wolfson, M. & Blaine, T.M. & Wagenaar, A.C. & Hennrikus, D.J., 1998. "The effects of community policies to reduce youth access to tobacco," American Journal of Public Health, American Public Health Association, vol. 88(8), pages 1193-1198.
    • Handle: RePEc:aph:ajpbhl:1998:88:8:1193-1198_4
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    Citations

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    Cited by:

    1. Jonathan L. Blitstein & Peter J. Hannan & David M. Murray & William R. Shadish, 2005. "Increasing the Degrees of Freedom in Existing Group Randomized Trials," Evaluation Review, , vol. 29(3), pages 241-267, June.
    2. Jonathan L. Blitstein & David M. Murray & Peter J. Hannan & William R. Shadish, 2005. "Increasing the Degrees of Freedom in Future Group Randomized Trials," Evaluation Review, , vol. 29(3), pages 268-286, June.
    3. Mark Wolfson & Heather Champion & Todd Rogers & Rebecca H. Neiberg & Dianne C. Barker & Jennifer W. Talton & Edward H. Ip & Ralph B. D'Agostino Jr & Maria T. Parries & Doug Easterling, 2011. "Evaluation of Free to Grow: Head Start Partnerships to Promote Substance-Free Communities," Evaluation Review, , vol. 35(2), pages 153-188, April.
    4. Jason, Leonard A. & Pokorny, Steven B. & Adams, Monica, 2008. "A randomized trial evaluating tobacco possession-use-purchase laws in the USA," Social Science & Medicine, Elsevier, vol. 67(11), pages 1700-1707, December.
    5. Mohammad Nurul Azam & Mohammad Shahjahan & Mahbuba Yeasmin & Nasar U Ahmed, 2016. "Prevalence of Smokeless Tobacco among Low Socioeconomic Populations: A Cross-Sectional Analysis," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-13, June.
    6. David M. Murray & Jonathan L. Blitstein & Peter J. Hannan & William R. Shadish, 2012. "Increasing the Degrees of Freedom in Future Group Randomized Trials," Evaluation Review, , vol. 36(6), pages 430-448, December.
    7. Arthur, Michael W. & Briney, John S. & Hawkins, J. David & Abbott, Robert D. & Brooke-Weiss, Blair L. & Catalano, Richard F., 2007. "Measuring risk and protection in communities using the Communities That Care Youth Survey," Evaluation and Program Planning, Elsevier, vol. 30(2), pages 197-211, May.
    8. Hana Ross & Frank J. Chaloupka, 2003. "The effect of cigarette prices on youth smoking," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 217-230, March.
    9. Wakefield, Melanie A PhD & Chaloupka, Frank J. PhD, 1999. "Effectiveness of Comprehensive Tobacco Control Programs in Reducing Teenage Smoking: A Review," University of California at San Francisco, Center for Tobacco Control Research and Education qt46n6b9mv, Center for Tobacco Control Research and Education, UC San Francisco.
    10. Hana Ross & Frank J. Chaloupka, 2003. "The effect of cigarette prices on youth smoking," Health Economics, John Wiley & Sons, Ltd., vol. 12(3), pages 217-230, March.
    11. Levy, David T. & Hyland, Andrew & Higbee, Cheryl & Remer, Lillian & Compton, Christine, 2007. "The role of public policies in reducing smoking prevalence in California: Results from the California Tobacco Policy Simulation Model," Health Policy, Elsevier, vol. 82(2), pages 167-185, July.
    12. Gautam, Jeny & Glover, Marewa & Scragg, Robert & Bullen, Chris & Gentles, Dudley & Nosa, Vili & McCool, Judith, 2014. "Parental and retail supply of tobacco to minors: Findings from a community-based social supply intervention study," Health Policy, Elsevier, vol. 117(1), pages 120-127.
    13. Kristin Feltmann & Johanna Gripenberg & Tobias H. Elgán, 2022. "Compliance Checks Decrease Cigarette Sales Rates to Pseudo-Underaged Mystery Shoppers: A Quasi-Experimental Control Group Study," IJERPH, MDPI, vol. 19(20), pages 1-13, October.

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