Access of over-the-counter nicotine replacement therapy products to minors.
BACKGROUND
Public health policy guidelines recommend that health care providers (eg, physicians, nurses, others) counsel adolescent smokers to quit and that nicotine replacement therapy (NRT) may be considered to aid in smoking cessation for nicotine-dependent youth. This recommendation is discrepant with Food and Drug Administration-approved labeling of NRT products, stating that they not be sold to persons younger than 18 years. It is not clear how easily minors are able to purchase NRT products in retail markets.


OBJECTIVE
To explore youth access to NRT by conducting the first study, to our knowledge, to determine the ability of minors to purchase over-the-counter NRT products.


METHODS
Observational case series of NRT purchase attempts and survey description of store characteristics.


METHODS
Retail businesses in Memphis, Tenn.


METHODS
Population-based sample of 165 stores that sold over-the-counter medications.


METHODS
Successfully completed purchase attempts of NRT by the minor buyer.


RESULTS
In most stores that stocked NRT products, the age of the minor was not queried at any time during the purchase attempt (79%) and the minor was able to successfully purchase the product (81%). If the minor was asked her age, the store was much less likely to sell the NRT product. Stores in which a cash register gave an age query prompt or in which alcohol was sold were more likely to inquire about the minor's age and less likely to sell NRT products.


CONCLUSIONS
Nicotine replacement therapy products were successfully obtained in most purchases by a minor buyer without proof of age. While ease of purchasing NRT products is potentially beneficial to young smokers attempting to quit, these purchases are discrepant with Food and Drug Administration labeling regarding the sale of NRT products to minors.
Department of Preventive Medicine, The University of Tennessee Health Science Center, Memphis 38163, USA. KJohnson@UTMEM.EDU
Karen C
KC
Johnson
Lisa M
LM
Klesges
Grant W
GW
Somes
Mace C
MC
Coday
Margaret
M
DeBon
D000293:Adolescent; D003132:Commerce / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D004366:Nonprescription Drugs; D016540:Smoking Cessation / Q000379:methods; D013714:Tennessee
D004366:Nonprescription Drugs