Association of Peer Influence and Access to Tobacco Products With U.S. Youths’ Support of Tobacco 21 Laws, 2015

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Glover-Kudon, Rebecca ; Plunkett, Elizabeth ; Lavinghouze, René ; Trivers, Katrina F. ; Wang, Xu ; Hu, Sean ; Homa, David M.
• Description:
  Purpose:
  
  Tobacco 21 (T21) is a population-based strategy to prevent tobacco initiation. A majority of U.S. youths support T21; however, the extent to which individual, interpersonal, and community factors influence T21 support is uncertain. This study explored predictors of T21 support among U.S. youth.
  
  Methods:
  
  We analyzed data from the 2015 National Youth Tobacco Survey (n = 17,683) to assess the association of peer influence and access to tobacco products on T21 support. We used multivariable logistic regression to calculate adjusted odds ratios (aORs) with 95% confidence intervals for T21 support. For tobacco nonusers, the model included peer influence along with covariates including sex, age, race/ethnicity, household tobacco use, and perceived harm. For tobacco users, the model included tobacco access sources (direct purchase, social sources, and other means), the aforementioned covariates, and tobacco product type.
  
  Results:
  
  Among nonusers, students least receptive to peer influence (aOR = 2.5), those youngest in age (11e14 years, aOR = 2.3), and those who believe tobacco is dangerous (aOR = 2.5) had higher odds of T21 support. Among users, lower odds of T21 support were observed among those who purchased tobacco (aOR = .3) and accessed tobacco through social sources (aOR = .7) or other means (aOR = .6) in the past 30 days. Younger tobacco users (11–14 years, aOR = 2.2), black, non-Hispanic users (aOR = 3.8), e-cigarette users (aOR = 2.5), and users who believe that tobacco is dangerous (aOR = 2.8) had higher odds of T21 support.
  
  Conclusions:
  
  Low receptivity to peer influence and lack of access to tobacco products are associated with T21 support. Results underscore that T21 implementation may require a social-ecological approach.
  
  
• Subjects:
  Adolescent Child Consumer Behavior Cross-Sectional Studies Electronic Nicotine Delivery Systems Female Humans Male Peer Influence Smoking Students Tobacco Products United States Young Adult

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• Keywords:
  Adolescents Attitudes Prevention Tobacco Youth
• Source:
  J Adolesc Health. 65(2):202-209
• Pubmed ID:
  30686573
• Pubmed Central ID:
  PMC6650299
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  65
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:1aa2ad61e105e47c1ee8b3080bfb39874d735e4151d9d6ac971680c72bee89e6c33f29e991bd78060bd28b83c9c9f835a20605f1a44e043194cb1e1c446d2dc0
• Download URL:
  https://stacks.cdc.gov/view/cdc/80070/cdc_80070_DS1.pdf
• File Type:
  [PDF - 350.37 KB ]