Shrinking the Size of the Tobacco Powerwall and Restricting the Number of Tobacco Products Displayed to Reduce Adolescent Tobacco Use

烟草行业将其数十亿美元的广告和促销预算的90%以上花在了零售上 销售点(POS)。POS烟草广告最突出的来源来自烟草力量 墙，数百种不同的烟草产品的大型、宽敞的陈列，通常位于收银台后面 在消费者的视线下。青少年是POS零售店的常客，因此在很大程度上 反复接触烟草电力墙的风险。这类暴露可能会导致 青少年烟草使用风险和实际产品使用。因此，减少烟草动力墙对 青少年吸烟是一个重要的公共卫生目标。抑制烟草效力的几种选择 电力墙已经被推进了。第一个选择是减少烟草粉的空间 墙可能会被占领。这一行动将使烟草电力墙的尺寸减少多达一半和 结果，在收银台后面占用较少的可见空间。第二种选择是减少总量 电源墙上显示的品牌内烟草产品单位数。这一行动将允许 只展示每个品牌的一个样品，而不是几个(例如，而不是10盒万宝路红酒 和10罐骆驼霜鼻，每种只允许一包)。这样做的总体目标是 研究是通过实验评估减少烟草电源墙的大小和 展示的烟草产品单位的数量影响青少年的烟草使用风险。这项实验将 在兰德商店实验室(RSL)举行，这是一个真人大小的便利店复制品，我们开发的 评估在POS改变烟草促销方面如何影响模拟期间的烟草使用风险 购物体验。这项研究将使用受试者之间的设计，其中青少年被随机 在以下三种情况之一下分配到RSL购物：(1)大电源墙/多个产品单元 展示；(2)小电源墙/多个产品单元展示；(3)小电源墙/单品 显示的单位。我们会考虑这些电力墙改装对使用四类 烟草产品：香烟、电子尼古丁输送设备、雪茄和无烟烟草。烟草 使用风险的索引将由：对烟草权力墙的关注、感知的烟草使用规范、感知的 烟草产品的可获得性和烟草使用意向。我们假设，这些因素的组合 监管选项(即，展示每种产品的单个单位的小型烟草电源墙)将是最 有效降低烟草使用风险。我们还将评估性别和/或烟草使用经验 青少年对正在调查的电力墙监管选项的适度反应。这样做的结果 研究有可能提供关于如何缩小烟草威力的关键概念验证信息 沃尔可能会影响青少年吸烟的风险，因此，先进的监管科学旨在帮助 青少年抵制强大而富含烟草的POS零售环境。

The tobacco industry spends over 90% of its multi-billion-dollar advertising and promotion budget at retail point-of-sale (POS). The most prominent source of POS tobacco advertising comes from the tobacco power wall, the large, expansive display of hundreds of different tobacco products typically located behind the cashier in full view of consumers. Adolescents are frequent visitors to POS retail stores and as such are at significant risk for having repeated exposures to the tobacco power wall. Such exposures can contribute to increases in adolescent tobacco use risk and actual product use. As such, reducing the effect of the tobacco power wall on adolescent tobacco use is a critical public health goal. Several options for curbing the potency of the tobacco power wall have been advanced. The first option is a reduction in the amount of space that a tobacco power wall may occupy. This action would reduce the size of the tobacco power wall by as much as half and as a result, occupy less visible space behind the cashier counter. The second option is a reduction in the total number of tobacco product units within brand that are displayed on the power wall. This action would permit only one example of each brand to be displayed rather than several (e.g., rather than 10 boxes of Marlboro Reds and 10 tins of Camel Frost Snus, there would be allowed only one package of each). The overall aim of this research is to experimentally evaluate the extent to which reducing the size of the tobacco power wall and the number of tobacco product units displayed influences tobacco use risk in adolescents. This experiment will take place in the RAND StoreLab (RSL), a life-sized replica of a convenience store that we developed to evaluate how altering aspects of tobacco promotion at POS influences tobacco use risk during simulated shopping experiences. The study will use a between-subjects design, in which adolescents are randomly assigned to shop in the RSL under one of three conditions: (1) Large power wall/ multiple product units displayed; (2) Small power wall/multiple product units displayed; and (3) Small power wall/Single product units displayed. We will consider the effect of these power wall alterations on risk of use of four classes of tobacco products: cigarettes, electronic nicotine delivery devices, cigarillos, and smokeless tobacco. Tobacco use risk will be indexed by: attention to the tobacco power wall, perceived tobacco use norms, perceived availability of tobacco products, and tobacco use intentions. We hypothesize that the combination of these regulatory options (i.e., a small tobacco power wall with single units of each product displayed) will most effectively diminish tobacco use risk. We will also evaluate whether gender and/or tobacco use experience moderate adolescents' reactions to the power wall regulatory options under investigation. The results of this study have the potential to provide critical proof-of-concept information on how shrinking the tobacco power wall could influence adolescent tobacco use risk and as a result, advance regulatory science aimed at helping adolescents resist the powerful and tobacco-rich POS retail environment.