Tobacco outlet density near home and school: Associations with smoking and norms among US teens
Tobacco outlet density near home and school: Associations with smoking and norms among US teens
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DOI：
10.1016/j.ypmed.2016.08.027
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发表时间：
2016-10-01
影响因子：
5.1
通讯作者：
Henriksen, Lisa
中科院分区：
文献类型：
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作者：
Schleicher, Nina C.;Johnson, Trent O.;Henriksen, Lisa
这项研究调查了在烟草出口密度较高的社区生活或上学是否与青少年吸烟的几率较高有关，以及吸烟流行程度和同龄人认可程度是否较高。我们使用代表美国家庭的互联网面板，将青少年父母对（n= 2771，调查于2011年6月至2012年12月）的数据与家庭和学校社区的环境数据相匹配。密度测量的是每个参与者家和学校周围1/2英里道路服务区每平方英里烟草销售点的数量。Logistic回归检验了家庭和学校附近烟草出口密度与吸烟之间的关系。线性回归测试了密度、感知患病率和同伴认可之间的关系。模型根据青少年、父母/家庭和邻里特征进行了调整。总体而言，41.0%的美国青少年（13-16岁）居住在烟草销售点半英里范围内，44.4%的人在烟草销售点1000英尺范围内上学。家附近较高的烟草出口密度与较高的吸烟几率相关，尽管相关性较小，OR = 1.01, 95% CI（1.00, 1.02）。此外，离家较近的烟草出口密度也与更多成年人吸烟的观念有关。= 0.09, 95% ci（0.01, 0.17）。学校附近较高的烟草出口密度与任何结果无关。生活在烟草出口密度较高的社区可能会增加青少年接触烟草制品的机会，并培养吸烟更普遍的观念，从而导致青少年吸烟。限制烟草出口密度的政策干预不应仅限于学校环境。(C) 2016 Elsevier Inc.版权所有。
This study examinedwhether living or going to school in neighborhoodswith higher tobacco outlet density is associated with higher odds of cigarette smokingamong teens, and with perceptions of greatersmoking prevalence and peer approval. Using an Internet panel that is representative of US households, we matched data from teenparent pairs (n= 2771, surveyed June 2011-December 2012) with environmental data about home and school neighborhoods. Density was measured as the number of tobacco outlets per square mile for a 1/2-mile roadway service area around each participant's home and school. Logistic regressions tested relationships between tobacco outlet density near home and schoolswith ever smoking. Linear regressions tested relationships between density, perceived prevalence and peer approval. Models were adjusted for teen, parent/household and neighborhood characteristics. In total, 41.0% of US teens (ages 13-16) lived within 1/2 mile of a tobacco outlet, and 44.4% attended school within 1000 ft of a tobacco outlet. Higher tobacco outlet density near homewas associated with higher odds of ever smoking, although the relationship was small, OR = 1.01, 95% CI (1.00, 1.02). Higher tobacco outlet density near home was also associated with perceptions that more adults smoked, coef. = 0.09, 95% CI (0.01, 0.17). Higher tobacco outlet density near schools was not associated with any outcomes. Living in neighborhoodswith higher tobacco outlet densitymay contribute to teen smoking by increasing access to tobacco products and by cultivating perceptions that smoking ismore prevalent. Policy interventions to restrict tobacco outlet density should not be limited to school environments. (C) 2016 Elsevier Inc. All rights reserved.