Changes in smoking prevalence in 16-17-year-old versus older adults following a rise in legal age of sale: findings from an English population study.

SMOKING laws; ADOLESCENT smoking; PUBLIC health; MARKETING of cigarettes; SMOKING cessation; HEALTH of cigarette smokers; HOUSEHOLD surveys; GOVERNMENT policy

ENGLAND; WALES

Aim To assess smoking prevalence before and after the rise in legal age of sale of cigarettes in England and Wales from age 16 to age 18 in October 2007. Design A series of monthly cross-sectional household surveys: the 'Smoking Toolkit Study'. Setting England. Participants A total of 53 322 adults aged 16 and over interviewed between October 2006 and May 2009, 1136 of whom were aged 16 or 17 years. Measurements Change in smoking prevalence from pre- to post-legislation, assessed by self-reported smoking status, among the 16-17-year-old group and older adults. Findings The prevalence change following the legislation among those aged 16 and 17 was 7.1 percentage points (denominator = 1136) compared with 2.4 percentage points (denominator = 52 186) for older adults (odds ratio 1.36, P = 0.024, 95% confidence interval = 1.04-1.77 for the interaction). There was no difference within older age categories. Conclusions There was a greater fall in prevalence in 16-17-year-olds following an increase in age of sale than in older age groups. This provides some support to the view that raising the age of sale can, at least in some circumstances, reduce smoking prevalence in younger age groups. [ABSTRACT FROM AUTHOR]