Effectiveness of signage in preventing adolescents and young adults from accessing e-cigarettes in retail stores: a discrete-choice experiment.

IF 4.7 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Control Pub Date : 2025-10-20 DOI:10.1136/tc-2025-059467

Reed M Reynolds, Shivani Mathur Gaiha

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引用次数: 0

Abstract

Background: Displaying signage about the minimum legal age (MLA) for tobacco, including e-cigarette sales in retail stores, is a common public health strategy intended to reduce underage access. This study examines a variety of messages currently used in the USA to test the effects of specific components in signage on discouraging e-cigarette purchase among underage individuals.

Methods: A cross-sectional discrete-choice experiment asked 5326 adolescents and young adults, aged 13-24 years, to select from eight choice sets of hypothetical signs including different message attributes and images on retail storefronts. We analysed a total of 256 unique signs that varied in how they described tobacco, age, legal restrictions, whether and how images were included and whether there was a photo ID requirement.

Results: Signage was significantly more effective at discouraging underage e-cigarette purchases when it (1) explicitly referred to e-cigarettes as 'liquid nicotine, electronic cigarettes or vapour products' listed among other tobacco products (vs tobacco), (2) displayed the age limit ('under 21'), (3) described legal restrictions, especially when using the word 'penalties', (4) stated 'Photo ID required' (vs not), and (5) included product images (vs not)-especially colour images. Participants under 21 were significantly more sensitive to colour images, the 'penalties' descriptor, and to a photo ID requirement. In addition, female participants were more sensitive to a 'penalties' descriptor compared with males, and non-Hispanic Black participants were less sensitive to an 'illegal' descriptor than non-Hispanic White participants.

Conclusions: Including effective content and images in existing signage informing the public about MLA of tobacco sales has potential to discourage under-age access to tobacco products.

查看原文本刊更多论文

标识在防止青少年和年轻人在零售商店接触电子烟方面的有效性：一个离散选择实验。

背景：在零售商店展示有关烟草（包括电子烟销售）的最低法定年龄（MLA）的标志，是一项旨在减少未成年人接触的常见公共卫生策略。本研究考察了目前在美国使用的各种信息，以测试标识中特定成分对劝阻未成年人购买电子烟的影响。方法：采用横断面离散选择实验，要求5326名13-24岁的青少年和年轻人从8组包含不同信息属性和零售店面图像的假设标志中进行选择。我们总共分析了256个独特的标志，这些标志在描述烟草、年龄、法律限制、是否以及如何包含图像以及是否有带照片的身份证明要求等方面各不相同。结果：当标牌(1)明确将电子烟称为其他烟草产品（与烟草相比）中的“液体尼古丁，电子烟或蒸汽产品”时，(2)显示年龄限制（“21岁以下”），(3)描述法律限制，特别是使用“处罚”一词时，(4)声明“需要带照片的身份证”（与不），以及(5)包含产品图像（与不）-特别是彩色图像时，标牌在劝阻未成年人购买电子烟方面明显更有效。21岁以下的参与者对彩色图像、“处罚”描述以及有照片的身份证件要求明显更敏感。此外，女性参与者对“惩罚”的描述比男性更敏感，非西班牙裔黑人参与者对“非法”描述的敏感程度低于非西班牙裔白人参与者。结论：在现有的标识中加入有效的内容和图像，告知公众烟草销售的MLA有可能阻止未成年人获得烟草制品。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.10

自引率

26.90%

发文量

223

审稿时长

6-12 weeks

期刊介绍： Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.