142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Changes in availability, advertising, and promotions of traditional and new tobacco products among retailers around college campuses

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Kimberly G. Wagoner, DrPH, MPH , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Eun-Young Song, PhD , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Kathleen Egan, MS , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Erin L. Sutfin, PhD , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Beth Reboussin, PhD , Biostatistics, Wake Forest School of Medicine, Winston-Salem, NC
John Spangler, M.D. , Family Medicine, Wake Forest School of Medicine, Winston-Salem, NC
Mark Wolfson, PhD , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Background:Research has shown the association between exposure to point of sale (POS) advertising and smoking initiation. The purpose of this study is to assess changes in availability and promotions of cigarettes, smokeless tobacco, snus and e-cigarettes among retailers in 11 college communities in North Carolina and Virginia over a one-year period.

Methods:In Spring 2012 and 2013, observers completed assessments in 320 tobacco-selling retailers, including grocery and convenience stores, pharmacies, and tobacco shops.  Assessors collected availability, advertising, and promotions for cigarettes, smokeless tobacco, snus and e-cigarettes.

Results:E-cigarette availability increased among retailers from 24.7% in 2012 to 59.9% in 2013 (p<0.0001), while the availability of snus decreased from 80.3% to 58.6% (p<0.0001). There was no statistically significant difference in the availability of cigarettes or other smokeless tobacco products. Interior advertising was more common compared to exterior advertising for all products. The presence of interior and exterior advertising increased from 12.7% to 50.6% (p<0.0001) and 7.6% to 22.8% (p=0.0002) for e-cigarettes, while interior advertising decreased for snus, from 66.4% to 33.1% (p<0.0001). There were no statistically significant changes for interior or exterior advertising for cigarettes or other smokeless tobacco products; however, promotions, such as buy-one-get-one free, were more commonly associated with these products, compared to snus and e-cigarettes.  

Conclusions: Availability and advertising of e-cigarettes more than doubled during the study, while there was a significant decrease in the availability and interior advertising of snus. Results highlight the fast-changing market of new tobacco products and the need for further surveillance.

Learning Areas:

Public health or related laws, regulations, standards, or guidelines
Public health or related research

Learning Objectives:
Describe point of sale (POS) advertising for traditional and new tobacco products Compare changes in availability and marketing for various tobacco products Describe why changes in availability and marketing may be occurring

Keyword(s): Tobacco Control, Marketing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Wagoner is a Senior Research Associate in the Department of Social Sciences and Health Policy at Wake Forest School of Medicine whose research focuses on the prevention of alcohol and tobacco use among youth and young adults. She is a Co-Investigator on a number of research studies in the areas of alcohol policy and enforcement, youth access to alcohol and tobacco, community capacity to address substance abuse, and tobacco use among young adults.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.