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Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis

OBJECTIVE: To assess the long-term impact of the increase in age-of-sale of cigarettes from 16 to 18 in England in October 2007. METHODS: Data were collected between November 2006 and September 2018 on 252,601 participants taking part in a nationally representative survey of adults aged 16+ in Engla...

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Autores principales: Beard, Emma, Brown, Jamie, Jackson, Sarah, West, Robert, Anderson, Will, Arnott, Deborah, Shahab, Lion
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140583/
https://www.ncbi.nlm.nih.gov/pubmed/32264873
http://dx.doi.org/10.1186/s12916-020-01541-w
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author Beard, Emma
Brown, Jamie
Jackson, Sarah
West, Robert
Anderson, Will
Arnott, Deborah
Shahab, Lion
author_facet Beard, Emma
Brown, Jamie
Jackson, Sarah
West, Robert
Anderson, Will
Arnott, Deborah
Shahab, Lion
author_sort Beard, Emma
collection PubMed
description OBJECTIVE: To assess the long-term impact of the increase in age-of-sale of cigarettes from 16 to 18 in England in October 2007. METHODS: Data were collected between November 2006 and September 2018 on 252,601 participants taking part in a nationally representative survey of adults aged 16+ in England, the Smoking Toolkit Study (STS). We assessed the impact of the introduction of the increase in age-of-sale on prevalence of ever smoking, current smoking, and quit attempts, among 16–17 year olds compared with 18–24 year olds. RESULTS: Following the increase in age-of-sale, there was a declining trend in ever smoking that was greater among 16–17 year olds than 18–24 year olds (OR 0.990 versus OR 0.993; p = 0.019). Data on current smoking were insensitive to detect a difference between the age groups in a step-level change or change in trend following the increase in age-of-sale (Bayes factors (BFs) 0.75 and 2.10). Data on quit attempts were also insensitive to detect a change in trend (BF 0.71), and despite a greater step-level decline among those aged 16–17 (OR 0.311 versus OR 0.547, p = 0.025), quit attempts remained higher among those aged 16–17. Secondary analysis indicated that post-policy change, trends in current and ever smoking were linear for 16–17 year olds but quadratic for 18–24 year olds (slowing decline). CONCLUSION: There is some evidence from an assessment of long-term trends in the Smoking Toolkit Study that the increase in legal age-of-sale of cigarettes in England was associated with a greater long-term decline in ever smoking among those aged 16–17 compared with those aged 18–24.
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spelling pubmed-71405832020-04-14 Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis Beard, Emma Brown, Jamie Jackson, Sarah West, Robert Anderson, Will Arnott, Deborah Shahab, Lion BMC Med Research Article OBJECTIVE: To assess the long-term impact of the increase in age-of-sale of cigarettes from 16 to 18 in England in October 2007. METHODS: Data were collected between November 2006 and September 2018 on 252,601 participants taking part in a nationally representative survey of adults aged 16+ in England, the Smoking Toolkit Study (STS). We assessed the impact of the introduction of the increase in age-of-sale on prevalence of ever smoking, current smoking, and quit attempts, among 16–17 year olds compared with 18–24 year olds. RESULTS: Following the increase in age-of-sale, there was a declining trend in ever smoking that was greater among 16–17 year olds than 18–24 year olds (OR 0.990 versus OR 0.993; p = 0.019). Data on current smoking were insensitive to detect a difference between the age groups in a step-level change or change in trend following the increase in age-of-sale (Bayes factors (BFs) 0.75 and 2.10). Data on quit attempts were also insensitive to detect a change in trend (BF 0.71), and despite a greater step-level decline among those aged 16–17 (OR 0.311 versus OR 0.547, p = 0.025), quit attempts remained higher among those aged 16–17. Secondary analysis indicated that post-policy change, trends in current and ever smoking were linear for 16–17 year olds but quadratic for 18–24 year olds (slowing decline). CONCLUSION: There is some evidence from an assessment of long-term trends in the Smoking Toolkit Study that the increase in legal age-of-sale of cigarettes in England was associated with a greater long-term decline in ever smoking among those aged 16–17 compared with those aged 18–24. BioMed Central 2020-04-08 /pmc/articles/PMC7140583/ /pubmed/32264873 http://dx.doi.org/10.1186/s12916-020-01541-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Beard, Emma
Brown, Jamie
Jackson, Sarah
West, Robert
Anderson, Will
Arnott, Deborah
Shahab, Lion
Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis
title Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis
title_full Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis
title_fullStr Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis
title_full_unstemmed Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis
title_short Long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in England: a trend analysis
title_sort long-term evaluation of the rise in legal age-of-sale of cigarettes from 16 to 18 in england: a trend analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140583/
https://www.ncbi.nlm.nih.gov/pubmed/32264873
http://dx.doi.org/10.1186/s12916-020-01541-w
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