Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Department of Health Sciences, NORC at the University of Chicago, Bethesda, MD, USA.
J Public Health Policy. 2020 Sep;41(3):334-350. doi: 10.1057/s41271-020-00234-1.
This study documents all tobacco control proposals (bills) introduced in the United States into all 50 state legislatures from the start of 2010 through 2015 and assesses associations between tobacco-related strategies and tobacco product types with enactment of the bills into law. In total, members of state legislatures introduced 2801 tobacco control bills, and state legislatures enacted 17.4%. Bills most introduced addressed clean air (n = 696) and tax or price bills (n = 582), yet both had lower likelihood of enactment (each OR, 0.51; 95% CI 0.38-0.69) compared to bills on any other tobacco control strategy. Legislators introduced only 147 product manufacturing bills, but these had the highest odds of enactment (OR, 3.70, 95% CI 2.52-5.44) compared to any other intended strategy, followed by tax evasion (OR, 3.08; 95% CI 2.33-4.08) and retailer licensing or location (OR, 1.73; 95 CI 1.24-2.41). Compared to other products, bills regulating e-cigarettes had the highest enactment rate (21.2%). Despite introduction of many bills promoting traditional, evidence-based tobacco control strategies, these had less likelihood of enactment than others.
这项研究记录了 2010 年初至 2015 年期间，美国所有 50 个州立法机构提出的所有烟草控制提案（法案），并评估了与烟草相关的策略和烟草产品类型与法案成为法律之间的关联。总的来说，州立法机构成员提出了 2801 项烟草控制法案，其中 17.4%获得通过。提出最多的法案涉及清洁空气（n=696）和税收或价格法案（n=582），但这两种法案的通过可能性都较低（每项 OR，0.51；95%CI 0.38-0.69），与任何其他烟草控制策略相比。立法者仅提出了 147 项产品制造法案，但与任何其他预期策略相比，这些法案获得通过的几率最高（OR，3.70；95%CI 2.52-5.44），其次是逃税（OR，3.08；95%CI 2.33-4.08）和零售商许可或位置（OR，1.73；95%CI 1.24-2.41）。与其他产品相比，监管电子烟的法案的通过率最高（21.2%）。尽管提出了许多促进传统、基于证据的烟草控制策略的法案，但这些法案的通过可能性低于其他法案。
