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The impact of the tobacco retail outlet environment on adult cessation and differences by neighborhood poverty.

ABSTRACT: This study examined the impact of tobacco retail outlets on cessation outcomes over time among non-treatment-seeking smokers and assessed differences by neighborhood poverty and individual factors.Observational longitudinal cohort study using geospatial data. We used generalized estimating equations to examine cessation outcomes in relation to the proximity and density of tobacco retail outlets near the home.Eight large Designated Media Areas across the United States.A total of 2377 baseline smokers followed over three waves from 2008 to 2010.Outlet addresses were identified through North American Industry Classification System codes and proximity and density measures were constructed for each participant at each wave. Outcomes included past 30-day abstinence and pro-cessation attitudes.Smokers in high poverty census tracts living between 500?m and 1.9?km from an outlet were over two times more likely to be abstinent than those living fewer than 500?m from an outlet (P?

SUBMITTER: Cantrell J

PROVIDER: S-EPMC4270891 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature

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The impact of the tobacco retail outlet environment on adult cessation and differences by neighborhood poverty.

Cantrell Jennifer J Anesetti-Rothermel Andrew A Pearson Jennifer L JL Xiao Haijun H Vallone Donna D Kirchner Thomas R TR

Addiction (Abingdon, England) 20141107 1

<h4>Aims</h4>This study examined the impact of tobacco retail outlets on cessation outcomes over time among non-treatment-seeking smokers and assessed differences by neighborhood poverty and individual factors.<h4>Design</h4>Observational longitudinal cohort study using geospatial data. We used generalized estimating equations to examine cessation outcomes in relation to the proximity and density of tobacco retail outlets near the home.<h4>Setting</h4>Eight large Designated Media Areas across th ...[more]

PMID: 25171184

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Project description:BackgroundRecent obesity prevention initiatives focus on healthy neighborhood design, but most research examines neighborhood food retail and physical activity (PA) environments in isolation. We estimated joint, interactive, and cumulative impacts of neighborhood food retail and PA environment characteristics on body mass index (BMI) throughout early adulthood.Methods and findingsWe used cohort data from the Coronary Artery Risk Development in Young Adults (CARDIA) Study [n=4,092; Year 7 (24-42 years, 1992-1993) followed over 5 exams through Year 25 (2010-2011); 12,921 person-exam observations], with linked time-varying geographic information system-derived neighborhood environment measures. Using regression with fixed effects for individuals, we modeled time-lagged BMI as a function of food and PA resource density (counts per population) and neighborhood development intensity (a composite density score). We controlled for neighborhood poverty, individual-level sociodemographics, and BMI in the prior exam; and included significant interactions between neighborhood measures and by sex. Using model coefficients, we simulated BMI reductions in response to single and combined neighborhood improvements. Simulated increase in supermarket density (from 25(th) to 75(th) percentile) predicted inter-exam reduction in BMI of 0.09 kg/m(2) [estimate (95% CI): -0.09 (-0.16, -0.02)]. Increasing commercial PA facility density predicted BMI reductions up to 0.22 kg/m(2) in men, with variation across other neighborhood features [estimate (95% CI) range: -0.14 (-0.29, 0.01) to -0.22 (-0.37, -0.08)]. Simultaneous increases in supermarket and commercial PA facility density predicted inter-exam BMI reductions up to 0.31 kg/m(2) in men [estimate (95% CI) range: -0.23 (-0.39, -0.06) to -0.31 (-0.47, -0.15)] but not women. Reduced fast food restaurant and convenience store density and increased public PA facility density and neighborhood development intensity did not predict reductions in BMI.ConclusionsFindings suggest that improvements in neighborhood food retail or PA environments may accumulate to reduce BMI, but some neighborhood changes may be less beneficial to women.

Dataset Information

The impact of the tobacco retail outlet environment on adult cessation and differences by neighborhood poverty.

Publications

The impact of the tobacco retail outlet environment on adult cessation and differences by neighborhood poverty.

Similar Datasets

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