Adopt & Adapt: Implementing Local Tobacco 21 Policy in Cincinnati

Area of Science:

• Public Health
• Health Policy
• Tobacco Control

Background:

• Cincinnati implemented Tobacco 21 and Tobacco Retail Licensing policies to reduce youth tobacco use.
• Local policies faced challenges including state/federal preemption and the COVID-19 pandemic.
• The Cincinnati Health Department led implementation and enforcement efforts.

Purpose of the Study:

• To examine the challenges and facilitators of implementing and enforcing Tobacco 21 and Tobacco Retail Licensing policies in Cincinnati.
• To understand the role of partnerships and adaptability in policy success.
• To highlight retailer perspectives in tobacco policy evaluation.

Main Methods:

• Case study methodology over a 3-year period (2019-2022).
• Evaluation incorporating retailer feedback and public health department experiences.
• Analysis of implementation and enforcement processes.

Main Results:

• Early challenges included conflicting laws, pandemic impacts, and retailer tracking limitations.
• Successful implementation was achieved through retailer partnerships, streamlined tracking, and education.
• Adaptability and flexibility were crucial for overcoming environmental challenges.
• Retailer and public support increased, leading to reduced youth tobacco access and use.

Conclusions:

• Local tobacco policies can be successfully implemented and enforced through strategic partnerships and adaptive strategies.
• Engaging retailers as partners is vital for effective tobacco control policy.
• Flexibility and ongoing education are essential for navigating complex public health policy landscapes.