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Policy, Politics, & Nursing Practice, Vol. 8, No. 2, 140-147 (2007)
DOI: 10.1177/1527154407303500

Enforcement of Tobacco Purchase, Use, and Possession Laws in Four Kentucky Communities

Ellen J. Hahn, DNS, RN

University of Kentucky Colleges of Nursing and Public Health

Carol Riker, MSN, RN

University of Kentucky College of Nursing

Karen M. Butler, DNP, RN

University of Kentucky College of Nursing

Sarah Cavendish, PhD

University of Kentucky College of Nursing

Paul Lewis, LTC

Brooke Army Medical Center

U.S. Army, PhD, APRN-C

Lisa W. Greathouse Maggio, MSN, RN

Tobacco Policy Research Program, and instructor, University of Kentucky College of Nursing

Veronica Nunley, MA, CPP

Tobacco Environmental Strategies Prevention Enhancement Site, Ashland, KY

This case study examined the implementation and enforcement of the purchase, use, and possession (PUP) laws for tobacco in four Kentucky communities. Purposive and snowball sampling were used to identify 44 adult key informants. Qualitative, semistructured phone interviews assessed knowledge about PUP laws, enforcement, effects of the laws on teen tobacco use, and perceptions about the laws. Seven themes were identified: enforcement not a priority, unaware of enforcement authority, spotty enforcement, other sources of tobacco, minimum penalties, confusion about compliance checks, and schools as de facto enforcers. One community went beyond the statutory requirements of the law and created more stringent penalties for violating the use and possession law, and it also had low illegal sales rates. These laws may be more effective if they are enforced strictly with a meaningful penalty and a clear enforcement strategy.

Key Words: smoking • adolescents • public policy • youth tobacco access


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