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The effectiveness of tobacco sales ban to minors: the case of Finland

机译:禁止向未成年人销售烟草的有效性:芬兰的情况

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摘要

>Objective: To evaluate the effects of the 1977 and 1995 tobacco sales bans on tobacco acquisition of minors. >Design: Biennial nationwide postal surveys (adolescent health and lifestyle survey, AHLS) in 1977–2003; annual classroom surveys (school health promotion survey, SHPS) in 1996–2003. >Setting and participants: Entire Finland—12, 14, 16, and 18 year olds (AHLS, n = 80 282); eighth and ninth graders (14–16 year olds) (SHPS, n = 226 681). >Main outcome measures: Purchase of tobacco from commercial sources during the past month, purchase from different commercial (shop, kiosk, other outlet) and social sources, ease of buying tobacco, overall acquisition of tobacco products, daily smoking, tobacco experimenting. >Results: Decrease in tobacco purchase from commercial sources was small and short term after 1977 but large and permanent after 1995: purchase rate among 14 year old smokers diminished from 90% to 67% in 2003, 16 year olds from 94% to 62%. Purchases in shops decreased most (14 year olds: from 39% to 14%; 16 year olds: from 76% to 27%); purchases in kiosks less. An increase was observed in obtaining tobacco from other outlets and friends (social sources). Only 2–3% of 14–16 year old smokers used commercial sources exclusively when obtaining tobacco. Daily smoking began to decrease after 2001, following an earlier decrease in those experimenting. No changes were observed among age groups not targeted by the ban. >Conclusions: Legislation appears to have permanently changed tobacco sales practices and decreased purchases from commercial sources. Social sources need to be taken into account when controlling access to tobacco. Sales bans should be accompanied by other health promotion measures.
机译:>目的:评估1977年和1995年的烟草销售禁令对未成年人吸烟的影响。 >设计: 1977-2003年的全国性双年度邮政调查(青少年健康和生活方式调查,AHLS); 1996-2003年的年度课堂调查(学校健康促进调查,SHPS)。 >背景和参与者:整个芬兰-12、14、16和18岁(AHLS,n = 80282);八年级和九年级学生(14至16岁)(SHPS,n = 226681)。 >主要结果指标:过去一个月从商业渠道购买烟草,从不同的商业渠道(商店,售货亭,其他商店)和社交渠道购买烟草,购买烟草的便利性,每天从整体上购买烟草产品吸烟,烟草试验。 >结果:从商业渠道购买的烟草减少量在1977年以后是短期和短期的,但在1995年以后是永久性的:在14岁吸烟者中,14岁吸烟者的购买率从90%下降到2003年的67%从94%升至62%商店的购买量下降幅度最大(14岁以下人群从39%降至14%; 16岁以下人群从76%降至27%);信息亭中的购买减少。从其他销售渠道和朋友(社会来源)获得烟草的人数有所增加。 14-16岁的吸烟者中只有2-3%专门在获取烟草时使用了商业来源。在那些实验开始减少之后,2001年以后每日吸烟开始减少。在禁令未针对的年龄组中未观察到变化。 >结论:立法似乎永久改变了烟草的销售方式,并减少了从商业渠道的购买。控制烟草获取时,应考虑社会来源。销售禁令应伴随其他健康促进措施。

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