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活动的商店构成了一个重大的公共健康问题，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看法调查（STORE研究），结合了基于学校的调查数据，在基线和12个月内对大约2100名中学生进行了调查，并从加利福尼亚社区的53家商店进行了店内观察。结果表明：(a)青少年在销售点广泛接触香烟广告和促销；(b)青少年经常购物的商店比同一社区的其他商店有更多的香烟营销材料和货架空间；(c)每周至少接触此类营销的从不吸烟者在一年后报告吸烟的可能性几乎是其他同龄人的两倍；(d)青少年报告的接触次数越多，尝试的机会就越大。该提案寻求继续提供资金，以更好地了解青少年接触零售烟草营销与逐渐吸烟之间的关系。具体来说，拟议的研究旨在对9-11年级的参与者进行跟踪调查，距离该小组上次在7-9年级接受调查大约18个月，以测试零售营销暴露是否预测当前吸烟，仍然预测吸烟。此外，它将测试我们之前的结果是否可以推广到不同的环境和人群，通过调查青少年（6-8年级）在基线，12个月（7-9年级）和30个月（9-11年级）在城市社区的非洲裔美国青年的比例显著增加。考虑到人们对烟草业的定向营销行为的担忧，将店内观察和学生调查的数据结合起来，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。二级分析将比较零售烟草营销对吸烟进程影响的不同过程解释。拟议的研究将提高我们对接触零售烟草营销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.