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Associations Between State Tobacco Control Policies and Adolescent ENDS Use

机译:国家烟草控制策略与青少年结束之间的关联

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Background: Despite an increase in adolescent use of electronic nicotine delivery systems (ENDS), little is known about the role of tobacco control policies on ENDS use. Objective: For aim 1, we examined how trends in adolescent use of cigarettes were affected by the introduction of ENDS; for aim 2, we examined the associations between ENDS age restrictions, cigarette taxes, and smoke-free legislation and adolescent use of ENDS and cigarettes. Design and Setting: Repeated cross-sections of the 1999-2015 Youth Risk Behavior Surveys linked to state-level tobacco control policies. Participants: 938 486 adolescents aged 14 to 18 years from 45 states. Main Outcome Measures: For aim 1, we examined adolescent use of cigarettes. For aim 2, we examined adolescent use of ENDS, only ENDS, and cigarettes. Results: We found there was an overall decreasing trend in adolescent use of cigarettes, but the actual decline was greater than the predicted decline for 17- and 18-year-olds. While we found no associations between ENDS use and ENDS age restrictions or cigarette taxes, ENDS use was 3.8 percentage points higher in those states with smoke-free legislation for combustible tobacco products. Conclusions: Our findings highlight that ENDS age restrictions may not be adequate to curb ENDS use and additional local- and state-level policies governing ENDS are needed.
机译:背景:尽管青少年使用电子尼古丁递送系统(末端)增加,但对烟草控制政策的作用几乎是知之甚少。目的:为AIM 1,我们研究了青少年使用卷烟的趋势受到终止的影响;对于AIM 2,我们审查了目的年龄限制,卷烟税和无烟立法之间的协会和青少年使用末端和卷烟。设计与设置:重复的1999 - 2015年青年风险行为调查与国家级烟草控制策略相关的横截面。参与者:来自45个州的14至18岁的486名486名青少年。主要观察措施:对于AIM 1,我们检查了青少年使用香烟。对于AIM 2,我们检查了青少年的结束,只结束,卷烟。结果:我们发现青少年使用卷烟的总体趋势较小,但实际下降大于17岁和18岁的预测下降。虽然我们在目前使用和结束年龄限制或卷烟税之间没有找到任何关联,但在无烟烟草制品的无烟立法中,这些国家的结束使用量高出了3.8个百分点。结论:我们的调查结果强调,目的年龄限制可能不足以遏制结束使用,并且需要额外的地方和国家级政策。

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