Preventing Chronic Disease | Prevalence of Cigarette Advertising and Other Promotional Strategies at the Point of Sale in St Louis, Missouri: Analysis by Store Type and Distance From a School - CDC

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Preventing Chronic Disease | Prevalence of Cigarette Advertising and Other Promotional Strategies at the Point of Sale in St Louis, Missouri: Analysis by Store Type and Distance From a School - CDC

Prevalence of Cigarette Advertising and Other Promotional Strategies at the Point of Sale in St Louis, Missouri: Analysis by Store Type and Distance From a School

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Joaquin Barnoya, MD, MPH; Graham Colditz, MD, DrPH; Sarah Moreland-Russell, PhD, MPH; Julianne Cyr, MPH; Doneisha Snider; Mario Schootman, PhD

Suggested citation for this article: Barnoya J, Colditz G, Moreland-Russell S, Cyr J, Snider D, Schootman M. Prevalence of Cigarette Advertising and Other Promotional Strategies at the Point of Sale in St Louis, Missouri: Analysis by Store Type and Distance From a School. Prev Chronic Dis 2014;11:130150. DOI: http://dx.doi.org/10.5888/pcd11.130150.

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Abstract

Introduction
Point-of-sale advertising provides an opportunity for the tobacco industry to communicate with current and potential smokers. The US Family Smoking Prevention and Tobacco Control Act allows states to implement policies requiring that tobacco products be placed out of sight, and the Food and Drug Administration is considering banning point-of-sale advertising within 1,000 feet of schools. Our objective was to compare cigarette point-of-sale advertising near schools with grades prekindergarten through 12 and by store type.

Methods
All registered cigarette retailers (n = 1,229) and schools (n = 581) in the city of St Louis and St Louis County were geocoded and mapped by using ArcGIS. Retailers were divided into 2 groups, those within 1,000 feet and those within 1,001 to 2,000 feet of a school; 200 retailers from each group were randomly selected. We assessed tobacco interior and exterior advertising, brands advertised, discounts, gifts with purchase, “no sales to minors” signage, and cigarette functional items (eg, advertising on shopping baskets). Analyses were done by distance from a school and store type.

Results
We analyzed 340 retailers. Most retailers within 1,000 feet (91.2%) and from 1,001 to 2,000 feet (94.2%) of a school displayed cigarette advertising (P = .20). Convenience stores had the highest number of interior ads. In multivariable models, distance from school explained 0.2% of the variance in total advertising.

Conclusion
Cigarette point-of-sale advertising is highly prevalent in St Louis within 1,000 feet of schools. A ban based on distance from a school might decrease advertising exposure, but its effect on smoking prevalence is yet to be determined because advertising farther from schools would still prevail.

Author Information

Corresponding Author: Joaquin Barnoya, MD, MPH, Division of Public Health Sciences, Department of Surgery, 660 S. Euclid Ave, Campus Box 6100, St Louis, MO 63110. Telephone: 314-454-7940. E-mail: barnoyaj@wudosis.wustl.edu.

Authors Affiliations: Graham Colditz, Sarah Moreland-Russell, Julianne Cyr, Doneisha Snider, Mario Schootman, Washington University in St Louis, St Louis, Missouri.

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