Implementation strategies to promote community-engaged efforts to counter tobacco marketing at the point of sale

IntroductionAmerican Indians have the highest cigarette smoking prevalence of any racial/ethnic group in the USA. Tobacco marketing at point-of-sale is associated with smoking, possibly due to easy access to cheap tobacco products. The sale of novel tobacco products like little cigars/cigarillos (LCCs) has increased in recent years which may further increase combustible tobacco use among American Indians.MethodsBetween October 2015 and February 2017, trained community health workers collected LCC product and price information by conducting audits of tobacco retailers on Tribal lands (n=53) and retailers within a 1-mile radius of Tribal lands (n=43) in California. Χ2 analyses were performed to examine associations among the availability and advertising of LCCs, including indoor price promotions and store location.ResultsOverall, 85.4% of stores sold LCCs, 76.0% sold flavoured LCCs and 51.0% sold LCCs for less than $1. Indoor price promotions were displayed at 45 (46.9%) stores. Stores within a 1-mile radius of Tribal lands sold significantly more LCC (p<0.01) and flavoured LCCs (p=0.01) than stores on Tribal lands. Stores within a 1-mile radius of Tribal lands also displayed significantly more LCCs priced at less than $1 (p<0.01) than stores on Tribal lands.ConclusionsLCCs are widely available in stores on and near California Tribal lands. Stores located a short distance away from Tribal lands were more likely to sell LCCs, including flavoured versions, more likely to sell LCCs priced below $1, and more likely to advertise little LCC price promotions than stores on Tribal lands. Policy-makers and Tribal leaders should consider regulations that would limit access to LCCs at point of sale to help prevent youth initiation and reduce smoking-related morbidity and mortality among American Indians.

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Tobacco Product Promotions Remain Ubiquitous and Are Associated with Use and Susceptibility to Use Among Adolescents

Nicotine & Tobacco Research ◽

10.1093/ntr/ntaa136 ◽

2020 ◽

Author(s):

Priya Fielding-Singh ◽

Anna E Epperson ◽

Judith J Prochaska

Keyword(s):

Social Media ◽

Tobacco Smoking ◽

Tobacco Product ◽

Peer Influences ◽

Multivariate Models ◽

Current Smoking ◽

Point Of Sale ◽

Tobacco Marketing ◽

Product Use ◽

Media Channels

Abstract Introduction The decline in tobacco smoking among US adolescents has been exceeded by the exponential rise in nicotine vaping with an overall net gain in youth tobacco product use. While cigarette companies are restricted from advertising on television/radio, vaping promotions have been largely unrestricted. This study examined exposure to tobacco product promotions in a US sample of 1003 adolescents and its associations with product use and susceptibility to use. Aims and Methods Adolescents (13–17) were recruited online and anonymously surveyed in 2019 about their ever and current (past 30 days) tobacco smoking (cigarette and cigar) and nicotine vaping behaviors, and among never-users, susceptibility to vaping. Multivariate models tested associations with past-month exposure to tobacco product promotions controlling for demographic features, harm perceptions, and family and peer influences. Results Tobacco product use was 34% ever-use and 20% current-use. Most had seen cigarette (91%) and nicotine vaping (80%) product promotions in the past 30 days. A majority reported exposure at point-of-sale and on major (television and cinema) and social media. In adjusted multivariate models, greater exposure to tobacco product promotions was significantly associated with ever and current smoking and vaping; and among never-users, susceptibility to vaping (all p < .01, effect sizes 1.03–1.05). Family/peer use and attitudes also were significant correlates. Conclusions Tobacco product promotions remain ubiquitous and are significantly associated with adolescents’ tobacco product use and susceptibility to vape. Peers and family are important social influences and may reflect indirect channels of tobacco marketing. Stricter regulatory restrictions on tobacco marketing to young people are warranted. Implications This study adds to mounting evidence showing that tobacco marketing remains pervasive and is associated with tobacco use and susceptibility to use. Most youth report seeing cigarette and nicotine vaping product promotions, with notable differences by channel: traditional media predominate for cigarettes and social media/email for e-cigarettes. Greater exposure to tobacco promotions is significantly associated with ever and current smoking and vaping, and among never-users, susceptibility to vaping. The accumulating findings support stricter regulatory restrictions on marketing of tobacco products in media channels accessed by youth.

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Assessing tobacco marketing receptivity among youth: integrating point of sale marketing, cigarette package branding and branded merchandise

Tobacco Control ◽

10.1136/tobaccocontrol-2015-052498 ◽

2015 ◽

Vol 25 (6) ◽

pp. 648-655 ◽

Cited By ~ 8

Author(s):

Sandra Braun ◽

Christy Kollath-Cattano ◽

Inti Barrientos ◽

Raúl Mejía ◽

Paola Morello ◽

...

Keyword(s):

Point Of Sale ◽

Tobacco Marketing ◽

Cigarette Package

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A systematic review of store audit methods for assessing tobacco marketing and products at the point of sale

Tobacco Control ◽

10.1136/tobaccocontrol-2012-050807 ◽

2013 ◽

Vol 23 (2) ◽

pp. 98-106 ◽

Cited By ~ 29

Author(s):

Joseph G L Lee ◽

Lisa Henriksen ◽

Allison E Myers ◽

Amanda L Dauphinee ◽

Kurt M Ribisl

Keyword(s):

Systematic Review ◽

Point Of Sale ◽

Tobacco Marketing

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Attention and Recall of Point-of-sale Tobacco Marketing: A Mobile Eye-Tracking Pilot Study

AIMS Public Health ◽

10.3934/publichealth.2016.1.13 ◽

2016 ◽

Vol 3 (1) ◽

pp. 13-24 ◽

Cited By ~ 3

Author(s):

Maansi Bansal-Travers ◽

◽

Sarah E. Adkison ◽

Richard J. O’Connor ◽

James F. Thrasher

Keyword(s):

Pilot Study ◽

Eye Tracking ◽

Point Of Sale ◽

Tobacco Marketing ◽

Mobile Eye Tracking

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Point-of-sale cigarette pricing strategies and young adult smokers’ intention to purchase cigarettes: an online experiment

Tobacco Control ◽

10.1136/tobaccocontrol-2020-056004 ◽

2021 ◽

pp. tobaccocontrol-2020-056004

Author(s):

Kelvin Choi ◽

Kurt Kreuger ◽

Timothy S McNeel ◽

Nathaniel Osgood

Keyword(s):

Young Adult ◽

College Education ◽

Discrete Choice Experiments ◽

Cigarette Price ◽

Point Of Sale ◽

Tobacco Marketing ◽

Price Discounts ◽

Intention To Purchase ◽

Price Tiers ◽

Cigarette Packs

BackgroundPoint-of-sale tobacco marketing has been shown to be related to tobacco use behaviours; however, specific influences of cigarette price discounts, price tiers and pack/carton availability on cigarette purchasing intention are less understood by the tobacco control community.MethodsWe conducted discrete choice experiments among an online sample of US young adult smokers (aged 18–30 years; n=1823). Participants were presented scenarios depicting their presence at a tobacco retail outlet with varying availability of cigarette price discounts, price tiers and pack/carton. At each scenario, participants were asked whether they would purchase cigarettes. Generalised linear regression models were used to examine the associations between of cigarette price discounts, price tiers and pack/carton with intention to purchase cigarettes overall and stratified by educational attainment.ResultsParticipants chose to purchase cigarettes in 70.9% of the scenarios. Offering price discounts were associated with higher odds of choosing to purchase cigarettes. Reducing the number of cigarette price tiers available in the store was associated with lower odds of choosing to purchase cigarettes. Stratified analysis showed that offering discounts on high-tier cigarette packs increased odds of choosing to purchase cigarettes among young adult smokers with at least some college education, while offering discounts on medium-tier cigarette packs increased odds of choosing to purchase cigarettes among those with some college education or less (eg, with a 10% discount, adjusted odds ratio [AOR]some college=1.62, 95% confidence interval [CI] 1.21 to 2.16; AOR≤high school=1.44, 95% CI 1.08 to 1.93).ConclusionsAvailability of cigarette price discounts, price tiers and pack/carton could potentially influence cigarette purchasing behaviours among young adult smokers. Regulating these marketing strategies may, therefore, reduce education-related smoking disparities.

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