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November 2003, Vol 93, No. 11 | American Journal of Public Health 1883-1886
© 2003 American Public Health Association

ADOLESCENT HEALTH

Validity of Assessments of Youth Access to Tobacco: The Familiarity Effect

Hope Landrine, PhD and Elizabeth A. Klonoff, PhD

Hope Landrine and Elizabeth A. Klonoff are with the San Diego State University–University of California, San Diego (SDSU-UCSD) Joint Doctoral Program in Clinical Psychology, San Diego State University.

Correspondence: Requests for reprints should be sent to Hope Landrine, PhD, SDSU-UCSD Joint Doctoral Program in Clinical Psychology, San Diego State University, 6475 Alvarado Court, #105, San Diego, CA 92120 (e-mail: landrine{at}sciences.sdsu.edu).

Objectives. We examined the standard compliance protocol and its validity as a measure of youth access to tobacco.

Methods. In Study 1, youth smokers reported buying cigarettes in stores where they are regular customers. In Study 2, youths attempted to purchase cigarettes by using the Standard Protocol, in which they appeared at stores once for cigarettes, and by using the Familiarity Protocol, in which they were rendered regular customers by purchasing nontobacco items 4 times and then requested cigarettes during their fifth visit.

Results. Sales to youths aged 17 years in the Familiarity Protocol were significantly higher than sales to the same age group in the Standard Protocols (62.5% vs. 6%, respectively).

Conclusions. The Standard Protocol does not match how youths obtain cigarettes. Access is low for stranger youths within compliance studies, but access is high for familiar youths outside of compliance studies.




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