Evidence map›Paper›PMID 41051030›Full record

ArticleSubstance use & misuse2026

"You're Not a Cop, Right?" How Tobacco Retailers Navigate Underage Tobacco Purchases at the Point of Sale: A Qualitative Analysis of Underage Buyers' Comments from Three U.S. states.

Elisabeth C Reed, Christopher Ackerman, Joseph G L Lee, Amanda Y Kong, Daniel P Giovenco, Cristine D Delnevo, Mary Hrywna

Abstract read
In one paragraph

Article in Substance use & misuse, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Elisabeth C ReedDepartment of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, North Carolina, USA.ORCID 0000-0001-8558-3214
Christopher AckermanRutgers Institute for Nicotine & Tobacco Studies, New Brunswick, New Jersey, USA.ORCID 0009-0005-9773-141X
Joseph G L LeeDepartment of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, North Carolina, USA.ORCID 0000-0001-9698-649X
Amanda Y KongDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-8361-7342
Daniel P GiovencoDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA.ORCID 0000-0001-6256-9612
Cristine D DelnevoRutgers Institute for Nicotine & Tobacco Studies, New Brunswick, New Jersey, USA.ORCID 0000-0001-9597-4307
Mary HrywnaRutgers Institute for Nicotine & Tobacco Studies, New Brunswick, New Jersey, USA.ORCID 0000-0002-0717-9598

Funding

Evaluating implementation of Tobacco 21 laws in the U.S.R01CA231139 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Maria Hrywna, Amanda Kong · 2018 to 2026
$4.7M
NCI NIH HHS R01 CA231139
6 · The paper itself

Abstract

purposeDespite the passage of federal Tobacco 21 (T21) policies, underage tobacco use remains a problem. Retailers play a critical role in enforcing T21 policies as they control access to tobacco products at the point of sale. Given the importance of retailer compliance in the success of T21 policies, this study aimed to investigate how clerks navigate situations when underage buyers attempt to purchase tobacco products by using comments captured during underage purchase attempts in a multi-state study.

methodsComments (

resultsThree primary themes emerged: (1) "Are you old enough to smoke?" - Age Verification Procedures, (2) "Okay, you're almost [21]. Close enough." - Evading Minimum Age of Sale Policies, and (3) "Not for you." - Enforcement of T21 Policies. Many clerks complied with and enforced T21 policies at the point of sale; however, themes showed how some clerks evaded these policies to complete sales to underage buyers.

conclusionFindings reveal a need to strengthen T21 enforcement and increase retailer education for T21 policies.

Indexed as

CommerceConsumer BehaviorTobacco ProductsAdolescentAge FactorsFemaleHumansMaleQualitative ResearchUnited Statestobacco policiesYouth and young adults

Identifiers

PMID41051030
PMCPMC12614570

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.