Laserfiche WebLink
Downloaded from http://tobaccocontrol.bmj.com/ on December 12, 2016 - Published by group.bmj.com <br />Brief report <br />Figure 1 Trends in current (A) <br />cigarette smoking, (B) store purchases <br />of cigarettes and (C) alcohol use in <br />Needham vs 16 comparison <br />communities, 2006-2012. *p<0.05, <br />**p<0.01, ***p<0.001. tAmong <br />current smokers who tried to obtain <br />cigarettes in the past 30 days. <br />Note: The minimum purchase age was <br />raised to 21 in 2005. The numbers <br />between time points represent the (3 <br />coefficients from a series of Poisson <br />regression models that estimated the <br />change in use/purchase in Needham <br />relative to the 16 comparison <br />communities over consecutive time <br />periods (2006-2008, 2008-2010, and <br />2010-2012) controlling for race/ <br />ethnicity and socioeconomic status at <br />the school level. <br />A <br />50.0 <br />40.0 <br />0 30.0 <br />to <br />0 20.0 <br />10.0 <br />0.0 <br />B <br />50.0 <br />t; 40.0 <br />Q <br />v <br />30.0 <br />6 20.0 <br />M <br />no <br />c <br />'-E 10.0 <br />0 <br />0- <br />v <br />0.0 <br />C <br />50.0 <br />a 40.0 <br />m 30.0 <br />0o <br />c <br />0 20.0 <br />10.0 <br />0.0 <br />DISCUSSION <br />As more communities are debating whether or not to raise the <br />minimum sales age of tobacco, it is important to examine the <br />effects this policy may have on youth smoking and access to <br />Current Cigarette Smoking <br />14.8 -.174*** 14.0** <br />-.278 12.0 <br />-- .143** 8s <br />12.9 <br />10.3 <br />6.7 5.5 <br />2006 2008 2010 2012 <br />Needham 116 Comparison Communities <br />Current Store Purchases of Cigarettest <br />19.4 -.667*** 19.5 .200* 20.4 .029 19.0 <br />18.4 <br />9.7 12.7 11.6 <br />2006 2008 2010 2012 <br />-r,-Needham 11 116 Comparison Communities <br />Current Alcohol Use <br />45.2 .032 43.4 <br />---.047 <br />7 7-`-- .._ 36.4 .013 34.9 <br />42.0 _ <br />39.2 <br />34.4 32.5 <br />2006 2008 2010 2012 <br />--Needham 16 Comparison Communities <br />cigarettes. Comparing data from Needham and 16 surrounding <br />communities, we showed a significantly greater decline in <br />current smoking in Needham soon after the minimum purchase <br />age was raised, overall and for males, females, Caucasian and <br />Table 1 Stratified models predicting 30 -day cigarette smoking, Needham versus 16 comparison communities, 2006-2010 <br />Gender Race/ethnicity Grade <br />Total Females Males Caucasian Non -Caucasian 9th 10th 11th <br />12th <br />Cigarette smoking <br />Intercept -1.922*** -2.032*** -1.831 * -1.947*** -1.794*** -2.551 *** -2.001 *** -1.809*** <br />-1.546*** <br />pl-target community (Needham) 0.062 0.258*** -0.101 0.089* 0.068 0.046 -0.162* 0.022 <br />0.270*** <br />R2_time -0.050*** -0.084*** -0.025 -0.058*** -0.034* -0.082* -0.086*** -0.044** <br />-0.023 <br />133-timextarget community -0.108*** -0.214*** -0.038* -0.129*** -0.074** -0.028 -0.059** -0.134*** <br />-0.192*** <br />Percentage of free/reduced lunch 0.026*** 0.032*** 0.021 * * * 0.030*** 0.019*** 0.044*** 0.029*** 0.024*** <br />0.019*** <br />Percentage of Caucasian 0.020*** 0.026*** 0.016*** 0.021 * * * 0.022*** 0.032*** 0.019*** 0.019*** <br />0.019*** <br />The coefficient of timextarget community represents the change in prevalence of 30 -day use in Needham relative to the 16 comparison communities from 2006 to 2010. <br />*p<0.05, **p<0.01, ***p<0.001. <br />13l, difference in log -odds of a 30 -day prevalence of smoking between Needham and non -Needham communities at 2006; pz, change in log -odds of a 30 -day prevalence of smoking per <br />2 -year interval, from 2006 to 2010, in non -Needham communities; 133, difference in change of log -odds of a 30 -day prevalence of smoking per 2 -year interval, from 2006 to 2010, <br />between Needham and non -Needham communities. <br />Kessel Schneider S, et al. Tob Control 2016;25:355-359. doi:10.1136/tobaccocontrol-2014-052207 <br />357 <br />