Impact of Retail Tobacco Advertising on Youth Smoking

描述（由申请人提供）：充斥着香烟广告和促销的商店构成了一个重大的公共卫生问题，特别是对年轻人。我们之前的纵向研究，青少年对零售环境的意见调查（STORE研究），结合了基于学校的调查数据，约2,100名中学生在基线和12个月，从一个加州社区的53家商店的普查店内观察。结果表明：（a）青少年在销售点广泛接触香烟广告和促销活动;（B）青少年经常购物的商店比同一社区的其他商店拥有更多的促销材料和香烟货架空间;（c）从不吸烟者报告至少每周接触这种促销活动，一年后报告曾经吸烟的可能性几乎是其他同龄人的两倍;及（d）青少年报告接触毒品的次数越多，尝试毒品的机会便越大。该提案寻求持续的资金，以更好地了解青少年接触零售烟草营销和吸烟进展之间的关系。具体而言，拟议的研究旨在对9-11年级的参与者进行一次STORE小组的后续调查，自7-9年级的小组上次调查以来约18个月，以测试零售营销暴露是否预测当前吸烟并仍然预测曾经吸烟。此外，它将测试我们以前的研究结果是否推广到不同的环境和人口，通过调查青少年（6-8年级）在基线，12个月（7-9年级），30个月（9-11年级）在城市社区，非洲裔美国青年的比例大大增加。考虑到对烟草业有针对性的营销做法的担忧，店内观察和学生调查的数据相结合，将评估非裔美国人接触零售烟草营销的性质、频率和影响是否比其他年轻人更成问题。二次分析将比较零售烟草营销对吸烟进展的影响的不同过程解释。这项拟议中的研究将提高我们对与零售烟草营销接触相关的健康风险的理解，并为减少这种风险的新政策提供科学依据。

DESCRIPTION (provided by applicant): Stores saturated with ads and promotions for cigarettes constitute a significant public health concern, especially for youth. Our previous longitudinal study, the Survey of Teen Opinions about Retail Environments (STORE Study), combined data from school-based surveys of approximately 2,100 middle school students at baseline and 12 months with in-store observations from a census of 53 stores in a California community. Results demonstrated that: (a) adolescents are widely exposed to ads and promotions for cigarettes at the point of sale; (b) stores where adolescents shopped frequently contained significantly more marketing materials and shelf space for cigarettes than other stores in the same community; (c) never smokers who reported at least weekly exposure to such marketing were almost twice as likely as other peers to report ever smoking after one year; and (d) the more exposure adolescents reported, the greater the chances of experimenting. This proposal seeks continued funding to better understand the relationship between adolescents' exposure to retail tobacco marketing and progression toward smoking. Specifically, the proposed research aims to conduct a follow-up survey of the STORE panel when the participants are in Grades 9-11, approximately 18 months since the panel was last surveyed in Grades 7-9, to test whether retail marketing exposure predicts current smoking and still predicts ever smoking. Additionally, it will test whether our previous results generalize to a different setting and population by surveying adolescents (Grades 6-8) at baseline, 12 months (Grades 7-9), and 30 months (Grades 9-11) in an urban community with a substantially larger proportion of African American youth. Given concerns about the tobacco industry's targeted marketing practices, a combination of data from in-store observations and student surveys will assess whether the nature, frequency, and impact of exposure to retail tobacco marketing is more problematic for African Americans than other youth. Secondary analyses will compare different process explanations for the influence of retail tobacco marketing on progression toward smoking. The proposed research would improve our understanding of the health risks associated with exposure to retail tobacco marketing and provide a scientific rationale for new policies to reduce it.