Tobacco retail policy innovation to reduce health disparities

烟草零售政策创新减少健康差距

• 批准号: 9805340
• 负责人: RUTH E MALONE
• 金额: $ 67.87万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-20 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9805340
• 关键词: Adult; Advertising; Alcohols; Cause of Death; Cessation of life; Communities; Disadvantaged; Disease; Economics; Environment; Epidemic; Geographic state; Government; Health; Heart Diseases; High School Student; Hour; Infrastructure; Knowledge; Licensing; Low income; Lung; Malignant Neoplasms; Marijuana; Measures; Mental disorders; Municipalities; Neighborhoods; Outcome; Persons; Pharmacy facility; Policies; Poverty; Prevention; Price; Process; Research; Research Methodology; Research Priority; Resistance; Running; Sales; Schools; Sexual and Gender Minorities; Smoke; Smoking; System; Taxes; Thinking; Time; Tobacco; Tobacco Control Research; Tobacco use; United States; West Virginia; Work; attributable mortality; density; distilled alcoholic beverage; economic impact; evidence base; experience; health disparity; health economics; innovation; models and simulation; programs; public policy on tobacco; racial diversity; smoking prevalence; tobacco control; tobacco exposure; tobacco products; uptake; virtual; working group

ABSTRACT The significant progress made toward ending the tobacco epidemic has primarily resulted from policy changes, including tobacco tax increases and smokefree policies. However, research suggests that even if progress on existing prevention and cessation programs is accelerated, an end to the tobacco epidemic is unlikely to be achieved without additional policy innovations. The tobacco retail environment has become a focus of current tobacco control policy conversations, with studies exploring the impact of reduced retailer density. An as yet unstudied approach is using the existing infrastructure of states with alcohol (or potentially marijuana) control retail systems to restrict tobacco sales. Transitioning tobacco sales (TTS) to state retail outlets would enable states to increase control over price, point-of-sale advertising, numbers and types of brands, hours, and outlet density. Disadvantaged communities could experience the greatest benefit, given the current concentration of tobacco outlets in lower income and racially diverse neighborhoods. However, no research has assessed the feasibility, obstacles to and potential health and revenue effects of such a move.The overall objective of this project is to evaluate the prospects for and potential impact of implementing TTS as a way to reduce tobacco accessibility, tobacco use, and tobacco-related health disparities. The project's specific aims are: Specific Aim #1: Conduct a comprehensive appraisal of the potential for and obstacles to moving sales of combustible tobacco products to state retail outlets in 12 states with such systems for alcohol control and sales, and in 2 potential marijuana control states; Specific Aim #2: Examine the extent to which economic and other disparities in the retail accessibility of tobacco could be reduced by limiting sales to state-controlled liquor stores; Specific Aim #3: Using a validated tobacco control simulation model, analyze the impact on smoking prevalence, smoking attributable deaths, health-related outcomes, and state revenues of moving tobacco product sales to state-controlled liquor outlets. This research answers a recent call by the Tobacco Control Research Priorities Working Group of the NCI Board of Scientific Advisors for research on innovative tobacco control policy initiatives that are potentially transformative. Pinpointing the health and economic impacts of moving tobacco sales to state-run stores could lay the groundwork for policymaker consideration of this or more incremental retailer reduction measures.

抽象的 在结束烟草流行方面取得的重大进展主要归功于政策变化， 包括增加烟草税和无烟政策。然而，研究表明，即使在这方面取得进展 现有的预防和戒烟计划正在加速，但烟草流行的结束不太可能 无需额外的政策创新即可实现。烟草零售环境成为当前关注的焦点 烟草控制政策对话，研究探讨减少零售商密度的影响。一个至今为止 未经研究的方法是利用酒精（或潜在的大麻）控制国家的现有基础设施 限制烟草销售的零售系统。将烟草销售 (TTS) 转移到国有零售店将使 各州加强对价格、销售点广告、品牌数量和类型、营业时间和销售点的控制 密度。鉴于目前的集中度，弱势社区可以获得最大的利益 低收入和种族多元化社区的烟草店。然而，没有研究评估 此举的可行性、障碍以及潜在的健康和收入影响。该举措的总体目标 该项目旨在评估实施 TTS 作为减少烟草的一种方式的前景和潜在影响 可及性、烟草使用以及与烟草相关的健康差异。该项目的具体目标是： 具体目标 #1：对推动可燃物销售的潜力和障碍进行全面评估 12 个州设有此类酒精控制和销售系统，并在 2 个州向州零售店销售烟草产品 潜在的大麻管制州；具体目标#2：检查经济和其他方面的影响程度 通过限制国家控制的酒类销售可以减少烟草零售渠道的差异 商店；具体目标#3：使用经过验证的烟草控制模拟模型，分析对吸烟的影响 患病率、吸烟造成的死亡、健康相关结果以及国家运输烟草的收入 产品销售给国家控制的酒类销售点。这项研究响应了烟草控制机构最近的呼吁 NCI 科学顾问委员会创新烟草研究优先研究工作组 控制具有潜在变革性的政策举措。查明对健康和经济的影响 将烟草销售转移到国营商店可能为政策制定者考虑这一点奠定基础 更多增量零售商削减措施。