Thursday, February 20, 2020

And You Thought They Would Stop At 21

Hawaii was the first state to raise the tobacco smoking and vaping age to 21, just four years ago in 2016.  While that may seem like only yesterday, and that is certainly bad enough, there is now a bill to raise the age limit to 25.  No, this is not The Onion, this has a very real chance of passing.  Additionally, there is another bill that by 2025 would raise the smoking age to...wait for it...100.  Yes, you read that right.

These bills had better not pass, lest it become contagious.  Just like Tobacco 21 laws have proven to be.  Alas, this evil train does NOT seem to stop at 21, nor will it stop at tobacco for that matter.  It is apparently an express train, with 25 being next, and other rights and privileges also in its sights as well.

Well, everything except going to war, of course, since the war machine apparently likes 'em young, fresh, and green, as they always have.  And of course the age of consent for sex (and you can probably also add porn and stripping, and even prostitution in Nevada) as well, since nothing says "adulto-patriarchy" like a little "droit du seigneur", apparently.  In other words, 18-24 year olds are only (non-)adults when it is convenient for those in power.  Thus, not only is tyranny as whimisical as it is bipartisan, but they clearly need to stop pretending that their concerns are moral ones, or even based on public health.

RIP Hawaii, paradise well and truly lost.

Saturday, February 1, 2020

Does Social Norms Marketing Work In The Long Run? The Latest Study Says Yes

The latest study on social norms marketing for Michigan State University students over a 14 year period is highly encouraging.  From 2000 to 2014, high-risk drinking dropped significantly faster at MSU than it did for national trends:
  • The percentage of MSU students who said they consumed eight or more drinks in one sitting dropped from nearly 28% to 16.5%, a 41% relative decrease.
  • The percentage of MSU students who said they drove after drinking fell by 58% as well.
  • Additionally, another forthcoming study found that the percentage of MSU students who said they drank on 10 or more days in the past month dropped from 24.1% to 13.4% by 2016, while it remained largely flat at the national level.
That is quite impressive.  Considering how MSU went from being consistently in The Princeton Review's list of top 20 "party schools" to no longer being on that list anymore, that really says something.

How does social norms marketing work?  Young people often falsely believe that their peers are drinking, smoking, vaping, toking, or using other substances much more than is actually the case, and they feel pressure to conform to such inaccurate norms.  This is called "pluralistic ignorance".  By simply setting the record straight about the actual numbers, it tends to reduce the use of such substances overall when the "reign of error" is corrected.  In contrast, moral panics exaggerate the levels of use, which tends to increase the use of such substances, in what is known as a "deviancy amplification spiral".

Most other studies agree on the effectiveness of the social norms approach.  The effects are quite robust and seem to occur fairly quickly in most studies.  So what about the handful of studies that seem to disagree?  It is true that poorly designed programs, unsurprisingly, do not work very well.  And for colleges and demographics in which heavy drinking is most entrenched, it stands to reason that it can take longer to show any effects, longer than the short time periods of most studies on the matter.  Attitudes generally have to change first before behavior does, as a rule.  But as we see, Michigan State is clearly an example of a formerly entrenched heavy drinking "party school" that did show massive declines in both high-risk drinking practices as well as drunk driving and the frequency of drinking.  And those declines were in fact quite long-term, continuing at least a decade and a half with still no signs of stalling.

(Looks like William DeJong was right the first time after all, even if the alcohol outlet density in college towns may moderate or confound the results in his later research on the subject.)

Social norms marketing is clearly a highly effective yet inexpensive way to reduce harmful alcohol and other substance use/abuse, and best of all, it does not violate anyone's civil rights or liberties at all.  In contrast, legalistic crackdowns and so-called "environmental management" programs like "A Matter of Degree" are expensive, authoritarian, intrusive, ageist, and can be quite difficult to implement in practice.  So what are we waiting for?

Wednesday, January 29, 2020

Most Young People Don't Vape, And Even Fewer Vape Regularly

Finally, an honest article about the teen vaping "epidemic", written by New York University (NYU).  Rather than fan the flames of moral panic, and increase teen vaping even further, they simply tell it like it is.  Based on the 2018 National Youth Tobacco Survey of middle and high school students:
  • Over 80% of students, or more than 4 out of 5, did not use any tobacco or nicotine product at all in the past 30 days.
  • Over 86%, or more than 6 out of 7, of students did not vape in the past 30 days.
  • Only 3.6% of students, or fewer than one in 25, vaped regularly (i.e. on 20+ days per month), while
  • A mere 0.4%, or one in 250, of tobacco-naive students vaped with that sort of frequency.
  • All while combustible tobacco use is at a record low.
And that was in 2018, which was the year when the moral panic over teen vaping really began in earnest.  While the 2019 data for that survey showed a further increase in vaping since 2018, the full data had not been made public yet, so a detailed analysis could not be done as it was for 2018.

These are the kinds of articles that need to go viral, not the moral panic ones.  It's basically social norms marketing.  Young people often falsely believe that their peers are drinking, smoking, vaping, toking, or using other substances much more than is actually the case, and they feel pressure to conform to such inaccurate norms.  This is called "pluralistic ignorance".  By setting the record straight about the actual numbers, it tends to reduce the use of such substances overall.  In contrast, moral panics exaggerate the levels of use, which tends to increase the use of such substances, in what is known as a "deviancy amplification spiral".

Thus, the real public service message needs to be as follows: Over 4 out of 5 teens don't use tobacco or nicotine.  Over 6 out of 7 don't vape.  And even fewer vape regularly--24 out of 25 do not.  Join the majority!

Friday, January 24, 2020

How To Solve The Vaping Crisis In Five Easy Steps

First of all, the "vaping crisis" is actually two different problems that just happen to share the same delivery system.  The first is the explosion of nicotine vaping (particularly the JUUL brand, with very high nicotine levels) among teens from late 2017 onwards.  The second is the "mystery" vaping lung illness, now known as EVALI, that has finally been linked to the cause that we suspected for months now:  Mostly black-market and gray-market THC (and probably CBD) vape cartridges containing the additive Vitamin E Acetate, which is apparently VERY bad for the lungs.  Instead of conflating the two, we must realize that they are two different issues with different solutions, while also noting that pushing them into the black market will only pour gasoline on the fire.

Thus, Twenty-One Debunked recommends the following:
  1. Legalize cannabis, vaping and otherwise, for everyone 18 and older, period. 
  2. For cannabis vape products, ban Vitamin E Acetate and all other additives that are not on a narrow list of approved additives.  Implement strict quality control to test for questionable substances and issue product recalls as needed.  (Also require quality control of nicotine vape products while we're at it.)
  3. Cap the nicotine content of nicotine vape products at similar levels as found in the UK, Europe, and Israel, and also subject such products to the same advertising restrictions as combustible cigarettes.
  4. Tax nicotine vape products, but keep the tax lower than the tax on combustible cigarettes (or alternatively, raise the cigarette tax even higher).
  5. Strictly enforce existing purchase age limits on vendors via compliance checks, but avoid knee-jerk reactionary policy measures such as broad flavor bans or raising the smoking/vaping age to 21, which will drive vapers to the black market.
Do these things and tone down the moral panic, and both of these problems will soon wither on the vine.  But that would make too much sense, of course.

Thursday, January 23, 2020

What If We Can't Lower The Drinking Age Anytime Soon? (Re-Post)

Perish the thought, but it looks like the utterly vile and ageist abomination that is the 21 drinking age will not be lowered to 18 (or even lowered at all) anytime soon.  It's plain to see that the movement to lower it has completely run out of momentum by now, and the movement to raise the smoking/vaping age to 21 has unfortunately only gained momentum in recent years, and with no signs of stopping.  In fact, the federal government recently raised the federal tobacco/vaping purchase age to 21.  And while the cannabis legalization movement still has enough momentum, unfortunately all US states (though not Canada) that have chosen to legalize it so far have chosen 21 as their legal toking age.

Does that mean our movement is dead, never to rise again?  Of course not, but our movement is in a sort of "dark night of the soul", apparently, and a very long one too.  Depressing as it sounds, we must realize that it is always darkest before the dawn, and we must redouble our efforts to tackle the 21 drinking age while the country is hopelessly distracted by tobacco and especially vaping these days.

One bright spot among recent trends is the increasing tendency towards criminal justice reform.  We may be able to use that to our advantage, in fact.  If we can't lower the drinking age right away, we can at least reduce the harm by decriminalizing underage drinking (and smoking and toking), reducing it to a mere infraction (ticket) offense (if there are to even be any penalties at all) without any arrests, criminal penalties, or criminal record, bypassing the criminal justice system entirely.  Some states, such as New York and DC, already have that in place for alcohol, while many other states are still quite draconian by comparison.  We should also seize upon the trend towards reducing or eliminating driver's license sanctions for non-driving related offenses, and apply that to underage drinking (and smoking and toking) as well.  We should re-prioritize law enforcement resources towards retail sellers rather than young buyers and users, and make "underage" drinking (and smoking and toking) by 18-20 year olds the lowest law enforcement priority.  And of course, in our zeal to lower the drinking age to 18, we must not throw people under 18 under the bus in the name of cowardly political expendiency in that regard either.

And of course, we need to prioritize cracking down on drunk driving, drunk violence, drunk vandalism, rape and sexual assault, and other serious stuff like that at ANY age, not the mere victimless "crime" of responsible drinking by 18-20 year old young adults.

So what are we waiting for?