title: Enforcement of tobacco purchase, use, and possession laws in four Kentucky communities.
abstract: 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.
authors.affiliation: University of Kentucky Colleges of Nursing and Public Health, Kentucky, USA.
authors.forename: Ellen J
authors.initials: EJ
authors.lastname: Hahn
authors.forename: Carol
authors.initials: C
authors.lastname: Riker
authors.forename: Karen M
authors.initials: KM
authors.lastname: Butler
authors.forename: Sarah
authors.initials: S
authors.lastname: Cavendish
authors.forename: Paul
authors.initials: P
authors.lastname: Lewis
authors.forename: Lisa W
authors.initials: LW
authors.lastname: Greathouse Maggio
authors.forename: Veronica
authors.initials: V
authors.lastname: Nunley
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001294:Attitude to Health; D002648:Child; D003132:Commerce / Q000331:legislation & jurisprudence*; D003256:Community Participation / Q000331:legislation & jurisprudence / Q000379:methods / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007629:Kentucky; D035846:Law Enforcement / Q000379:methods; D033242:Minors / Q000331:legislation & jurisprudence*; D015404:Nursing Methodology Research; D036301:Qualitative Research; D012907:Smoking / Q000453:epidemiology / Q000331:legislation & jurisprudence; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D062789:Tobacco Products