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Journal of Health Politics, Policy and Law 2000 25(6):1023-1050; DOI:10.1215/03616878-25-6-1023
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Duke University Press

A Simulation Model of Tobacco Youth Access Policies

David T. Levy
University of Baltimore and Pacific Institute for Research and Evaluation

Karen B. Friend
Pacific Institute for Research and Evaluation

Abstract.

Empirical studies have found that policies aimed at reducing youth access to tobacco have been successful at increasing retail compliance, but their effects on actual tobacco use are mixed. This article presents a model of youth access policies that helps explain the apparently conflicting results in the extant literature, provides a framework for future empirical studies, and suggests implications for public policy. Our model highlights the interaction of components in a well-designed policy, including sufficient compliance checks, penalties, and community involvement. It also illustrates why it will be difficult to eliminate all of youth supply. Nonretail sources, such as borrowing or stealing from parents and siblings and purchasing from older peers through black markets, are an important component of youth supply and become more important as retail access is reduced. The analysis is limited to policies that affect the retail supply of cigarettes but suggests the need for other policies that affect the demand for cigarettes, such as taxes and cessation policies, in order to further reduce youth smoking rates.




This article has been cited by other articles:


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Tobacco ControlHome page
D T Levy, S Benjakul, H Ross, and B Ritthiphakdee
The role of tobacco control policies in reducing smoking and deaths in a middle income nation: results from the Thailand SimSmoke simulation model
Tob. Control, January 1, 2008; 17(1): 53 - 59.
[Abstract] [Full Text] [PDF]


Home page
Tobacco ControlHome page
D. T Levy, K. Friend, H. Holder, and M. Carmona
Effect of policies directed at youth access to smoking: results from the SimSmoke computer simulation model
Tob. Control, June 1, 2001; 10(2): 108 - 116.
[Abstract] [Full Text] [PDF]




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