Association between school-based tobacco retailer exposures and young adolescent cigarette, cigar and e-cigarette use

被引:8
作者
Trapl, Erika [1 ]
Anesetti-Rothermel, Andrew [2 ]
Pike Moore, Stephanie [1 ]
Gittleman, Haley [1 ]
机构
[1] Case Western Reserve Univ, Populat & Quantitat Hlth Sci, Cleveland, OH 44106 USA
[2] US FDA, PATH Branch, Ctr Tobacco Prod, Off Sci, Silver Spring, MD USA
关键词
non-cigarette tobacco products; priority; special populations; prevention; public policy; POINT-OF-SALE; YOUTH SMOKING; OUTLET DENSITY; STORES; NEIGHBORHOODS; PROXIMITY; DISPLAYS; STUDENTS; PURCHASE; SAMPLE;
D O I
10.1136/tobaccocontrol-2020-055764
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background Associations between retail tobacco availability and tobacco use have been mixed. This study examined associations between school-based retail environment exposures and current use of cigarettes, cigar products and e-cigarettes among middle school youth in Cleveland, OH. Methods Retailers selling tobacco products were identified using the 2015 Cleveland Food Retail Database (n=639 stores). Youth survey data were drawn from the 2016 Cleveland Youth Risk Behavior Survey, administered to all 7th/8th graders across the Cleveland Metropolitan School District (n=3778, response rate=83.0%). Past 30-day cigarette, cigar product and e-cigarette use were assessed. Student demographics, number of days walking to/from school each week and number of times youth stopped at a retailer to/from school each week were included. For each school (n=63), tobacco retail density (TRD) and proximity (TRP) to nearest retailer were calculated for each product. Multiple regression analysis assessed associations between retail exposures and youth tobacco use. Results Across all schools, 3.9%, 10.2% and 8.6% of students currently use cigarettes, cigar products and e-cigarettes, respectively, and 15.2% currently use at least one tobacco product. TRD and TRP were not associated with current use; frequency of walking to school and stopping at retailers were strongly associated with current use. Conclusions Although TRD and TRP were not significantly associated with tobacco product use, youth who reported regularly walking to/from school or who reported stopping at a retail store before/after school were significantly more likely to be a current tobacco product user. This may be due to increased exposure to exterior and point-of-sale marketing.
引用
收藏
页码:E104 / E110
页数:7
相关论文
共 70 条
[1]   A comparison of individual versus community influences on youth smoking behaviours: a cross-sectional observational study [J].
Adachi-Mejia, Anna M. ;
Carlos, Heather A. ;
Berke, Ethan M. ;
Tanski, Susanne E. ;
Sargent, James D. .
BMJ OPEN, 2012, 2 (05)
[2]   Exploration of the Link Between Tobacco Retailers in School Neighborhoods and Student Smoking [J].
Adams, Monica L. ;
Jason, Leonard A. ;
Pokorny, Steven ;
Hunt, Yvonne .
JOURNAL OF SCHOOL HEALTH, 2013, 83 (02) :112-118
[3]  
[Anonymous], 2014, A Rep. Surg. Gen, P1081
[4]  
[Anonymous], 2012, REP SURG GEN PREV TO
[5]   The family affluence scale as a measure of national wealth: Validation of an adolescent self-report measure [J].
Boyce, William ;
Torsheim, Torbjorn ;
Currie, Candace ;
Zambon, Alessio .
SOCIAL INDICATORS RESEARCH, 2006, 78 (03) :473-487
[6]   Density estimation and adaptive bandwidths: A primer for public health practitioners [J].
Carlos, Heather A. ;
Shi, Xun ;
Sargent, James ;
Tanski, Susanne ;
Berke, Ethan M. .
INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS, 2010, 9
[7]  
CDC, 2015, 2015 STAT LOC YOUTH
[8]  
Celebucki CC, 2002, TOB CONTROL, V11, pII47
[9]  
Center for Public Health Systems Science, 2014, POINT OF SAL REP NAT, DOI [10.7936/FH4H-RD45, DOI 10.7936/FH4H-RD45]
[10]  
Centers for Disease Control and Prevention (CDC), 2002, MMWR Morb Mortal Wkly Rep, V51, P184