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Kurt M. Ribisl, PhD; Rebecca S. Williams, MHS; Annice E. Kim, MPH

JAMA. 2003;290:1356-1359.

Context  There is growing concern that the Internet might become a source of tobacco products for minors. Although researchers have studied tobacco sales to minors at retail outlets for more than a decade, there are no published studies of tobacco sales to minors via the Internet.

Objective  To determine the proportion of Internet cigarette vendors that will sell cigarettes to minors.

Design, Setting, and Participants  Cross-sectional study conducted in April-July 2001. Under adult supervision, 4 adolescents aged 11 to 15 years attempted to purchase cigarettes via 55 Internet cigarette vendors located in 12 states. These minors made a total of 83 purchase attempts, paying by credit card (n = 47) and by money order (n = 36).

Main Outcome Measure  Proportion of Internet cigarette vendors that sold cigarettes to minors.

Results  Minors successfully received cigarettes for 93.6% of credit card purchase attempts and for 88.9% of money order purchase attempts. Age was never verified for any of these deliveries. Internet vendors sent a total of 1650 packs of cigarettes to the underage adolescents in this study.

Conclusion  Minors appear to have easy access to cigarettes via the Internet because many Internet vendors have weak or nonexistent age verification procedures.

Author Affiliations: Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill (Dr Ribisl and Mss Williams and Kim), and the University of North Carolina Lineberger Comprehensive Cancer Center (Dr Ribisl), Chapel Hill.

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