The effects of community policies to reduce youth access to tobacco

This study tested the hypothesis that adoption and implementation of local policies regarding youth access to tobacco can affect adolescent smoking. A randomized community trial was conducted in 14 Minnesota communities. Seven intervention communities participated in a 32-month community-organizing...

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Veröffentlicht in:American journal of public health (1971) 1998-08, Vol.88 (8), p.1193-1198
Hauptverfasser: Forster, J L, Murray, D M, Wolfson, M, Blaine, T M, Wagenaar, A C, Hennrikus, D J
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container_end_page 1198
container_issue 8
container_start_page 1193
container_title American journal of public health (1971)
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creator Forster, J L
Murray, D M
Wolfson, M
Blaine, T M
Wagenaar, A C
Hennrikus, D J
description This study tested the hypothesis that adoption and implementation of local policies regarding youth access to tobacco can affect adolescent smoking. 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. 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. This study provides compelling evidence that policies designed to reduce youth access to tobacco can have a significant effect on adolescent smoking rates.
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subjects Access
Adolescent
Adolescents
Biological and medical sciences
Community
Community involvement
Community Participation - legislation & jurisprudence
Health Policy - legislation & jurisprudence
Humans
Intervention
Local government
Male
Medical sciences
Minnesota
Minors
Ordinances
Outcomes
Policy
Prevention
Prevention and actions
Program Evaluation
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Public policy
Purchasing
Reduction
Retail stores
School districts
Smoking
Smoking - legislation & jurisprudence
Smoking Cessation
Smoking Prevention
Specific populations (family, woman, child, elderly...)
Students
Teams
Teenagers
Tobacco
Young people
title The effects of community policies to reduce youth access to tobacco
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