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Cited by 169Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesGlobal Public Health Policies and Epidemiology

Youth Access Interventions Do Not Affect Youth Smoking

Fichtenberg, Caroline M., Glantz, Stanton A.·2002·Pediatrics
DOI 10.1542/peds.109.6.1088
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Abstract

OBJECTIVE: To determine the effectiveness of laws restricting youth access to cigarettes on prevalence of smoking among teens. METHODS: We conducted a systematic review of studies that reported changes in smoking associated with the presence of restrictions on the ability of teens to purchase cigarettes. We calculated the correlation between merchant compliance levels with youth access laws and prevalence (30-day and regular) prevalence of youth smoking, and between changes in compliance and prevalence associated with youth access interventions. We also conducted a random effects meta-analysis to determine the change in youth prevalence associated with youth access interventions from studies that included control communities. RESULTS: Based on data from 9 studies, there was no detectable relationship between the level of merchant compliance and 30-day (r =.116; n = 38 communities) or regular (r =.017) smoking prevalence. There was no evidence of a threshold effect. There was no evidence that an increase in compliance with youth access restrictions was associated with a decrease in 30-day (r =.294; n = 18 communities) or regular (r =.274) smoking prevalence. There was no significant difference in youth smoking in communities with youth access interventions compared with control communities; the pooled estimate of the effect of intervention on 30-day prevalence was -1.5% (95% confidence interval: -6.0% to +2.9%). CONCLUSIONS: Given the limited resources available for tobacco control, as well as the expense of conducting youth access programs, tobacco control advocates should abandon this strategy and devote the limited resources that are available for tobacco control toward other interventions with proven effectiveness.

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  • There is no detectable relationship between the level of merchant compliance and 30-day or regular smoking prevalence among teens.

    “Findings suggest that there is no detectable relationship between the level of merchant compliance and 30-day or regular smoking prevalence and no significant difference in youth smoking.”

    From Interventions for Adolescent Substance Abuse: An Overview of Systematic Reviews (2016) · cites this paper as [45]

  • There is no significant difference in youth smoking in a review of laws restricting youth access to cigarettes.

    “Findings suggest that there is no detectable relationship between the level of merchant compliance and 30-day or regular smoking prevalence and no significant difference in youth smoking.”

    From Interventions for Adolescent Substance Abuse: An Overview of Systematic Reviews (2016) · cites this paper as [45]

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Authors
Fichtenberg, C. M., & Glantz, S. A.
Affiliations
University of California, San Francisco (US)
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2002-06-01
Volume
109
Issue
6
Pages
1088-1092
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.109.6.1088
OpenAlex
W2153374932
Cited by
169
References
46
Citations by year
2026: 1 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 3 · 2016: 8 · 2015: 7 · 2014: 3 · 2013: 6 · 2012: 5
FWCI
10.01
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (R01CA061021, CA-61021)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
Keywords
adolescent smoking, tobacco control, tobacco retail sales, adolescent smoking prevalence
MeSH terms
Smoking Prevention, Adolescent, Adolescent Behavior, Child, Commerce, Health Policy, Humans, Legislation as Topic, Smoking, Social Control, Formal, United States, Program Evaluation, Prevalence, Confidence Intervals, Outcome Assessment, Health Care, Tobacco Industry

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