Luke D A, Stamatakis K A, Brownson R C
Saint Louis University School of Public Health, St. Louis, Missouri 63108-3342, USA.
Am J Prev Med. 2000 Oct;19(3):180-7. doi: 10.1016/s0749-3797(00)00196-3.
State policies aimed at controlling youth access to tobacco are an important component of public health efforts to reduce smoking prevalence among youth and prevent subsequent disease.
This study sought to assess the extensiveness of state youth access tobacco control legislation in the United States, describe how state policies changed over a 4-year period, explore how various political and economic characteristics are related to state policies, and determine the relationship of youth smoking behavior to state youth tobacco control policies.
This descriptive and correlational study utilized data from multiple national surveillance, economic, and sociodemographic data sets.
All 50 states and the District of Columbia provided economic and political data. A standard tobacco-control policy score was developed by an expert panel for each state. Aggregated state-level measures of youth smoking behavior were provided by 79,491 youth in 33 states and the District of Columbia.
Included were extent of state tobacco control policies and changes over time, relationship between state political and economic characteristics and tobacco control policies, and relationship between state policies and youth smoking behavior.
State policy scores increased in variability and in mean value over the 4-year period, from a mean score of 7.2 in 1993 to 9.0 in 1996. State policy scores were significantly correlated with several state political and economic variables. States with more extensive tobacco control policies had significantly lower youth smoking rates. There was some evidence that a strong state tobacco economy may limit the effectiveness of tobacco control policies on youth smoking rates.
It is possible to reliably measure the extent to which states are achieving important public health goals in limiting youth access to tobacco products. Comprehensive state tobacco control policies are important for increasing prevention and cessation of smoking among youth.
旨在控制青少年获取烟草的国家政策是公共卫生工作的重要组成部分，以降低青少年吸烟率并预防后续疾病。
本研究旨在评估美国各州青少年获取烟草控制立法的广泛性，描述州政策在4年期间的变化情况，探讨各种政治和经济特征与州政策的关系，并确定青少年吸烟行为与州青少年烟草控制政策的关系。
这项描述性和相关性研究利用了多个国家监测、经济和社会人口数据集的数据。
所有50个州和哥伦比亚特区提供了经济和政治数据。一个专家小组为每个州制定了标准的烟草控制政策评分。33个州和哥伦比亚特区的79491名青少年提供了州一级青少年吸烟行为的综合测量数据。
包括州烟草控制政策的范围和随时间的变化、州政治和经济特征与烟草控制政策之间的关系，以及州政策与青少年吸烟行为之间的关系。
在4年期间，州政策评分的变异性和平均值均有所增加，从1993年的平均7.2分提高到1996年的9.0分。州政策评分与几个州的政治和经济变量显著相关。烟草控制政策更广泛州的青少年吸烟率显著较低。有证据表明，强大的州烟草经济可能会限制烟草控制政策对青少年吸烟率的有效性。
有可能可靠地衡量各州在限制青少年获取烟草产品方面实现重要公共卫生目标的程度。全面的州烟草控制政策对于增加青少年预防和戒烟至关重要。
