Grant Number:	5R01CA067850-13 Interpret this number
Primary Investigator:	Henriksen, Lisa
Organization:	Stanford University
Project Title:	Impact of Retail Tobacco Advertising on Youth Smoking
Fiscal Year:	2013

DESCRIPTION (provided by applicant): Stores saturated with ads and promotions for cigarettes constitute a significant public health concern, especially for adolescents. Our previous research combined data from school-based surveys of middle school students at baseline, 12 months, and 30 months, with data from observations in all stores that sold cigarettes in the study community. Two measures of exposure to retail tobacco advertising were developed by: (a) assessing the frequency of visits to types of stores that contain the most tobacco advertising (convenience, small grocery, and liquor stores) and (b) eliciting information about where and how often adolescents shopped in tobacco outlets near school and assessing the quantity of cigarette marketing materials in those stores. Both exposure measures predicted significant increases in the odds of initiating smoking at each follow-up, and the more exposure adolescents reported, the greater their chances of experimenting. A second longitudinal study observed similar findings in an urban community with a higher concentration of tobacco outlets and a more racially diverse population. This proposal seeks continued funding to better understand the impact of the retail tobacco environment on smoking initiation at the national level. Adolescents (ages 13-16) will be surveyed at baseline, 8 months, and 16 months (n=1,350), using an existing Internet panel that is representative of U.S. households with telephones. An innovative feature of this research is the ability to link all respondents' data to their residential and school addresses, allowing simultaneous study of environmental and individual risk factors for smoking initiation. This research aims to: (a) determine whether our previous results about the impact of exposure to retail tobacco advertising on smoking initiation generalize from two California communities to a population-based survey of U.S. adolescents, and (b) test the hypothesis that the odds of smoking initiation are increased for adolescents in neighborhoods with higher tobacco outlet density, adjusting for both individual and neighborhood characteristics. Secondary analyses will compare different process explanations for the impact of retail tobacco advertising and tobacco outlet density on smoking initiation. This investigation will advance our understanding of the health risks associated with the availability of cigarettes and visibility of cigarette advertising in the environment and provide a scientific rationale for new policies to reduce them.




A Longitudinal Study Of Exposure To Retail Cigarette Advertising And Smoking Initiation
Authors: Henriksen L. , Schleicher N.C. , Feighery E.C. , Fortmann S.P. .
Source: Pediatrics, 2010 Aug; 126(2), p. 232-8.
PMID: 20643725
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Receptivity To Alcohol Marketing Predicts Initiation Of Alcohol Use
Authors: Henriksen L. , Feighery E.C. , Schleicher N.C. , Fortmann S.P. .
Source: The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine, 2008 Jan; 42(1), p. 28-35.
PMID: 18155027
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The Relationship Between Exposure To Alcohol Advertising In Stores, Owning Alcohol Promotional Items, And Adolescent Alcohol Use
Authors: Hurtz S.Q. , Henriksen L. , Wang Y. , Feighery E.C. , Fortmann S.P. .
Source: Alcohol And Alcoholism (oxford, Oxfordshire), 2007 Mar-Apr; 42(2), p. 143-9.
PMID: 17218364
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An Evaluation Of Four Measures Of Adolescents' Exposure To Cigarette Marketing In Stores
Authors: Feighery E.C. , Henriksen L. , Wang Y. , Schleicher N.C. , Fortmann S.P. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2006 Dec; 8(6), p. 751-9.
PMID: 17132522
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Association Of Retail Tobacco Marketing With Adolescent Smoking
Authors: Henriksen L. , Feighery E.C. , Wang Y. , Fortmann S.P. .
Source: American Journal Of Public Health, 2004 Dec; 94(12), p. 2081-3.
PMID: 15569957
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Reaching Youth At The Point Of Sale: Cigarette Marketing Is More Prevalent In Stores Where Adolescents Shop Frequently
Authors: Henriksen L. , Feighery E.C. , Schleicher N.C. , Haladjian H.H. , Fortmann S.P. .
Source: Tobacco Control, 2004 Sep; 13(3), p. 315-8.
PMID: 15333890
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