The role of travel distance and price promotions in tobacco product purchase quantity

Doogan, Nathan J.; Cooper, Sarah; Quisenberry, Amanda J.; Brasky, Theodore M.; Browning, Christopher R.; Klein, Elizabeth G.; Hinton, Alice; Nagaraja, Haikady N.; Xi, Wenna; Wewers, Mary Ellen

doi:10.1016/j.healthplace.2018.03.009

Cited by 11 publications

(11 citation statements)

References 27 publications

(31 reference statements)

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“…Unfortunately, we were unable to find any existing research that examined the relationship between exposure to price promotions and tobacco purchases. The only related study examined the relationship between the use of price promotions when making a tobacco purchase and the size of the purchase [14]. Despite the lack of research on the impact of price promotions on purchases in the United States, bans on price promotions have been cited as one of the most effective tobacco control efforts in Europe [19].…”

Section: Discussionmentioning

confidence: 99%

“…Promotions are used by tobacco companies to offset price increases caused by tobacco control policies, such as taxes [13]. Promotions have been associated with current smoking among youth [4] and purchasing larger quantities of cigarettes per store visit among adult smokers [14]. Researchers found that New York State counties with a greater number of retail cigarette promotions between 2004 and 2008 also had a higher youth smoking prevalence [4].…”

Section: Introductionmentioning

confidence: 99%

“…Researchers found that New York State counties with a greater number of retail cigarette promotions between 2004 and 2008 also had a higher youth smoking prevalence [4]. Similarly, another study of combustible tobacco users living in the rural United States found that those who used promotions purchased more cigarettes [14].…”

Section: Introductionmentioning

confidence: 99%

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Antismoking Advertisements and Price Promotions and Their Association With the Urge to Smoke and Purchases in a Virtual Convenience Store: Randomized Experiment

Dutra¹,

Nonnemaker²,

Bradfield³

et al. 2019

J Med Internet Res

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BackgroundPoint of sale (POS) advertising is associated with smoking initiation, current smoking, and relapse among former smokers. Price promotion bans and antismoking advertisements (ads) are 2 possible interventions for combating POS advertising.ObjectiveThe purpose of this analysis was to determine the influence of antismoking ads and promotions on urges to smoke and tobacco purchases.MethodsThis analysis examined exposure to graphic (graphic images depicting physical consequences of tobacco use) and supportive (pictures of and supportive messages from former smokers) antismoking ads and promotions in a virtual convenience store as predictors of urge to smoke and buying tobacco products among 1200 current cigarette smokers and 800 recent quitters recruited via a Web-based panel (analytical n=1970). We constructed linear regression models for urge to smoke and logistic regression models for the odds of purchasing tobacco products, stratified by smoking status.ResultsThe only significant finding was a significant negative relationship between exposure to supportive antismoking ads and urge to smoke among current smokers (beta coefficient=−5.04, 95% CI −9.85 to −0.22; P=.04). There was no significant relationship between graphic antismoking ads and urge to smoke among current smokers (coefficient=−3.77, 95% CI −8.56 to 1.02; P=.12). Neither relationship was significant for recent quitters (graphic: coefficient=−3.42, 95% CI −8.65 to 1.81; P=.15 or supportive: coefficient=−3.82, 95% CI −8.99 to 1.36; P=.20). There were no significant differences in urge to smoke by exposure to promotions for current smokers (coefficient=−1.06, 95% CI −4.53 to 2.41; P=.55) or recent quitters (coefficient=1.76, 95% CI −2.07 to 5.59; P=.37). There were also no differences in tobacco purchases by exposure to graphic (current smokers: coefficient=0.93, 95% CI 0.67 to 1.29; P=.66 and recent quitters: coefficient=0.73, 95% CI 0.44 to 1.19; P=.20) or supportive (current smokers: coefficient=1.05, 95% CI 0.75 to 1.46; P=.78 and recent quitters: coefficient=0.73, 95% CI 0.45 to 1.18; P=.20) antismoking ads or price promotions (current smokers: coefficient=1.09, 95% CI 0.86 to 1.38; P=.49 and recent quitters: coefficient=0.90, 95% CI 0.62 to 1.31; P=.60).ConclusionsThe results of this analysis support future research on the ability of supportive antismoking ads to reduce urges to smoke among current cigarette smokers. Research on urges to smoke has important tobacco control implications, given the relationship between urge to smoke and smoking cigarettes, time to next smoke, and amount smoked.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Antismoking Advertisements and Price Promotions and Their Association With the Urge to Smoke and Purchases in a Virtual Convenience Store: Randomized Experiment

Dutra¹,

Nonnemaker²,

Bradfield³

et al. 2019

J Med Internet Res

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“…A uniform grid unit method for geospatial distribution of tobacco retailers, with larger grid units in rural versus urban areas, is recommended. 71 Tobacco retail accessibility may play an important role in individual smoking behaviour, particularly in rural areas, 72 but remains largely unexplored. Specific measures of retail accessibility, such as travel time by car, should be considered in the PhenX Toolkit of recommended measures for tobacco regulatory research.…”

Section: Reviewmentioning

confidence: 99%

Tobacco retail availability and cigarette and e-cigarette use among youth and adults: a scoping review

et al. 2021

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ObjectiveStates and localities are formulating strategies to reduce the widespread retail availability of tobacco products. Evidence of associations between retailer density/proximity and tobacco use outcomes can help inform those strategies. We conducted a scoping review on tobacco retail availability and cigarette/e-cigarette use in adults and youth, and considered variations in spatial units, measures of retailer exposure and outcomes across studies.MethodsA systematic search for studies examining the association between retailer density/proximity and youth and adult cigarette/e-cigarette use was conducted across MEDLINE (PubMed), Web of Science and Google Scholar through 27 August 2020 with no restrictions.ResultsThirty-five studies were included in our qualitative synthesis. While there were differences in neighbourhood definitions (eg, egocentric vs administrative), there is evidence for a positive association between higher retailer density in egocentric neighbourhoods around homes and current smoking in adults and adolescents. Administrative unit measures in some studies showed associations with adult current smoking, and adolescent lifetime and current smoking. Studies on tobacco outlet proximity to homes obtained mixed results. Density/proximity of tobacco outlets around schools showed no or inverse association with adolescent smoking, but suggests higher susceptibility to smoking. Evidence of an association between e-cigarette retail availability and e-cigarette use is limited due to a small number of studies.ConclusionThe current literature provides limited empirical evidence of the association between tobacco retailer availability and smoking or e-cigarette use. More research with uniform measures of environmental exposure to tobacco retailers is needed to allow for greater comparability between studies.

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“…Another study published in Health & Place (Doogan et al, 2018) used EMA to investigate whether in rural settings distance from home to the nearest tobacco outlet and the presence of price promotions interactively influenced quantities of tobacco purchased. Over 7-10 days (once per year over 2 years), 54 combustible and 27 smokeless tobacco users reported information on smartphones after every tobacco purchase (products, quantity, use of price promotions) as soon as possible after the purchase.…”

Section: A Review Of Selected Ema Studiesmentioning

confidence: 99%

How daily environments and situations shape behaviors and health: Momentary studies of mobile sensing and smartphone survey data

Chaix

2020

Health & Place

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The role of travel distance and price promotions in tobacco product purchase quantity

Cited by 11 publications

References 27 publications

Antismoking Advertisements and Price Promotions and Their Association With the Urge to Smoke and Purchases in a Virtual Convenience Store: Randomized Experiment

Antismoking Advertisements and Price Promotions and Their Association With the Urge to Smoke and Purchases in a Virtual Convenience Store: Randomized Experiment

Tobacco retail availability and cigarette and e-cigarette use among youth and adults: a scoping review

How daily environments and situations shape behaviors and health: Momentary studies of mobile sensing and smartphone survey data

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