Mosher J F
Marin Institute for the Prevention of Alcohol and Other Drug Problems, San Rafael, CA 94901, USA.
J Public Health Policy. 1995;16(4):412-32.
Reducing access of alcohol and tobacco to young people constitutes a pressing public health policy agenda. Research has established that alcohol and tobacco are readily available to young people and that early use of these products increases both short term and long term health problems. Research also shows that the most effective way to reduce underage access is to implement merchant compliance programs as part of a comprehensive prevention strategy. Successful merchant compliance programs involve the use of young people who attempt to purchase alcohol or tobacco from merchants. These attempted purchases should be conducted on a routine basis and should result in increasingly severe fines and civil penalties against merchants who violate the law. This article reviews the research outlined above and documents the industries' efforts to redirect public policy to blame the young person rather than the merchant for the problem of youth access to alcohol and tobacco. The industry is using several tactics to reach this goal. The article concludes with a nine point proposal for reducing youth access, outlining the key elements of a merchant compliance program, and presenting other essential components of a community-based, comprehensive strategy.
减少年轻人获得酒精和烟草的机会是一项紧迫的公共卫生政策议程。研究表明,年轻人很容易获得酒精和烟草,而早期使用这些产品会增加短期和长期的健康问题。研究还表明,减少未成年人获得这些产品的最有效方法是实施商家合规计划,作为全面预防战略的一部分。成功的商家合规计划包括利用年轻人尝试从商家购买酒精或烟草。这些尝试性购买应该定期进行,并且对于违法的商家应处以越来越严厉的罚款和民事处罚。本文回顾了上述研究,并记录了相关行业为将公共政策转向指责年轻人而非商家导致年轻人获得酒精和烟草问题所做的努力。该行业正在使用多种策略来实现这一目标。文章最后提出了九点减少年轻人获得这些产品机会的建议,概述了商家合规计划的关键要素,并介绍了基于社区的全面战略的其他重要组成部分。