Tobacco 21: Health Impacts of Raising the Minimum Tobacco Sale Age

Transcription

1 Tobacco 21: Health Impacts of Raising the Minimum Tobacco Sale Age Research shows that raising the legal sale age from 18 to 21, known as Tobacco 21, would greatly reduce youth tobacco use and prevent kids from starting to smoke, according to a 2015 Institute of Medicine report. 1 Notably, the report estimated there would be a 25 percent reduction in smoking initiation among 15-to-17-year-olds if the age to purchase tobacco were raised to Nearly all tobacco users start before age 21. 1,2 According to a 2017 MDH Health Advisory on nicotine, teens are especially susceptible to nicotine addiction and the harmful effects of nicotine on the developing brain. Raising the minimum tobacco sale age to 21 would limit youth access to tobacco until age 21, when the portion of the brain responsible for rational decisionmaking is more fully developed. 3 Research shows raising the tobacco sale age would keep Minnesota kids from starting. In Minnesota, raising the legal sale age to 21 would have a one-time effect of preventing over 3,300 young Minnesotans from starting to smoke, according to a January 2017 Minnesota Medicine article. 4 Following this model, Tobacco 21 would prevent an estimated 30,000 Minnesota youth from starting to smoke over a 15-year period. Increasing the age gap between kids and those who can legally buy tobacco would help keep tobacco out of the high school environment. Results from the 2016 Minnesota Student Survey revealed that one in five students still use tobacco products of some kind, and according to the Centers for Disease Control and Prevention, 102,100 Minnesota youth are projected to die from smoking. 5 Communities are taking action to protect youth. Long term, Tobacco 21 has the potential to significantly reduce smoking, 1 and the Minnesota Comprehensive Tobacco Control Framework: identifies Tobacco 21 as a step for reducing youth tobacco use. Nationally, more than 260 communities in 18 states have adopted a Tobacco 21 policy. The states of California, Hawaii, Maine, New Jersey, and Oregon have also raised their minimum tobacco sale age to 21. Edina was the first Minnesota local jurisdiction to raise its tobacco sale age to 21, effective July 1, St. Louis Park will be the second with its ordinance going into effect on October 1, Learn more at

2 TOBACCO 21: HEALTH IMPACTS OF RAISING THE MINIMUM TOBACCO SALE AGE Minnesota Department of Health Tobacco Prevention and Control PO Box St. Paul, MN /7/2017 To obtain this information in a different format, call: Printed on recycled paper. 1 Institute of Medicine, Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products, Washington, DC: The National Academies Press, 2015, 2 United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality. National Survey on Drug Use and Health, ICPSR36361-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], Furlong, A. (Ed.). (2009). Handbook of youth and young adulthood: New perspectives and agendas. Routledge. 4 Boyle, R. G., Kingsbury, J. H., & Parks, M. J. (2017). Raising the Minimum Legal Sale Age for Tobacco to 21: The Estimated Effect for Minnesota. Minnesota Medicine, Medicine-Magazine/Clinical-BOYLE.pdf 5 Centers for Disease Control and Prevention. (2014). Best Practices for Comprehensive Tobacco Control Program Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2

3 Tobacco 21: Innovative Policy for Youth Prevention Laura Oliven Tobacco Control Manager

4 Youth Tobacco Use 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% Percent of MN 11 th Graders using tobacco in past 30 days, % E-cigarettes 8.4% Cigarettes Minnesota Student Survey,

5 Nicotine is Harmful to the Adolescent Brain Nicotine is highly addictive. Nicotine can harm brain development impacting learning, memory and attention. Early nicotine exposure changes neural pathways to create long-term susceptibility to addiction. 3

6 Youth Tobacco Use 60.0% 50.0% Percent of MN 11 th graders using conventional tobacco in the past 30 days, % 40.0% 30.0% 20.0% 10.0% 0.0% 22.1% American Indian 12.4% 13.6% 10.4% 5.9% Hispanic White Black Asian Binge drinking 24.1% 27.4% 22.5% Suicidal Economic thoughts hardship Bi/gay/ lesbian 16.7% Town/ rural 12.8% Statewide Average Minnesota Student Survey,

7 Youth Tobacco Use Age started smoking 21+ We know most youth start before age 21. Years Before 18 Minnesota Adult Tobacco Survey,

8 Why Tobacco 21? Makes it difficult for youth to get their hands on tobacco Allows young brains more time to fully develop Sends a message that all tobacco products are bad White et al.,

9 Why Tobacco 21? Lower initiation Decrease in prevalence Less death and disease 25% Reduction in Initiation among year olds. National Academies of Science, Engineering, and Medicine: nationalacademies.org 7

10 Why Tobacco 21? Tobacco 21 in Minnesota would prevent 30,000 Youth Use youth from starting to smoke, over 15 years. 8

11 Nationwide Movement Source: Tobacco21.org 9

12 Minnesota Activity St. Louis Park Edina Local Momentum Bloomington Frazee Le Sueur Mankato North Mankato Plymouth Richfield Robbinsdale Saint Cloud And rumblings in many more 10

13 Rebuttal Common refrain if someone is young enough to die for their country, they should be free to be allowed to smoke Rear Admiral Fuller turns that argument on its head: If someone is young enough to fight for their country, they should be free from addiction to a deadly drug. Tobacco harms people s physical wellbeing, leads to illness and costs them money. Rear Admiral John Fuller Navy Region Hawaii and Naval Surface Group Middle Pacific 11

14 Technical Assistance 12

15 Resources

16 Laura Oliven, MPP Tobacco Control Manager 14

17 Tobacco 21 in 2017 City of Edina Edina Community Health Board

18 Overview City of Edina Structure Boards and Commissions Tobacco 21 Timeline Resident/Public Involvement City Council/Community Health Board Comments EdinaMN.gov 2

19 City of Edina Structure Edina is a Plan B Statutory City, Council-Manager plan. City Council also acts as the Edina Community Health Board (CHB). Mayor James Hovland Mary Brindle Kevin Staunton Bob Stewart Mike Fischer EdinaMN.gov 3

20 Boards and Commissions Edina utilizes ten resident volunteer advisory boards & commissions: Arts & Culture Commission Board of Appeal & Equalization Community Health Commission Construction Board of Appeals Energy & Environment Commission Human Rights & Relations Commission Heritage Preservation Commission Parks & Recreation Commission Planning Commission Transportation Commission EdinaMN.gov 4

21 Edina Community Health Commission Advisory to the Edina City Council/Community Health Board 145A.04, Subd. 15(c) The city boards or county boards that have established or are members of a community health board may appoint a community health advisory committee to advise, consult with, and make recommendations to the community health board on the duties under subdivision 1a. Staff liaison is Community Health Administrator Monthly meetings Volunteers: Nine adult residents serving three year term (can serve 2 terms) Two student members serving one year term EdinaMN.gov 5

22 Board and Commission Annual Process EdinaMN.gov 6

23 T21 Timeline EdinaMN.gov 7

24 T21 Timeline EdinaMN.gov 8

25 T21 Timeline EdinaMN.gov 9

26 2017 Community Health Commission Work Plan EdinaMN.gov 10

27 Council Charge Provides guidance for boards & commissions for each work plan item. EdinaMN.gov 11

28 T21 Timeline EdinaMN.gov 12

29 T21 Timeline EdinaMN.gov 13

30 Advisory Communication Presented to Council EdinaMN.gov 14

31 T21 Timeline EdinaMN.gov 15

32 Notice to Licensees Public Hearing and first reading of ordinance set for April 18, so notifications were sent on March 9 to meet the above requirement. EdinaMN.gov 16

33 T21 Timeline EdinaMN.gov 17

34 Public Hearing, 1 st Reading of Ordinance April 18, 2017 EdinaMN.gov 18

35 EdinaMN.gov 19

36 T21 Timeline EdinaMN.gov 20

37 Final Vote! EdinaMN.gov 21

38 Resident and Public Advocacy Clearway MN Association of Nonsmokers Minnesota Twin Cities Medical Society American Cancer Society Cancer Action Network American Heart Association Minnesota Academy of Family Physicians Campaign for Tobacco-Free Kids March of Dimes League of Women Voters Edina Local Public Health Association Allina HealthPartners Tobacco Free Alliance Children s Minnesota These organizations contributed in a wide range of activities: from letters of support, providing testifiers at the public hearings, organizing community meetings, providing data and research, and organizing volunteers and representation at Council Meetings. EdinaMN.gov 22

39 Cross-Jurisdictional Sharing! Public Health Alliance of Bloomington, Edina, and Richfield Community Health Boards (PHABER) 3 Community Health Boards which have worked cooperatively in Public Health since1977. EdinaMN.gov 23

40 Signage Provided to Licensees Poster and window cling style signage provided to all licensees EdinaMN.gov 24

41 Council Comments EdinaMN.gov 25

42 Review Overall Timeline EdinaMN.gov 26

43 Contact Information Jeff Brown City of Edina Community Health Administrator Questions?? EdinaMN.gov 27