Is adolescent smoking related to the density and proximity of tobacco outlets and retail cigarette advertising near schools?
Is adolescent smoking related to the density and proximity of tobacco outlets and retail cigarette advertising near schools?
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DOI：
10.1016/j.ypmed.2008.04.008
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发表时间：
2008-08-01
影响因子：
5.1
通讯作者：
Fortmann, Stephen P.
中科院分区：
文献类型：
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作者：
Henriksen, Lisa;Feighery, Ellen C.;Fortmann, Stephen P.
Objective.研究高中社区烟草店和零售香烟广告的数量（密度）和位置（接近度）及其与学校吸烟率的关系。方法.来自2005-2006年加州学生烟草调查中的135所高中的数据与学校步行距离内（1/2英里或805米）的烟草商店位置的零售商许可数据相结合，并与这些商店随机样本（n=384）中香烟广告数量的观察结果相结合。多元回归，调整学校和社区人口统计，测试高中吸烟率与烟草商店和零售香烟广告的密度和烟草商店到学校的接近程度的关联。结果在烟草商店密度最高（>5个商店）的社区，目前吸烟的流行率比没有任何烟草商店的社区高3.2个百分点。学校附近的零售香烟广告密度与高中吸烟率也有类似的关系。然而，无论是在高中1000英尺内的烟草店的存在，也不是距离最近的烟草店从学校的吸烟率相关。结论.减少青少年吸烟的政策努力应该旨在减少学校社区的烟草商店和零售香烟广告的密度。这可以通过地方分区条例来实现，包括限制烟草销售点靠近学校。(C)2008年爱思唯尔公司All rights reserved.
Objective. To examine the quantity (density) and location (proximity) of tobacco outlets and retail cigarette advertising in high school neighborhoods and their association with school smoking prevalence. Methods. Data from the 135 high schools that parlicipated in the 2005-2006 California Student Tobacco Survey were combined with retailer licensing data about the location of tobacco outlets within walking distance (1/2 mi or 805 m) of the schools and with observations about the quantity of cigarette advertising in a random sample of those stores (n=384). Multiple regressions, adjusting for school and neighborhood demographics, tested the associations of high school smoking prevalence with the density of tobacco outlets and retail cigarette advertising and with the proximity of tobacco outlets to schools. Results. The prevalence of current smoking was 3.2 percentage points higher at schools in neighborhoods with the highest tobacco outlet density (>5 outlets) than in neighborhoods without any tobacco outlets. The density of retail cigarette advertising in school neighborhoods was similarly associated with high school smoking prevalence. However, neither the presence of a tobacco outlet within 1000 ft of a high school nor the distance to the nearest tobacco outlet from school was associated with smoking prevalence. Conclusions. Policy efforts to reduce adolescent smoking should aim to reduce the density of tobacco outlets and retail cigarette advertising in school neighborhoods. This may be achieved through local zoning ordinances, including limiting the proximity of tobacco outlets to schools. (C) 2008 Elsevier Inc. All rights reserved.