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Concentration of tobacco advertisements at SNAP and WIC stores, Philadelphia, Pennsylvania, 2012
Journal article   Open access

Concentration of tobacco advertisements at SNAP and WIC stores, Philadelphia, Pennsylvania, 2012

Amy Hillier, Mariana Chilton, Qian-Wei Zhao, Dorota Szymkowiak, Ryan Coffman and Giridhar Mallya
Preventing chronic disease, v 12(2), pp E15-E15
05 Feb 2015
PMID: 25654220
url
https://doi.org/10.5888/pcd12.140133View
Published, Version of Record (VoR) Open

Abstract

Commerce - statistics & numerical data Public Assistance - organization & administration Food Assistance - organization & administration Poverty Prevalence Smoking - epidemiology Humans Philadelphia - epidemiology Advertising as Topic - statistics & numerical data Retrospective Studies Tobacco Products - supply & distribution Urban Population
Tobacco advertising is widespread in urban areas with racial/ethnic minority and low-income households that participate in nutrition assistance programs. Tobacco sales and advertising are linked to smoking behavior, which may complicate matters for low-income families struggling with disparate health risks relating to nutrition and chronic disease. We investigated the relationship between the amount and type of tobacco advertisements on tobacco outlets and the outlet type and location. By using field visits and online images, we inspected all licensed tobacco retail outlets in Philadelphia (N = 4,639). Point pattern analyses were used to identify significant clustering of tobacco outlets and outlets with exterior tobacco advertisements. Logistic regression was used to analyze the relationship between the outlet's acceptance of Supplemental Nutrition Assistance Program (SNAP) and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the presence of tobacco advertisements. Tobacco outlets with exterior tobacco advertisements were significantly clustered in several high-poverty areas. Controlling for racial/ethnic and income composition and land use, SNAP and WIC vendors were significantly more likely to have exterior (SNAP odds ratio [OR], 2.11; WIC OR, 1.59) and interior (SNAP OR, 3.43; WIC OR, 1.69) tobacco advertisements than other types of tobacco outlets. Tobacco advertising is widespread at retail outlets, particularly in low-income and racial/ethnic minority neighborhoods. Policy makers may be able to mitigate the effects of this disparate exposure through tobacco retail licensing, local sign control rules, and SNAP and WIC authorization.

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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