Geographic variation in the diverse tobacco retail environment and its impact on tobacco use disparities

多样化烟草零售环境的地理差异及其对烟草使用差异的影响

基本信息

批准号：
9561931
负责人：
Daniel Philip Giovenco
金额：
$ 40万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-16 至 2021-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9561931
关键词：
Adult Advertising African American Area Automobile Driving Behavior Categories Censuses Cigar Cigarette Communities Consumption Dangerousness Data Data Files Data Sources Disease Electronic cigarette Environment Ethnic group Goals Growth Harm Reduction Health behavior Individual Link Literature Marketing Menthol Modeling Monitor National Health Interview Survey New Jersey New York City Participant Pattern Philadelphia Play Population Population Assessment of Tobacco and Health Prevalence Price Race Research Research Design Research Personnel Risk Role Sales Sampling Shapes Smokeless Tobacco Smoker Smoking Smoking Behavior Societal Factors Surveys Time Time trend Tobacco Tobacco Industry Tobacco use United States behavioral health cigarette advertising cigarette smoke cigarette smoking demographics discount discounting electronic cigarette use geographic difference health data health disparity metropolitan public policy on tobacco racial and ethnic racial minority response smokeless tobacco use smoking cessation trend uptake

项目摘要

ABSTRACT Amid declining cigarette consumption, sales of non-cigarette tobacco products remain strong. Importantly, the diverse products available in the current tobacco marketplace pose different levels of harm to the user. Combustible products such as cigarettes and cigars are higher on the tobacco risk continuum than non- combustible products such as smokeless tobacco and electronic cigarettes (e-cigs). Conceivably, smokers who switch to a non-combustible product may reduce their risk of smoking-related disease. This behavior, however, is significantly more common among whites compared to blacks, who have the highest rates of combustible tobacco use of any racial or ethnic group. Indeed, cigarette smoking rates are declining faster among whites than blacks, potentially driven by e-cig uptake. Differential rates of quitting smoking by switching to e-cigs or other non-combustible products may exacerbate existing health disparities between whites and blacks. Although tobacco use is influenced by several individual, interpersonal, and societal factors, the retail environment is known to play a critical role in shaping smoking behaviors, particularly among racial minorities, whom the tobacco industry has historically exploited. Despite the growing popularity of e-cigs and other non- cigarette tobacco products, little is known about the promotion of these products at the point-of-sale. This project will examine how the retail of diverse tobacco products varies across the U.S. and the extent to which it is associated with use behaviors of community residents. Specifically, this study will 1) investigate the relationship between regional tobacco product sales, tobacco control policies, and community demographics using Nielsen market scanner data and census data, 2) document the association between the local tobacco retail environment and tobacco product use using geocoded data from the National Health Interview Survey (NHIS) and store audits, and 3) model smoking-related disparities attributed to changes in tobacco use behaviors using repeated cross-sectional NHIS data and longitudinal data from the Population Assessment of Tobacco and Health (PATH) study.

抽象的在卷烟消费下降的情况下，非卷烟烟草产品的销售仍然强劲。重要的是，当前烟草市场上提供的各种产品对使用者造成不同程度的伤害。香烟和雪茄等可燃产品在烟草风险连续体上的风险高于非易燃产品。可燃产品，例如无烟烟草和电子烟（e-cigs）。可以想象，吸烟者改用不可燃产品的人可能会降低患吸烟相关疾病的风险。这种行为，然而，与黑人相比，这种情况在白人中更为常见，黑人的发病率最高任何种族或族裔群体的可燃烟草使用。事实上，吸烟率下降得更快白人的比例高于黑人，这可能是由电子烟的普及推动的。通过转换戒烟的不同戒烟率电子烟或其他不可燃产品可能会加剧白人和白人之间现有的健康差距黑人。尽管烟草使用受到多种个人、人际和社会因素的影响，但零售业众所周知，环境在塑造吸烟行为方面发挥着关键作用，特别是在少数族裔中，烟草业历来都在剥削他们。尽管电子烟和其他非电子烟越来越受欢迎对于卷烟烟草产品，人们对这些产品在销售点的促销情况知之甚少。这该项目将研究美国不同烟草产品的零售情况如何变化以及变化的程度与社区居民的使用行为有关。具体来说，本研究将 1) 调查区域烟草制品销售、烟草控制政策和社区人口统计之间的关系使用尼尔森市场扫描仪数据和人口普查数据，2) 记录当地烟草之间的关联使用来自全国健康访谈调查的地理编码数据的零售环境和烟草产品使用 (NHIS) 和商店审计，以及 3) 因烟草使用变化而导致的与吸烟相关的差异模型使用来自人口评估的重复横截面 NHIS 数据和纵向数据来研究行为烟草与健康（PATH）研究。