Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults: Evidence From a Virtual Store Experimental Study

Influence of Point-of-Sale Tobacco Displays and Graphic Health Warning Signs on Adults: Evidence From a Virtual Store Experimental Study
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DOI:
10.2105/ajph.2013.301723
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发表时间:
2014-05-01
影响因子:
12.7
通讯作者:
Farrelly, Matthew C.
Farrelly, Matthew C.
中科院分区:
医学2区
文献类型:
--
作者:
Kim, Annice E.;Nonnemaker, James M.;Farrelly, Matthew C.

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目标。我们测试了禁止烟草展示和在销售点(POS)张贴图形健康警示标志的影响。我们用虚拟商店软件设计了3种烟草产品陈列(开放式、封闭式[不可见]、封闭式烟草广告)和2种警告标志(有无)。2011年12月和2012年1月,我们随机抽取了1216名成年吸烟者和最近戒烟者的全国便利性样本,将他们分成6种商店条件中的一种,并给他们布置了一项购物任务。我们测试了封闭式展示、标志及其交互作用对吸烟冲动和烟草购买企图的主要影响。封闭式展示显著降低了当前吸烟者(B=-7.05;95%可信区间[CI]=-13.20,-0.91;P<0.05)和最近戒烟者(B=-6.00,95%CI=-11.00,-1.00;P<.01)敦促吸烟和现在吸烟者的购买尝试(调整后的优势比=0.06;95%CI=0.03,0.11;P<0.01)。警示标志对研究结果或与封闭展示的交互作用没有显著的主要影响。这些数据表明,POS烟草展示会影响消费者的购买行为。禁止吸烟可能会减少吸烟和计划外烟草购买的迹象。
Objectives. We tested the impact of banning tobacco displays and posting graphic health warning signs at the point of sale (POS).Methods. We designed 3 variations of the tobacco product display (open, enclosed [not visible], enclosed with pro-tobacco ads) and 2 variations of the warning sign (present vs absent) with virtual store software. In December 2011 and January 2012, we randomized a national convenience sample of 1216 adult smokers and recent quitters to 1 of 6 store conditions and gave them a shopping task. We tested for the main effects of the enclosed display, the sign, and their interaction on urge to smoke and tobacco purchase attempts.Results. The enclosed display significantly lowered current smokers' (B = -7.05; 95% confidence interval [CI] = -13.20, -0.91; P < .05) and recent quitters' (B = -6.00, 95% CI = -11.00, -1.00; P < .01) urge to smoke and current smokers' purchase attempts (adjusted odds ratio = 0.06; 95% CI = 0.03, 0.11; P < .01). The warning sign had no significant main effect on study outcomes or interaction with enclosed display.Conclusions. These data show that POS tobacco displays influence purchase behavior. Banning them may reduce cues to smoke and unplanned tobacco purchases.