Influence of Tobacco Displays and Ads on Youth: A Virtual Store Experiment

Influence of Tobacco Displays and Ads on Youth: A Virtual Store Experiment
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DOI:
10.1542/peds.2012-0197
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发表时间:
2013-01-01
期刊:
影响因子:
8
通讯作者:
Shafer, Paul R.
Shafer, Paul R.
中科院分区:
医学2区
文献类型:
--
作者:
Kim, Annice E.;Nonnemaker, James M.;Shafer, Paul R.

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目的:研究在销售点(POS)禁止烟草展示和广告对青少年结局的潜在影响。方法:创建一个交互式虚拟便利店,其中POS机的烟草产品展示要么是公开可见的(现状),要么是封闭在橱柜后面(禁止展示),店内烟草广告要么存在,要么不存在。在全国范围内抽取了1216名年龄在13到17岁之间的青少年,他们要么是吸烟者,要么是易吸烟的非吸烟者,参与了这项研究。青少年被随机分配到6个虚拟商店条件中的1个,并被要求在虚拟商店中完成购物任务。在购物任务中,我们跟踪了青少年购买烟草产品的企图。随后,年轻人完成了一项调查,评估他们对虚拟商店的看法,以及对从虚拟商店购买香烟的便利性的看法。结果:与现状青少年相比,禁展状态青少年对烟草制品有销售的认知程度较低(32.0% vs 85.2%),尝试在虚拟商店购买烟草制品的意愿显著降低(优势比= 0.30,95%可信区间= 0.1320.67,P < 0.001)。禁止广告对年轻人的购买企图影响甚微。结论:禁止在销售点展示烟草制品的政策可以通过阻止青少年在零售商店购买烟草制品来帮助减少青少年吸烟。儿科2013;131: e88-e95
OBJECTIVE: To examine the potential impact of banning tobacco displays and ads at the point of sale (POS) on youth outcomes.METHODS: An interactive virtual convenience store was created with scenarios in which the tobacco product display at the POS was either openly visible (status quo) or enclosed behind a cabinet (display ban), and tobacco ads in the store were either present or absent. A national convenience sample of 1216 youth aged 13 to 17 who were either smokers or nonsmokers susceptible to smoking participated in the study. Youth were randomized to 1 of 6 virtual store conditions and given a shopping task to complete in the virtual store. During the shopping task, we tracked youth's attempts to purchase tobacco products. Subsequently, youth completed a survey that assessed their perceptions about the virtual store and perceptions about the ease of buying cigarettes from the virtual store.RESULTS: Compared with youth in the status quo condition, youth in the display ban condition were less aware that tobacco products were for sale (32.0% vs 85.2%) and significantly less likely to try purchasing tobacco products in the virtual store (odds ratio = 0.30, 95% confidence interval = 0.1320.67, P < .001). Banning ads had minimal impact on youth's purchase attempts.CONCLUSIONS: Policies that ban tobacco product displays at the POS may help reduce youth smoking by deterring youth from purchasing tobacco products at retail stores. Pediatrics 2013;131:e88-e95