Impact of New York City's 2014 Increased Minimum Legal Purchase Age on Youth Tobacco Use. 2018

James Macinko, and Diana Silver
James Macinko is with the Departments of Health Policy and Management and Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles. Diana Silver is with The College of Global Public Health, New York University, New York, NY.

To assess the impact of New York City's (NYC's) 2014 increase of the minimum legal purchase age (MLPA) for tobacco and e-cigarettes from 18 to 21 years. We performed a difference-in-differences analysis comparing NYC to the rest of New York State by using repeated cross-sections of the New York Youth Tobacco Survey (2008-2016) and to 4 Florida cities by using the Youth Risk Behavior Surveys (2007-2015). Adolescent tobacco use declined slightly in NYC after the policy change. However, this rate of change was even larger in control locations. In NYC, e-cigarette use increased and reported purchases of loose cigarettes remained unchanged, suggesting uneven policy implementation, enforcement, or compliance. Increasing the MLPA to 21 years in NYC did not accelerate reductions in youth tobacco use any more rapidly than declines observed in comparison sites. Public Health Implications. Other cities and states currently raising their MLPA for tobacco may need to pay close attention to policy enforcement and conduct enhanced monitoring of retailer compliance to achieve the full benefits of the policy.

UI MeSH Term Description Entries
D008297 Male Males
D009519 New York City City located at the mouth of the Hudson River, in New York State.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults
D064424 Tobacco Use Use of TOBACCO (Nicotiana tabacum L) and TOBACCO PRODUCTS. Tobacco Consumption,Tobacco Chewing,Consumption, Tobacco,Tobacco Uses
D066300 Electronic Nicotine Delivery Systems Devices or objects designed to provide NICOTINE in the form of an inhaled aerosol. E-Cig,E-Cigarette,Electronic Cigarette,Electronic Cigarettes,Electronic Nicotine Delivery System,E-Cigarettes,E-Cigs,Cigarette, Electronic,Cigarettes, Electronic,E Cig,E Cigarette,E Cigarettes,E Cigs

Related Publications

James Macinko, and Diana Silver
February 2024, American journal of preventive medicine,
James Macinko, and Diana Silver
July 2012, Global heart,
James Macinko, and Diana Silver
May 2000, Journal of public health management and practice : JPHMP,
James Macinko, and Diana Silver
March 2019, Health economics,
James Macinko, and Diana Silver
May 2009, The New England journal of medicine,
James Macinko, and Diana Silver
June 2023, Journal of risk and uncertainty,
James Macinko, and Diana Silver
April 2013, BMJ (Clinical research ed.),
Copied contents to your clipboard!