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Age verification cards fail to fully prevent minors from accessing tobacco products
  1. Hideyuki Kanda1,
  2. Yoneatsu Osaki2,
  3. Takashi Ohida3,
  4. Yoshitaka Kaneita3,
  5. Takeshi Munezawa3
  1. 1Fukushima Medical University, Department of Hygiene and Preventive Medicine, Hikarigaoka, Fukushima, Japan
  2. 2Tottori University, Faculty of Medicine, Division of Environmental and Preventive Medicine, Nishimachi, Yonago, Tottori, Japan
  3. 3Nihon University, School of Medicine, Department of Public Health, Ohyamaguchikami Machi, Itabashi, Tokyo, Japan
  1. Correspondence to Dr Hideyuki Kanda, Department of Hygiene and Preventive Medicine, Fukushima Medical University, Hikarigaoka 1, Fukushima 960-1295, Fukushima, Japan; hkanda{at}


Background Proper age verification can prevent minors from accessing tobacco products. For this reason, electronic locking devices based on a proof-of age system utilising cards were installed in almost every tobacco vending machine across Japan and Germany to restrict sales to minors.

Objective We aimed to clarify the associations between amount smoked by high school students and the usage of age verification cards by conducting a nationwide cross-sectional survey of students in Japan.

Methods This survey was conducted in 2008. We asked high school students, aged 13–18 years, in Japan about their smoking behaviour, where they purchase cigarettes, if or if not they have used age verification cards, and if yes, how they obtained this card.

Results As the amount smoked increased, the prevalence of purchasing cigarettes from vending machines also rose for both males and females. The percentage of those with experience of using an age verification card was also higher among those who smoked more. Somebody outside of family was the top source of obtaining cards. Surprisingly, around 5% of males and females belonging to the group with highest smoking levels applied for cards themselves.

Conclusions Age verification cards cannot fully prevent minors from accessing tobacco products. These findings suggest that a total ban of tobacco vending machines, not an age verification system, is needed to prevent sales to minors.

  • Public policy
  • surveillance and monitoring
  • young adults

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  • Funding This study was supported by a Research Grant for Cardiovascular Disease from the Ministry of Health, Labor and Welfare.

  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the Nihon University (No 19-5-0, approved 18 September, 2007).

  • Provenance and peer review Not commissioned; externally peer reviewed.