TY - JOUR
T1 - Impact of New York City’s 2014 increased minimum legal purchase age on youth tobacco use
AU - Macinko, James
AU - Silver, Diana
N1 - Publisher Copyright:
© 2018 American Public Health Association Inc. All Rights Reserved.
PY - 2018/5
Y1 - 2018/5
N2 - Objectives. To assess the impact of New York City’s (NYC’s) 2014 increase of the minimum legal purchase age (MLPA) for tobacco and e-cigarettes from 18 to 21 years. Methods. We performed a difference-in-differences analysis comparing NYC to the rest of New York State by using repeated cross-sections of the New York Youth Tobacco Survey (2008-2016) and to 4 Florida cities by using the Youth Risk Behavior Surveys (2007-2015). Results. Adolescent tobacco use declined slightly in NYC after the policy change. However, this rate of change was even larger in control locations. In NYC, e-cigarette use increased and reported purchases of loose cigarettes remained unchanged, suggesting uneven policy implementation, enforcement, or compliance. Conclusions. Increasing the MLPA to 21 years in NYC did not accelerate reductions in youth tobacco use any more rapidly than declines observed in comparison sites. Public Health Implications. Other cities and states currently raising their MLPA for tobacco may need to pay close attention to policy enforcement and conduct enhanced monitoring of retailer compliance to achieve the full benefits of the policy.
AB - Objectives. To assess the impact of New York City’s (NYC’s) 2014 increase of the minimum legal purchase age (MLPA) for tobacco and e-cigarettes from 18 to 21 years. Methods. We performed a difference-in-differences analysis comparing NYC to the rest of New York State by using repeated cross-sections of the New York Youth Tobacco Survey (2008-2016) and to 4 Florida cities by using the Youth Risk Behavior Surveys (2007-2015). Results. Adolescent tobacco use declined slightly in NYC after the policy change. However, this rate of change was even larger in control locations. In NYC, e-cigarette use increased and reported purchases of loose cigarettes remained unchanged, suggesting uneven policy implementation, enforcement, or compliance. Conclusions. Increasing the MLPA to 21 years in NYC did not accelerate reductions in youth tobacco use any more rapidly than declines observed in comparison sites. Public Health Implications. Other cities and states currently raising their MLPA for tobacco may need to pay close attention to policy enforcement and conduct enhanced monitoring of retailer compliance to achieve the full benefits of the policy.
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U2 - 10.2105/AJPH.2018.304340
DO - 10.2105/AJPH.2018.304340
M3 - Comment/debate
C2 - 29565664
AN - SCOPUS:85045024208
SN - 0090-0036
VL - 108
SP - 669
EP - 675
JO - American journal of public health
JF - American journal of public health
IS - 5
ER -