Division of Neonatology, Department of Pediatrics, New York Medical College and Maria Fareri Children's Hospital
New York Chapter 2, American Academy of Pediatrics, Smithtown, New York.
Pediatrics. 2021 Sep;148(3). doi: 10.1542/peds.2021-051223. Epub 2021 Aug 18.
Electronic nicotine delivery system use contributes to the epidemic of youth vaping. Regulations to curtail or prohibit the sale of flavored nicotine products aim to disrupt initiation of child nicotine use by reducing access to enticing nicotine flavorings. A total of 6 states and >300 localities have restricted or banned flavored nicotine product sales. In this case study, we outline the use of a localized town-based strategy, which offered 2 potential bills to incrementally restrict or prohibit sale of flavored vape products when county or state legislation was not politically feasible. Over the course of 18 months, these bills reduced the number of municipalities where these products could be sold or advertised until county, city, and statewide bans were effectively in place, ultimately making the passage of a bill in the statehouse palatable. Strong partnerships with officials who had expertise in local town government, local American Academy of Pediatrics chapter physician champions, and a diverse coalition were instrumental in motivating smaller governments, which often pass legislation faster than larger legislatures, to create child-protective tobacco policies.
电子尼古丁传送系统的使用助长了青少年吸电子烟的流行。为了减少对诱人尼古丁口味的获取，从而阻止儿童开始使用尼古丁，法规旨在限制或禁止销售调味尼古丁产品。总共有 6 个州和 300 多个地方限制或禁止了调味尼古丁产品的销售。在这项案例研究中，我们概述了一种基于城镇的本地化策略的使用，当县或州立法在政治上不可行时，该策略提供了 2 项潜在法案，以逐步限制或禁止销售调味电子烟产品。在 18 个月的时间里，这些法案减少了可以销售或宣传这些产品的城市数量，直到县、市和全州的禁令生效，最终使得州议会通过一项法案变得可行。与在地方镇政府方面拥有专业知识的官员、当地儿科学会医生冠军以及多元化联盟建立强有力的伙伴关系，对于激励往往比大型立法机构更快通过立法的较小政府制定保护儿童的烟草政策至关重要。
