STATE AND LOCAL ENFORCEMENT OF POSSESSION, USE, AND PURCHASE LAWS AMONG U.S. STATES AND LOCAL COMMUNITIES

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STATE AND LOCAL ENFORCEMENT OF POSSESSION, USE, AND PURCHASE LAWS AMONG U.S. STATES AND LOCAL COMMUNITIES Cindy Tworek 1, Gary A. Giovino 1, Pamela I. Clark 2, Dianne C. Barker 3, Barbara Sasso 3, Elizabeth Molnar 4, Erin Ruel 4, Sandy Slater 4 1 Department of Cancer Prevention, Epidemiology, and Biostatistics; Roswell Park Cancer Institute; Buffalo, NY 2 Battelle; Centers for Public Health Research and Evaluation; Baltimore, MD 3 Public Health Institute; Los Angeles, CA 4 Health Research and Policy Centers, University of Illinois at Chicago; Chicago, IL American Society of Preventive Oncology 26 th Annual Meeting Bethesda, MD March 11, 22

Background: Tobacco control youth access policies may promote reductions in tobacco use Possession, use, and purchase (PUP) laws, penalize minors, themselves, for possessing, using, and/or purchasing tobacco products Recent trends indicate a sharp increase in the number of state PUP laws: 1988: 17 states enacted at least one PUP law 21: 44 states enacted at least one PUP law

Possession, Use, and Purchase Laws per State* -- United States, 1988-21, includes the District of Columbia # of States # of States 5 45 4 35 25 2 15 5 5 4 2 6 7 8 1988 1989 6 7 8 1988 1989 Possession 13 14 14 199 1991 1992 1993 Use 11 11 11 1994 17 199 1991 1992 1993 1994 13 19 2 1995 1996 1995 1997 15 15 25 28 31 31 32 1998 1999 2 21 17 17 18 18 19 1996 1997 1998 1999 2 21 *Source: State Legislated Actions On Tobacco Issues, 1988-21, CDC s STATE system, Roswell Park Cancer Institute. # of States 5 4 2 1988 1989 14 14 18 21 Purchase 24 199 1991 1992 1993 1994 26 27 1995 1996 29 32 33 36 36 37 1997 1998 1999 2 21

PUP Laws have been controversial: Arguments in Favor of PUP Laws: Promote youth accountability and personal responsibility Add a cost to youth for tobacco use Law enforcement uses PUP laws to inspect suspicious youth: potentially reducing crime and other illegal substance use Reinforce illegal use of tobacco by minors (adults mean what they say ) Alcohol experience raising the minimum legal drinking age to 21 years has resulted in reductions in alcohol use and saved lives

PUP Laws have been controversial: Arguments Against PUP Laws: Youth are enticed to smoke by marketing, then punished for wanting the promoted product Industry youth focus diverts attention from other effective tobacco control efforts and facilitates preemption Enforcement costs and difficulty: need local support and enforcement; may reduce enforcement of sales to minors laws May be used by law enforcement to profile youth No proven substantial decrease in youth smoking behavior Alcohol BAC Laws reduced drinking and driving only

Previous analyses have not suggested a relationship between the presence of state PUP laws and adolescent smoking behavior: Cigarette Smoking Among Youth by the Historical PUP Legislation Rating in 5 States and the District of Columbia, 1999* Percent Past Month Smokers (Adolescents) 25 2 15 5 5 15 2 25 PUP Legislation Rating r 2 <.1 ß =.8 P =.898 N = 51 *Source: Giovino et al. Cigarette Smoking Among Adolescents and Adults in US States and the District of Columbia in 1997 and 1999 What Explains the Relationship? American Society of Preventive Oncology Meeting; poster presented: March 12, 21. Note: Past Month Smoking = smoked on > 1 day during the previous days; Historical PPU Legislation Rating = Sum of PPU laws for previous 1991-1999; ( = no law; 1 = law present, from to 3 laws) Sources: 1999 NHSDA (12-17 year olds); ALA s SLATI, CDC s STATE system, and the Roswell Park Cancer Institute

Additional analyses to assess the effect of PUP laws on adolescent smoking behavior, in terms of adolescent age and risk status, have suggested: PUP laws were generally associated with lower smoking rates among the youngest adolescents at low or medium risk (i.e those who were least likely to smoke to begin with).* These preliminary analyses suggest that additional studies to assess the effects of PUP laws on adolescent smoking behavior should include: Measures of State PUP Enforcement Measures of Local PUP Enforcement * Source: Giovino et al. Study of Youth Smoking and State Laws Prohibiting the Purchase, Possession, and/or Use of Cigarettes by Minors United States, 1991-1998. Society for Prevention Research Meeting; paper presented: June 2, 21.

Objectives: To descriptively present State PUP enforcement data for a sample of states with PUP laws To descriptively present Local PUP enforcement data for a sample of communities with tobacco Possession ordinances To discuss state and local PUP enforcement activities, including formative and future research concerning PUP enforcement at both state and local levels

State PUP enforcement data presented are based on preliminary data from a sample of 15 states participating in the following grant-funded project: Business Practices & Minors Access To Tobacco State and Community Tobacco Control Initiative of the Tobacco Control Research Branch, Division of Cancer Control and Population Science National Cancer Institute Grant # RO1 CA 86232 Pamela I. Clark, Principal Investigator The contents are solely the responsibility of the authors and do not necessarily represent the official view of the National Cancer Institute Telephone interviews were conducted in September-October 21, to collect recent data on state enforcement activities and practices related to youth access possession, purchase, and use laws, as part of a minors access tobacco project These state PUP data were collected by a trained interviewer, who contacted enforcement officials in each participating state

STATE ENFORCEMENT States with Possession, Use, and/or Purchase (PUP) laws indicate that they enforce these laws. However, a majority of PUP enforcement activity occurs at the local level The pattern of PUP enforcement suggests that possession/ use laws can be more effectively enforced than purchase laws. Possession/use laws were generally enforced when: any person who looks underage and is seen smoking is intercepted, age is checked, and action is taken. Purchase laws were generally enforced only when: a law enforcement officer witnesses a purchase during the normal course of other duties.

States indicate that typical actions taken when a minor is caught possessing, using, or purchasing tobacco are: Notification of parents Issuing of citations Appearance in juvenile or family court States indicate that typical penalties imposed when a minor is caught possessing, using, or purchasing tobacco are: Participation in optional or mandatory tobacco education programs Community service Fines STATE ENFORCEMENT Driver license suspension

Local PUP enforcement data presented are preliminary data from key informant interviews for the Tobacco Possession Ordinance Feedback Module: Project ImpacTeen 1999 and 2 Community data ImpacTeen is a Robert Wood Johnson Foundation funded multi-substance (tobacco, alcohol, illicit drugs) project coordinated at The University of Illinois at Chicago Its purpose is to evaluate the impact of policies, programs, and practices at the state, community, school, and individual levels on adolescent use of alcohol, tobacco, and illicit drugs These key informant community interview data include Tobacco Possession Ordinance Feedback Module responses from 153 sites in 1999 and 94 sites in 2 Respondents from these participating sites were police chiefs and police officers in local communities

LOCAL ENFORCEMENT Pattern of Possession Ordinance Enforcement: Percent of police chiefs/officers 9 8 7 6 5 4 2 54.4 33.3 15. 63.5.6 3.2 Enforced among any youth smoker Enforced only in response to complaint Enforced rarely 1999 2

LOCAL ENFORCEMENT Percent of police chiefs/officers 9 8 7 6 5 4 2 Parents Routinely Notified if Youth is Cited for Tobacco Possession: 86.2 81.8 13.8 18.2 Yes No 1999 2

LOCAL ENFORCEMENT Percent of police chiefs/officers Opinion of Effectiveness of Possession Ordinance in reducing tobacco use by minors: 9 8 7 6 5 4 2 8.1 5. 35.1 6.8 9.1 28.6 1999 2 46.8 15.6 Very Effective Somewhat Effective Not Very Effective No Help at All

Percent of police chiefs/officers 9 8 7 6 5 4 2 56.8.8 32.4 Community Reaction to Tobacco Possession Ordinance Expect Police to Enforce Enforcement may not be a very good use of police time/resources No reaction 1999 Encourage Other Communities to Enact Tobacco Possession Laws 89.4 LOCAL ENFORCEMENT: 1999 Percent of police chiefs/officers 9 8 7 6 5 4 2.6 Yes No 1999

Percent of police chiefs/officers 9 8 7 6 5 4 2 77.5 22.5 Tobacco Possession Ordinance Enforced in Your Community Yes No 2 Resources Adequate to Effectively Enforce Tobacco Possession Ordinance LOCAL ENFORCEMENT: 2 Percent of police chiefs/officers 9 8 7 6 5 4 2 64.2 35.8 Adequate Not Enough 2

Percent of police chiefs/officers 9 8 7 6 5 4 2 2.9 19.1 5. 19.1 8.8 Community Priority of Tobacco Possession Ordinance Enforcement Very Low Low Moderate High Very High 2 Effectiveness of Possession Ordinance in Giving Police a Tool to Intercept Youth for Other Issues or Concerns LOCAL ENFORCEMENT: 2 Percent of police chiefs/officers 9 8 7 6 5 4 2 24.1 54.4 13.9 7.6 Very Effective Somewhat Effective Not Very Effective No Help at All 2

Police chiefs and officers from local communities indicate that the following are typical actions taken when a minor is caught possessing tobacco: Citation issued Notification of parents Warning issued Appearance in peer or teen court Police chiefs and officers from local communities indicate that the following are typical penalties imposed when a minor is caught possessing tobacco: Fines Community service Participation in Tobacco Cessation Program Counseling LOCAL ENFORCEMENT

Discussion: A majority of PUP enforcement activities and practices occur at the local level: Almost 8% of respondents indicated that local possession ordinances are enforced in their community The pattern of local enforcement indicated that tobacco possession laws are frequently enforced among young smokers who appear to be underage Parents are frequently notified if youth are cited for tobacco possession in local communities A majority of respondents indicated that their communities expect police to enforce the tobacco possession ordinance

Effectiveness of PUP laws and enforcement activities remains questionable: In 1999, half of respondents (5%) considered the local tobacco possession ordinance to be only somewhat effective in reducing tobacco use by minors However, close to 9% of respondents would encourage other communities to enact tobacco possession laws In 2, a majority of respondents (62.4%) considered the local tobacco possession ordinance to be not very effective or no help at all in reducing tobacco use by minors However, almost 8% of respondents considered the local tobacco possession ordinance to be very effective or somewhat effective in giving police a tool to intercept youth for other issues or concerns Almost 7% of respondents indicated that tobacco possession enforcement in their community was a moderate or high priority However, more than 1/3 rd of respondents reported that their local communities do not have enough resources to adequately enforce the tobacco possession ordinance

Future Research: Enforcement of state and local PUP laws needs further study: Future work will assess state enforcement in all 44 states with one or more PUP laws State and local enforcement measures will be developed, along with indices to better assess PUP enforcement at both levels Effects of state and local PUP law enforcement on adolescent smoking behavior need further study: Future work will assess the separate and combined effects of state and local PUP enforcement on adolescent smoking behavior and attitudes