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州及联邦政府对《西纳尔修正案》的遵守情况:1998财年。

State and federal compliance with the Synar Amendment: federal fiscal year 1998.

作者信息

DiFranza J R

机构信息

Department of Family Medicine and Community Health, 55 Lake Ave, University of Massachusetts Medical School, Worcester, MA 01655, USA.

出版信息

Arch Pediatr Adolesc Med. 2001 May;155(5):572-8. doi: 10.1001/archpedi.155.5.572.

Abstract

BACKGROUND

The Synar Amendment requires states and territories to enact a law prohibiting the sale of tobacco to minors and to enforce that law in a manner that could reasonably be expected to decrease the availability of tobacco to minors.

OBJECTIVE

To determine if the Department of Health and Human Services (DHHS) and applicant states and territories are complying with the Synar Amendment.

DATA SOURCES

Block grant applications from 59 states and territories describing activities during the federal fiscal year 1998.

MEASURES

Whether applicants had enacted a tobacco sales law without loopholes, conducted enforcement inspections, penalized violators, and conducted a valid statewide survey with violation rates below the permissible threshold, and whether DHHS actions were consistent with the statutory requirements of the Synar Amendment.

RESULTS

Three applicants had laws containing loopholes, 6 failed to conduct enforcement inspections, 7 failed to prosecute violators, 2 failed to conduct a valid survey, and 10 failed to demonstrate compliance with violation rate goals. Fifteen applicants failed 1 or more criteria and 8 were ultimately penalized by DHHS. No measurable progress in reducing violation rates was reported by 30 states, with 16 reporting an increase during the previous year. Twenty-four applicants were granted delays.

CONCLUSIONS

States that demonstrated remarkable progress were balanced by states with worsening performance; as a whole there was no significant national progress toward reducing the availability of tobacco to youths. This failure can be attributed to inadequate resources devoted to enforcement and reliance on merchant education in lieu of bona fide law enforcement.

摘要

背景

《西纳尔修正案》要求各州和领地制定法律,禁止向未成年人销售烟草,并以合理预期能够减少未成年人获取烟草机会的方式执行该法律。

目的

确定卫生与公众服务部(DHHS)以及申请的各州和领地是否遵守《西纳尔修正案》。

数据来源

来自59个州和领地的整笔拨款申请,描述了1998财年的活动。

衡量标准

申请人是否制定了无漏洞的烟草销售法律、进行了执法检查、处罚了违规者、进行了有效的全州范围调查且违规率低于允许阈值,以及DHHS的行动是否符合《西纳尔修正案》的法定要求。

结果

三名申请人的法律存在漏洞,六名未进行执法检查,七名未起诉违规者,两名未进行有效调查,十名未证明符合违规率目标。十五名申请人未达到一项或多项标准,八名最终受到DHHS的处罚。30个州报告在降低违规率方面没有可衡量的进展,1十六条报告称前一年有所增加。24名申请人获得了延期。

结论

表现显著进步的州与表现恶化的州相互抵消;总体而言,在减少年轻人获取烟草机会方面全国没有取得显著进展。这种失败可归因于用于执法的资源不足以及依赖商家教育而非真正的执法。

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