Exposures to the tobacco retail environment among adolescent boys in urban and rural environments

Autor:	Wenna Xi, Montgomry L Burgoon, Peter F. Craigmile, Christopher R. Browning, Bo Lu, Megan E. Roberts, Brittney Keller-Hamilton, Amy K. Ferketich, Thomas Albani
Rok vydání:	2019
Předmět:	Male Rural Population Tobacco use Adolescent Urban Population Medicine (miscellaneous) Social Environment Tobacco industry Article Cohort Studies Tobacco Use 03 medical and health sciences 0302 clinical medicine Residence Characteristics Surveys and Questionnaires Environmental health Humans Prospective Studies 030212 general & internal medicine Child health care economics and organizations Built environment Ohio 030505 public health Smoking Commerce Psychiatry and Mental health Clinical Psychology Socioeconomic Factors Adolescent Behavior Business 0305 other medical science Adolescent health
Zdroj:	The American Journal of Drug and Alcohol Abuse. 45:217-226
ISSN:	1097-9891 0095-2990
DOI:	10.1080/00952990.2018.1549562
Popis:	BACKGROUND: The tobacco industry spends billions on retail marketing and such marketing is associated with tobacco use. Previous research has not examined actual and potential exposures that adolescents have on a daily basis. OBJECTIVE: The objective of this study was to determine whether both self-reported and geographically estimated tobacco retailer exposures differ by participant or neighborhood characteristics among urban and rural adolescents. METHODS: The data for this study were part of a cohort study of 1,220 adolescent males residing in urban and rural (Appalachian) regions Ohio. The baseline survey asked participants how often they visited stores that typically sell tobacco in the past week (self-reported exposures). The number of tobacco retailers between home and school was determined using ArcGIS software (potential exposures). Adjusted regression models were fit to determine the characteristics that were associated with self-reported or potential exposures to retailers. RESULTS: Adolescents who were non-Hispanic black or other racial/ethnic minority, had used tobacco in the past, and lived in rural areas had higher self-reported exposures. Urban adolescents, non-Hispanic black or other racial/ethnic minority, and those living in neighborhoods with a higher percentage of poverty had more potential exposures to tobacco retailers in their path between home and school. CONCLUSIONS: Rural adolescents had more self-reported marketing exposures than urban adolescents. However, urban adolescents had more potential tobacco exposures between home and school. Thus, point of sale marketing limitations might be a more effective policy intervention in rural areas whereas limits on tobacco retailers might be more effective for urban areas.
Databáze:	OpenAIRE
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