Geographical distribution and social determinants of Tobacco 21 policy adoption and retail inspections in the United States, 2015-2019.

ABSTRACT:

Introduction

Tobacco control laws that raise the minimum age of tobacco sales to 21 years (T21) play a pivotal role in youth tobacco prevention, yet empirical data are sorely needed to inform enforcement, compliance efforts, and future legislation.

Methods

Spatial analysis was conducted at the zip code level by geocoding the states and localities that adopted T21 ordinances from 2015 to 2019. A multi-level logistic regression model was conducted to examine disparities in neighborhood socioeconomic status (SES), FDA retail inspection, and state-level tobacco control policies associated with T21 adoption.

Results

T21 adoption at the state and local level increased considerably from 1.4% of zip codes in 2015 to 40.2% in 2019. However, the T21 ordinances were disproportio

SUBMITTER: Dai H 

PROVIDER: S-EPMC8445336 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature