0
ARTICLE |

The Problem and Sociocultural Context of Single-Cigarette Sales FREE

Elizabeth A. Klonoff, PhD; Jan M. Fritz, PhD; Hope Landrine, PhD; Richard W. Riddle; Laurie Tully-Payne
[+] Author Affiliations

Reprint requests to Behavioral Health Institute, California State University, 5500 University Pkwy, San Bernardino, CA 92407 (Dr Klonoff).


JAMA. 1994;271(8):618-620. doi:10.1001/jama.1994.03510320058030
Text Size: A A A
Published online

Objective.  —To provide data on the sale of single cigarettes to adults and minors and to examine the sociocultural context in which these sales occur.

Design.  —A naturalistic observation study using repeated measures. Two hundred six stores in a convenience sample were visited by one minor and one adult who each attempted to purchase a single cigarette.

Main Outcome Measures.  —Single-cigarette sales to an adult and/or minor. Data were obtained on type of store and, if a sale occurred, on the price, brand, and packaging of the cigarette. The ethnic composition of the neighborhood surrounding each store was determined.

Results.  —One hundred one (49.1%) of the stores sold single cigarettes. Singles were sold significantly more often to minors than to adults, and when both could make a purchase, minors paid more for these singles than did adults. Singles were least likely to be sold in white neighborhoods, more likely to be sold in integrated neighborhoods, and most likely to be sold in minority neighborhoods. Minors were able to purchase single cigarettes during 34.4% of the visits to white neighborhoods but could do so during 71.2% of the visits to minority neighborhoods; adults were able to make similar purchases during 24% of the visits to white neighborhoods and 37.3% of the visits to minority neighborhoods.

Conclusions.  —The illegal sale of single cigarettes involves complex sociocultural factors heretofore unexamined. An understanding of such factors may be useful in planning merchant education programs and drafting policy to control illegal sales.(JAMA. 1994;271:618-620)

REFERENCES

Flay BR.  Psychosocial approaches to smoking prevention: a review of findings. Health Psychol . 1985;;4:449-488.
Murray DM, Richards PS, Luepker RV, Johnson CA.  The prevention of cigarette smoking in children: two- and three-year follow-up comparisons of four prevention strategies. J Behav Med . 1987;;10: 595-611.
Hansen WB, Johnson CA, Flay BR, Graham JW, Sobel J.  Affective and social influence approaches to the prevention of multiple substance abuse among seventh grade students: results from Project SMART. Prev Med . 1988;;17:135-154.
Biglan A, Severson H, Ary D, et al.  Do smoking prevention programs really work? attrition and the internal and external validity of an evaluation of a refusal skills training program. J Behav Med . 1987;; 2:159-171.
Biglan A, Glasgow RE, Ary D, et al.  How generalizable are the effects of smoking prevention programs? refusal skills training and parent messages in a teacher-administered program. J Behav Med . 1987;;6:613-628.
Johnson CA, Hansen WB, Collins LM, Graham JW.  High school smoking prevention: results of a longitudinal study. J Behav Med . 1986;;1:15-28.
Flay BR, Koepke D, Thompson SJ, Santi S, Best JA, Brown KS.  Six-year follow-up of the first Waterloo school smoking prevention trial. Am J Public Health . 1989;;79:1371-1376.
Centers for Disease Control.  State laws restricting minors' access to tobacco. MMWR Morb Mortal Wkly Rep . 1990;;39:349-353.
US Dept of Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress: A Report to the Surgeon General . Washington, DC: US Dept of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1989;. DHHS publication No. CDC 89-8411.
DiFranza JR, Tye JB.  Who profits from tobacco sales to children? JAMA . 1990;;263:2784-2787.
Tobacco Institute. The Tax Burden on Tobacco: Historical Compilation . Washington, DC: Tobacco Institute; 1990;:25.
Warner KE.  Smoking and health implications of a change in the federal cigarette excise tax. JAMA . 1986;;255:1028-1032.
US Dept of Health and Human Services. Strategies to Control Tobacco Use in the United States: A Blueprint for Public Health Action in the 1990's . Washington, DC: US Dept of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Single Cigarette Sales; 1991;. DHHS publication No. CDC 92-3316.
Archibald C.  Sale of individual cigarettes: a new development. Pediatrics . 1993;;91:851.
Altman DG, Foster V, Fasnick-Douss L, Tye JB.  Reducing the illegal sale of cigarettes to minors. JAMA . 1989;;261:80-83.
Foster JL, Hourigan M, McGovern P.  Availability of cigarettes to underage youth in three communities. Prev Med . 1992;;21:320-328.
Kirn TF.  Laws ban minors' tobacco purchases, but enforcement is another issue. JAMA . 1987;;257: 3323-3324.
Altman DG, Rasenick-Douss L, Foster V, Tye JB.  Sustained effects of an educational program to reduce sales of cigarettes to minors. Am J Public Health . 1991;;81:891-893.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Flay BR.  Psychosocial approaches to smoking prevention: a review of findings. Health Psychol . 1985;;4:449-488.
Murray DM, Richards PS, Luepker RV, Johnson CA.  The prevention of cigarette smoking in children: two- and three-year follow-up comparisons of four prevention strategies. J Behav Med . 1987;;10: 595-611.
Hansen WB, Johnson CA, Flay BR, Graham JW, Sobel J.  Affective and social influence approaches to the prevention of multiple substance abuse among seventh grade students: results from Project SMART. Prev Med . 1988;;17:135-154.
Biglan A, Severson H, Ary D, et al.  Do smoking prevention programs really work? attrition and the internal and external validity of an evaluation of a refusal skills training program. J Behav Med . 1987;; 2:159-171.
Biglan A, Glasgow RE, Ary D, et al.  How generalizable are the effects of smoking prevention programs? refusal skills training and parent messages in a teacher-administered program. J Behav Med . 1987;;6:613-628.
Johnson CA, Hansen WB, Collins LM, Graham JW.  High school smoking prevention: results of a longitudinal study. J Behav Med . 1986;;1:15-28.
Flay BR, Koepke D, Thompson SJ, Santi S, Best JA, Brown KS.  Six-year follow-up of the first Waterloo school smoking prevention trial. Am J Public Health . 1989;;79:1371-1376.
Centers for Disease Control.  State laws restricting minors' access to tobacco. MMWR Morb Mortal Wkly Rep . 1990;;39:349-353.
US Dept of Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress: A Report to the Surgeon General . Washington, DC: US Dept of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1989;. DHHS publication No. CDC 89-8411.
DiFranza JR, Tye JB.  Who profits from tobacco sales to children? JAMA . 1990;;263:2784-2787.
Tobacco Institute. The Tax Burden on Tobacco: Historical Compilation . Washington, DC: Tobacco Institute; 1990;:25.
Warner KE.  Smoking and health implications of a change in the federal cigarette excise tax. JAMA . 1986;;255:1028-1032.
US Dept of Health and Human Services. Strategies to Control Tobacco Use in the United States: A Blueprint for Public Health Action in the 1990's . Washington, DC: US Dept of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office on Single Cigarette Sales; 1991;. DHHS publication No. CDC 92-3316.
Archibald C.  Sale of individual cigarettes: a new development. Pediatrics . 1993;;91:851.
Altman DG, Foster V, Fasnick-Douss L, Tye JB.  Reducing the illegal sale of cigarettes to minors. JAMA . 1989;;261:80-83.
Foster JL, Hourigan M, McGovern P.  Availability of cigarettes to underage youth in three communities. Prev Med . 1992;;21:320-328.
Kirn TF.  Laws ban minors' tobacco purchases, but enforcement is another issue. JAMA . 1987;;257: 3323-3324.
Altman DG, Rasenick-Douss L, Foster V, Tye JB.  Sustained effects of an educational program to reduce sales of cigarettes to minors. Am J Public Health . 1991;;81:891-893.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.