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Does adolescent perception of difficulty in getting cigarettes deter experimentation?

Elizabeth A Gilpin1, Lora Lee, John P Pierce

  • 1Cancer Prevention and Control Program, Cancer Center, University of California, San Diego, La Jolla, CA 92093-0645, USA.

Preventive Medicine
|March 17, 2004
PubMed
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Increased enforcement of youth-access-to-tobacco laws in California was associated with reduced adolescent smoking initiation. Stricter laws may help prevent young people from starting to smoke by strengthening anti-tobacco norms.

Area of Science:

  • Public Health
  • Adolescent Health
  • Tobacco Control

Background:

  • Controversy exists regarding the effectiveness of youth-access-to-tobacco laws in reducing youth smoking.
  • California significantly increased access-law enforcement in 1996.

Purpose of the Study:

  • To examine the impact of increased access-law enforcement on adolescent smoking initiation.
  • To assess if adolescent perception of cigarette accessibility influences smoking transition.

Main Methods:

  • Analysis of two longitudinal cohorts (1993-1996 and 1996-1999) from the California Tobacco Surveys.
  • Follow-up of adolescent never-smokers (ages 12-15) to assess transition to smoking.
  • Examination of smoking transition based on perceived ease or difficulty of obtaining cigarettes.

Related Experiment Videos

Main Results:

  • In the 1993-1996 cohort, smoking transition was similar regardless of perceived cigarette accessibility (approx. 38%).
  • In the 1996-1999 cohort, smoking transition was lower for adolescents who perceived cigarettes as hard to get (25.9%) versus easy to get (36.1%).
  • Multivariate analyses confirmed this differential effect, adjusting for demographics and other predictors.

Conclusions:

  • Increased enforcement of access laws may protect young adolescents from smoking experimentation.
  • Strengthening societal anti-tobacco norms is a potential mechanism.
  • Access-law enforcement is a warranted component of comprehensive tobacco control programs.