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Never-smoking adolescents’ perceived accessibility of cigarettes following an increase in the tobacco age-of-sale from 16 to 18: A quasi-experimental study of two cities in the Netherlands and Belgium

Published on Jan 7, 2020in Addictive Behaviors2.963
· DOI :10.1016/j.addbeh.2020.106288
Paulien A W Nuyts1
Estimated H-index: 1
(PHRI: Public Health Research Institute),
Mirte A. G. Kuipers10
Estimated H-index: 10
(PHRI: Public Health Research Institute)
+ 2 AuthorsAnton E. Kunst75
Estimated H-index: 75
(PHRI: Public Health Research Institute)
Abstract
Abstract Background The Netherlands increased the tobacco age-of-sale from 16 to 18 in 2014, paired with mass-media campaigns. We evaluated changes in perceived accessibility of cigarettes between 2013 and 2016 among adolescent never-smokers in the Netherlands compared with Belgium, where the age-of-sale remained 16 and no campaigns were conducted. Methods Repeated cross-sectional surveys were conducted in 2013 and 2016 among 4,112 13-17-year-olds at a total of 22 schools in Amersfoort (the Netherlands) and Namur (Belgium). Multilevel Poisson regression quantified changes over time in prevalence of easy perceived accessibility to cigarettes (i.e., thinking it would be fairly/very easy to get cigarettes). Interaction terms were used to test whether changes differed between the Netherlands and Belgium. Analyses were stratified by age (13-15 and 16-17 years), sex (male and female), family smoking (0 and ≥1 smoking family members), and friend smoking (no and at least some smoking friends). Results Perceived accessibility to cigarettes decreased in the Netherlands (Prevalence Ratio (PR): 0.82; 95% CI: 0.72-0.93) and Belgium (PR: 0.78; 95% CI: 0.70-0.87), to a similar extent (PR interaction: 1.04; 95% CI: 0.90-1.21). Results by sex, age, and family/friend smoking were similar to those for the total population; there were no significant differences in the decrease in perceived access over time between the Netherlands and Belgium within each of these subgroups. Conclusion This study found approximately the same rate of decline between 2013 and 2016 in adolescent never-smokers’ perceived access to cigarettes in the Netherlands as in Belgium. This implies that we did not find clear evidence for an effect of the 2014 increase in legal age of tobacco sales from 16 to 18 years in the Netherlands.
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References23
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#1Paulien A W Nuyts (UvA: University of Amsterdam)H-Index: 4
#2Thomas G. Kuijpers (UM: Maastricht University)H-Index: 2
Last. Anton E. Kunst (UvA: University of Amsterdam)H-Index: 75
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Abstract The aim of the study was to understand, from the perspective of youth, how and under which circumstances a ban on tobacco sales to minors can be effective in influencing youth smoking behaviour. We searched Medline, Embase, and PsychINFO in February 2016. A systematic search for studies about a ban on sales to minors and smoking behaviour was performed. Only studies that addressed potential mechanisms were included, resulting in thirty-three studies. We extracted evidence from 26 quanti...
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#1Mirte A. G. Kuipers (UvA: University of Amsterdam)H-Index: 10
#2Stephanie D. Brandhof (UvA: University of Amsterdam)H-Index: 1
Last. Anton E. Kunst (UvA: University of Amsterdam)H-Index: 75
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Aims To estimate the impact of introducing sales restriction laws in Europe by measuring changes in adolescent smoking prevalence and perceived obtainability of cigarettes over time in countries that have recently introduced sales restriction laws (intervention countries). These countries were compared with countries where such laws were already in force (control countries). The secondary aim was to test whether these trends differed between adolescents of higher and lower socioeconomic position...
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#1Louise Marsh (University of Otago)H-Index: 9
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Background The minimum age for the legal purchase of tobacco increased from 16 to 18 years in England, Scotland and Wales on 1 October 2007. The authors examined the impact of this legislation on disparities in smoking behaviour and access to cigarettes among youth in England. Methods A multivariate logistic regression analysis was carried out adjusting for secular trends in regular smoking using data from the Smoking, Drinking and Drug Use Survey, a national survey of 11e15 year olds. The prima...
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Tobacco use continues to be the leading preventable cause of premature death in the United States, killing over 430,000 people annually. To-bacco initiation and use among youth remains a significant public health concern. Despite declines in U.S. youth tobacco use in recent years, state and national survey results are still cause for alarm. Although traditional school-based curricular programs are the most common strategy to prevent or reduce youth tobacco use, their effectiveness may be limited...
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#1Jennifer A. Fidler (UCL: University College London)H-Index: 18
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#1T. Borland (Edin.: University of Edinburgh)H-Index: 1
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Summary Objectives To explore the perceived impact among a group of Scottish 16- and 17-year-old school leavers of the recent increase in age of sale of cigarettes (1 October 2007) from 16 to 18 years on their ability to purchase and access cigarettes. Study design Qualitative interviews with friendship pairs. Methods Twelve paired qualitative interviews conducted in June 2008. Participants were 16- and 17-year-old early school leavers undertaking a work skills programme in Lothian who smoked at...
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