Support for Tobacco 21 in a Tobacco-Growing State

Melinda J. Ickes; Karen Butler; Amanda T. Wiggins; Mary Kay Rayens; Ellen J. Hahn

doi:10.1177/0193945918822523

Support for Tobacco 21 in a Tobacco-Growing State

Melinda J. Ickes
, Karen Butler
, Amanda T. Wiggins
, Mary Kay Rayens
, Ellen J. Hahn

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

This study investigated the association between sociodemographic characteristics and public attitudes toward Tobacco 21 laws. Through a random telephone survey in 2017, 1,675 Kentucky adults were asked if they favored/opposed increasing the minimum legal age to purchase tobacco products from 18 to 21 years of age. Over half (57.9%) favored raising the minimum legal age for tobacco sales to 21 (95% confidence interval: [54.5, 61.2]). Multivariable logistic regression for weighted survey data was used to determine factors associated with support. In the adjusted analysis, older age, female sex, non-White, conservative political ideology (versus moderate), and support for a statewide smoke-free policy were each significantly associated with greater support for Tobacco 21. The results suggest multiple demographic and personal factors associated with support, even in a tobacco-growing state. Health care professionals, including nurses, must understand existing public attitudes to effectively advocate for tobacco policies in states with high tobacco use.

Original language	English
Pages (from-to)	1203-1215
Number of pages	13
Journal	Western Journal of Nursing Research
Volume	41
Issue number	8
DOIs	https://doi.org/10.1177/0193945918822523
State	Published - Aug 1 2019

Bibliographical note

Publisher Copyright:
© The Author(s) 2019.

Funding

We conducted a secondary analysis of cross-sectional data from the 2017 Kentucky Health Issues Poll (KHIP). KHIP is an annual opinion survey of Kentucky adults about ongoing concerns and timely policy issues that affect health in the Commonwealth. The KHIP is funded by Interact for Health and the Foundation for a Healthy Kentucky (FHKY) and data are publicly available (KHIP, 2017). The 2017 KHIP was conducted October 24 to December 2, 2017, by the Institute for Policy Research at the University of Cincinnati. At the time of this survey, there had not been Tobacco 21 advocacy campaigns in Kentucky.

Keywords

health policy
smoking prevention
tobacco policy
young adult

ASJC Scopus subject areas

General Nursing

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/0193945918822523

Cite this

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title = "Support for Tobacco 21 in a Tobacco-Growing State",

abstract = "This study investigated the association between sociodemographic characteristics and public attitudes toward Tobacco 21 laws. Through a random telephone survey in 2017, 1,675 Kentucky adults were asked if they favored/opposed increasing the minimum legal age to purchase tobacco products from 18 to 21 years of age. Over half (57.9\%) favored raising the minimum legal age for tobacco sales to 21 (95\% confidence interval: [54.5, 61.2]). Multivariable logistic regression for weighted survey data was used to determine factors associated with support. In the adjusted analysis, older age, female sex, non-White, conservative political ideology (versus moderate), and support for a statewide smoke-free policy were each significantly associated with greater support for Tobacco 21. The results suggest multiple demographic and personal factors associated with support, even in a tobacco-growing state. Health care professionals, including nurses, must understand existing public attitudes to effectively advocate for tobacco policies in states with high tobacco use.",

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author = "Ickes, \{Melinda J.\} and Karen Butler and Wiggins, \{Amanda T.\} and Rayens, \{Mary Kay\} and Hahn, \{Ellen J.\}",

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doi = "10.1177/0193945918822523",

language = "English",

volume = "41",

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AU - Ickes, Melinda J.

AU - Butler, Karen

AU - Wiggins, Amanda T.

AU - Rayens, Mary Kay

AU - Hahn, Ellen J.

N1 - Publisher Copyright: © The Author(s) 2019.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - This study investigated the association between sociodemographic characteristics and public attitudes toward Tobacco 21 laws. Through a random telephone survey in 2017, 1,675 Kentucky adults were asked if they favored/opposed increasing the minimum legal age to purchase tobacco products from 18 to 21 years of age. Over half (57.9%) favored raising the minimum legal age for tobacco sales to 21 (95% confidence interval: [54.5, 61.2]). Multivariable logistic regression for weighted survey data was used to determine factors associated with support. In the adjusted analysis, older age, female sex, non-White, conservative political ideology (versus moderate), and support for a statewide smoke-free policy were each significantly associated with greater support for Tobacco 21. The results suggest multiple demographic and personal factors associated with support, even in a tobacco-growing state. Health care professionals, including nurses, must understand existing public attitudes to effectively advocate for tobacco policies in states with high tobacco use.

AB - This study investigated the association between sociodemographic characteristics and public attitudes toward Tobacco 21 laws. Through a random telephone survey in 2017, 1,675 Kentucky adults were asked if they favored/opposed increasing the minimum legal age to purchase tobacco products from 18 to 21 years of age. Over half (57.9%) favored raising the minimum legal age for tobacco sales to 21 (95% confidence interval: [54.5, 61.2]). Multivariable logistic regression for weighted survey data was used to determine factors associated with support. In the adjusted analysis, older age, female sex, non-White, conservative political ideology (versus moderate), and support for a statewide smoke-free policy were each significantly associated with greater support for Tobacco 21. The results suggest multiple demographic and personal factors associated with support, even in a tobacco-growing state. Health care professionals, including nurses, must understand existing public attitudes to effectively advocate for tobacco policies in states with high tobacco use.

KW - health policy

KW - smoking prevention

KW - tobacco policy

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ER -

Support for Tobacco 21 in a Tobacco-Growing State

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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