Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Hillier, Amy ; Chilton, Mariana ; Zhao, Qian-Wei ; Szymkowiak, Dorota ; Coffman, Ryan ; ... More +
Hillier, Amy ; Chilton, Mariana ; Zhao, Qian-Wei ; Szymkowiak, Dorota ; Coffman, Ryan ; Mallya, Giridhar Less -
Description:
Introduction

Tobacco advertising is widespread in urban areas with racial/ethnic minority and low-income households that participate in nutrition assistance programs. Tobacco sales and advertising are linked to smoking behavior, which may complicate matters for low-income families struggling with disparate health risks relating to nutrition and chronic disease. We investigated the relationship between the amount and type of tobacco advertisements on tobacco outlets and the outlet type and location.

Methods

By using field visits and online images, we inspected all licensed tobacco retail outlets in Philadelphia (N = 4,639). Point pattern analyses were used to identify significant clustering of tobacco outlets and outlets with exterior tobacco advertisements. Logistic regression was used to analyze the relationship between the outlet’s acceptance of Supplemental Nutrition Assistance Program (SNAP) and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the presence of tobacco advertisements.

Results

Tobacco outlets with exterior tobacco advertisements were significantly clustered in several high-poverty areas. Controlling for racial/ethnic and income composition and land use, SNAP and WIC vendors were significantly more likely to have exterior (SNAP odds ratio [OR], 2.11; WIC OR, 1.59) and interior (SNAP OR, 3.43; WIC OR, 1.69) tobacco advertisements than other types of tobacco outlets.

Conclusion

Tobacco advertising is widespread at retail outlets, particularly in low-income and racial/ethnic minority neighborhoods. Policy makers may be able to mitigate the effects of this disparate exposure through tobacco retail licensing, local sign control rules, and SNAP and WIC authorization.


Subjects:
[+]
Advertising Commerce Food Assistance Humans Original Research Poverty Prevalence Public Assistance Retrospective Studies Smoking Tobacco Products Urban Population
Source:
Prev Chronic Dis. 12.
Pubmed ID:
25654220
Pubmed Central ID:
PMC4318686
Document Type:
Journal Article
Funding:
1U58DP002633-01/DP/NCCDPHP CDC HHS/United States
Place as Subject:
Philadelphia, PA
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:ed0562bba79ffb717fa5e127f612ca9e96cfb6dcfb8fd84976f8713b42353f58
Download URL:
https://stacks.cdc.gov/view/cdc/27604/cdc_27604_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-12-E15.nxml	txt
  	PCD-12-E15s01.gif	gif
  	PCD-12-E15s01.jpg	jpeg

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