Is restricting tobacco sales the answer to adolescent smoking?

Staff, M., Bennett, C.M. and Angel, P. 2003, Is restricting tobacco sales the answer to adolescent smoking?, Preventive medicine, vol. 37, no. 5, pp. 529-533, doi: 10.1016/S0091-7435(03)00180-4.

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Title Is restricting tobacco sales the answer to adolescent smoking?
Author(s) Staff, M.
Bennett, C.M.ORCID iD for Bennett, C.M.
Angel, P.
Journal name Preventive medicine
Volume number 37
Issue number 5
Start page 529
End page 533
Publisher Academic Press
Place of publication San Diego, Calif.
Publication date 2003-11
ISSN 0091-7435
Keyword(s) smoking, prevention and control
smoking, legislation and jurisprudence
program evaluation
public health practice, legislation and jurisprudence
Summary Background: Enforcement of legislation restricting retail access to tobacco is increasingly relied on to reduce adolescent smoking rates. In 1996, health authorities in the Northern Sydney Health Area began monitoring tobacco retailer compliance (PROOF program) with staged purchase attempts by adolescents below the legal age (18 years).

Methods: Repeat cross-sectional surveys before (1995) and after (2000) the introduction of PROOF monitored changes in adolescent smoking behaviour. Students aged 12 to 17 years from 11 Northern Sydney metropolitan public secondary schools were surveyed for self-reported smoking and tobacco purchasing behavior in 1995 (n = 5,206) and 2000 (n = 4,120).

Results: Between 1996 and 2000, 545 retailer compliance checks found 34% unlawfully sold cigarettes to minors and 28% of these repeated the offence. Nine prosecutions resulted. Modelling revealed a significant association between the intervention and never having smoked (adjusted OR = 1.16, 95% CI = 1.01–1.33) although there was no significant association with being a current smoker. The odds of being a smoker were greater for students from coeducational schools, with this effect being modified by gender.

Conclusions: There was no reduction in adolescent smoking with active enforcement of tobacco access laws despite an apparent increase in students who reported never to have smoked.
Language eng
DOI 10.1016/S0091-7435(03)00180-4
Field of Research 111716 Preventive Medicine
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2003 American Health Foundation and Elsevier Inc.
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