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.

抽象的在香烟消费量下降的情况下，非烟烟草产品的销售仍然强劲。重要的是，当前烟草市场中可用的多种产品对用户造成了不同的伤害。在烟草风险连续体上，可燃产品（例如香烟和雪茄）比非非 - 可燃产品，例如无烟烟草和电子烟（电子烟）。可以想象，吸烟者切换到非耐燃料的产品可能会降低其与吸烟有关的疾病的风险。这种行为，但是，与黑人相比，白人的普遍性更高，黑人的比率最高任何种族或族裔的可燃烟草使用。确实，吸烟率正在更快下降在白人中，比黑人可能受电子烟的吸收驱动。通过切换戒烟的差异率对电子烟或其他不可燃烧的产品可能会加剧白人和白人之间现有的健康差异黑人。尽管烟草使用受到几个个人，人际关系和社会因素的影响，但零售业众所周知，环境在塑造吸烟行为中起着至关重要的作用，尤其是在种族少数群体中，烟草业历来利用了烟草行业。尽管电子烟和其他非 - 香烟烟草产品对这些产品在销售点上的推广知之甚少。这项目将研究各种烟草产品的零售方式在美国各不相同与社区居民的使用行为有关。具体来说，这项研究将1）调查区域烟草产品销售，烟草控制政策与社区人口统计之间的关系使用Nielsen市场扫描仪数据和人口普查数据，2）记录本地烟草之间的关联零售环境和烟草产品使用使用《国家健康访谈调查》中的地理编码数据（NHIS）和商店审核，以及3）造成烟草使用变化的与吸烟相关的差距使用重复的横截面NHIS数据和人口评估的纵向数据的行为烟草和健康（路径）研究。