Department of Community and Behavioral Health, Colorado School of Public Health and
Cancer Prevention and Control Program, University of Colorado Cancer Center, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Pediatrics. 2020 May;145(5). doi: 10.1542/peds.2019-3253. Epub 2020 Apr 22.
A previous single-county study found that retail stores usually asked young-looking tobacco customers to show proof-of-age identification, but a large proportion of illegal tobacco sales to minors occurred after the customers had shown identification proving they were too young to purchase tobacco. We sought to investigate these findings on a larger scale.
We obtained state reports for federal fiscal years 2017 and 2018 from a federal agency that tracks tobacco sales to supervised minors conducting compliance checks in retail stores. We used descriptive and multivariable logistic regression methods to determine (1) how often stores in 17 states requested identifications, (2) what proportion of violations occurred after identification requests, and (3) if violation rates differed when minors were required versus forbidden to carry identification.
Stores asked minors for identification in 79.6% (95% confidence interval: 79.3%-80.8%) of compliance checks ( = 17 276). Violations after identification requests constituted 22.8% (95% confidence interval: 20.0%-25.6%; interstate range, 1.7%-66.2%) of all violations and were nearly 3 times as likely when minors were required to carry identification in compliance checks. Violations were 42% more likely when minors asked for a vaping product versus cigarettes.
Stores that sell tobacco to underage customers are more likely to be detected and penalized when youth inspectors carry identification during undercover tobacco sales compliance checks. The new age-21 tobacco sales requirement presents an opportunity to require identifications be carried and address other long-standing weaknesses in compliance-check protocols to help combat the current adolescent vaping epidemic.
之前的一项单县研究发现,零售店通常会要求看似年轻的烟草顾客出示年龄证明,但很大一部分向未成年人非法销售烟草的行为发生在顾客出示证明他们太年轻而不能购买烟草之后。我们试图在更大的范围内调查这些发现。
我们从一个跟踪向受监管的未成年顾客在零售店进行合规检查时销售烟草的联邦机构获得了 2017 年和 2018 年的州报告。我们使用描述性和多变量逻辑回归方法来确定:(1)17 个州的商店要求身份识别的频率;(2)在身份识别请求后发生违规的比例;(3)当未成年人被要求或禁止携带身份证明时,违规率是否存在差异。
在 79.6%(95%置信区间:79.3%-80.8%; = 17276)的合规检查中,商店要求未成年人出示身份证明。在身份识别请求后发生的违规行为占所有违规行为的 22.8%(95%置信区间:20.0%-25.6%;州际范围:1.7%-66.2%),在合规检查中要求未成年人携带身份证明时,这种违规行为几乎是三倍。当未成年人要求购买电子烟产品而非香烟时,违规行为的可能性增加 42%。
当青年巡视员在隐蔽的烟草销售合规检查中携带身份证明时,向未成年顾客销售烟草的商店更有可能被发现和受到处罚。新的 21 岁烟草销售要求提供了一个机会,要求携带身份证明,并解决合规检查协议中其他长期存在的弱点,以帮助应对当前青少年电子烟流行的问题。