The role of travel distance and price promotions in tobacco product purchase quantity.
The role of travel distance and price promotions in tobacco product purchase quantity.
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DOI：
10.1016/j.healthplace.2018.03.009
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发表时间：
2018-05
期刊：
影响因子：
4.8
通讯作者：
Wewers ME
中科院分区：
文献类型：
--
作者：
Doogan NJ;Cooper S;Quisenberry AJ;Brasky TM;Browning CR;Klein EG;Hinton A;Nagaraja HN;Xi W;Wewers ME
美国农村地区尤其容易受到烟草使用的影响。例如，农村地区的卷烟使用率高于城市地区，而且下降速度较低。烟草购买决策，如购买的单位数量，可能因地理位置和购买相关因素而异，并可能影响烟草使用行为。因此，通过与农村脆弱性相关的因素和2009年《烟草控制法》（TCA）监管范围内的因素来解释烟草购买数量的变化，可能对旨在公平惠及公共卫生的监管建议有价值。我们研究了(1)家庭到最近烟草销售点的距离（农村地区平均较大），(2)价格促销使用（可以通过TCA进行调节），以及(3)它们的相互作用是否解释了卷烟和鼻烟购买量的变化。我们的样本包括54名可燃烟草使用者（298次购买事件）和27名无烟烟草使用者（112次购买事件），他们被要求在智能手机应用程序上报告所有烟草购买。我们使用生态瞬时评估方法收集烟草使用者购买模式的数据，包括产品、购买数量和价格促销的使用。父母队列研究为家-店距离计算和协变量提供了相关数据。我们的分析考察了我们的结果（每次购买事件的购买数量）与参与者家到最近的商店的距离、是否使用了降价促销以及这两个因素的相互作用之间的联系。如果可燃物使用者住得离销售点更远，并且使用了价格促销，那么他们购买的卷烟数量会增加（即交互效应；RR=1.70, 95% CI[1.11, 2.62]）。无烟用户在使用价格促销时购买了更多单位的鼻烟（RR=1.81, 95% CI[1.02, 3.20]）。对价格促销的可用性或使用施加限制的监管行动可以改变美国农村的购买行为，使其更容易减少烟草使用或戒烟。这一行动还将限制烟草制品价格的灵活性，而这一灵活性被称为强有力的烟草控制杠杆。
Rural Americans are particularly vulnerable to tobacco use. For example, cigarette use is higher in rural areas than urban areas and the rate of decline is lower. Tobacco purchasing decisions, such as unit quantity purchased, may vary by geography and purchase related factors and are likely to affect tobacco use behavior. Therefore, explanation of variation in tobacco purchase quantity by factors associated with rural vulnerability and factors that fall under the regulatory scope of the Tobacco Control Act (TCA) of 2009 could be of value to regulatory proposals intended to equitably benefit public health. We examined whether (1) distance from home to the nearest tobacco outlet, which is larger on average in rural areas, and (2) price promotion use, which could be regulated through the TCA, and (3) their interaction explain variation in purchase quantity for cigarette and snuff purchases. Our sample included 54 combustible tobacco users (298 purchase events) and 27 smokeless tobacco users (112 purchase events), who were asked to report all tobacco purchases on a smartphone application. We used an ecological momentary assessment methodology to collect data about tobacco users’ purchasing patterns, including products, quantity purchased, and use of price promotions. A parent cohort study provided relevant data for home-outlet distance calculation and covariates. Our analysis examined associations between our outcome—purchase quantity per purchase event—and distance from participant’s home to the nearest outlet, whether a price reducing promotion was used, and the interaction of these two factors. Combustible users showed an increased cigarette pack purchase quantity if they lived further from an outlet and used a price promotion (i.e., an interaction effect; RR=1.70, 95% CI [1.11, 2.62]). Smokeless users purchased more units of snuff when they used price promotions (RR=1.81, 95% CI [1.02, 3.20]). Regulatory action that imposes restrictions on the availability or use of price promotions could alter the purchasing behavior of rural Americans in such a way that makes it easier to reduce tobacco use or quit. Such action would also restrict flexibility in the price of tobacco products, which is known as a powerful tobacco control lever.
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影响因子：
2.2
作者：
Fournier, David A.;Skaug, Hans J.;Sibert, John
通讯作者：
Sibert, John
DOI：
10.3390/ijerph8010234
发表时间：
2011-01-01
影响因子：
--
作者：
Licht, Andrea S.;Hyland, Andrew J.;Cummings, K. Michael
通讯作者：
Cummings, K. Michael
影响因子：
3.2
作者：
Ladouceur, Robert;Blaszczynski, Alex;Lalande, Daniel R.
通讯作者：
Lalande, Daniel R.
影响因子：
5
作者：
Jain, Sanjay
通讯作者：
Jain, Sanjay
影响因子：
5.1
作者：
Doogan, N. J.;Roberts, M. E.;Higgins, S. T.
通讯作者：
Higgins, S. T.