2012
DOI: 10.1016/j.jadohealth.2011.08.015
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Local Tobacco Policy and Tobacco Outlet Density: Associations With Youth Smoking

Abstract: Purpose This study investigates the associations between tobacco outlet density, local tobacco policy, and youth smoking. A primary focus is on whether local tobacco policy moderates the relation between outlet density and youth smoking. Methods 1,491 youth (51.9% male, M age = 14.7 years, SD =1.05) in 50 midsized California cities were surveyed through a computer-assisted telephone interview. Measures of local clean air policy and youth access policy were created based on a review of tobacco policies in the… Show more

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Cited by 79 publications
(75 citation statements)
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References 15 publications
(17 reference statements)
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“…The current outlet environment may be a critical component in promoting young adult tobacco product initiation. The pervasive availability of a multiplying array of tobacco products in local retail outlets globally, coupled with a growing body of evidence on the impact of outlets on smoking behavior, [10][11][12][13][14][16][17][18] suggests that the current outlet environment may be a contributing factor in promoting adult tobacco product experimentation and initiation. Licensing and zoning policies to restrict tobacco outlet density may be instrumental in reducing tobacco use initiation.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The current outlet environment may be a critical component in promoting young adult tobacco product initiation. The pervasive availability of a multiplying array of tobacco products in local retail outlets globally, coupled with a growing body of evidence on the impact of outlets on smoking behavior, [10][11][12][13][14][16][17][18] suggests that the current outlet environment may be a contributing factor in promoting adult tobacco product experimentation and initiation. Licensing and zoning policies to restrict tobacco outlet density may be instrumental in reducing tobacco use initiation.…”
Section: Discussionmentioning
confidence: 99%
“…8 Recent years have seen a growing interest in reducing tobacco availability via retail outlets, 9 along with growing evidence that the distribution of outlets may impact tobacco use behavior. Studies have found that outlet density is associated with increased cigarette smoking among youth, [10][11][12][13][14] while outlet proximity [15][16][17][18] is associated with reduced smoking cessation among adults. However, evidence examining the impact of outlets on cigarette smoking or use of other tobacco products among young adults is scarce.…”
Section: Original Investigationmentioning
confidence: 99%
“…[16][17][18][19] Proximity to tobacco retailers is associated with decreased success in tobacco use cessation, 20,21 although this may be true only in lower socioeconomic status neighborhoods. 22 Tobacco retailer density has been associated with smoking behaviors [23][24][25] and with youth initiation; 26 however, some findings are mixed. 21,25,27 There are both regional and local patterns of same-sex couple migration and neighborhood selection in the United States.…”
Section: Original Investigationmentioning
confidence: 99%
“…This procedure was repeated until a sample of 50 cities was obtained. The sample of 50 cities is not a simple random sample of these places but rather a purposive sample of cities intended to maximize validity with regard to the geography and ecology of the state (Lipperman-Kreda et al, 2012). Selected cities tended on average to have smaller populations, less ethnic diversity (e.g., 64% vs. 59% White), smaller households (2.82 vs. 2.93 persons), lower median household incomes ($50,000 vs. $52,000), and higher alcohol outlet densities (e.g., 1.38 vs. 1.15 on-premise outlets per 1,000 residents) relative to the entire 138-city sampling frame, but none of these differences were statistically signifi cant.…”
Section: Sample and Survey Proceduresmentioning
confidence: 99%