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Grant Details

Grant Number: 5R01CA067850-17 Interpret this number
Primary Investigator: Henriksen, Lisa
Organization: Stanford University
Project Title: Impact of Retail Tobacco Advertising on Youth Smoking
Fiscal Year: 2018
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Abstract

? DESCRIPTION (provided by applicant): Flavored tobacco products are cheap, sweet, and appealing to youth. The Federal Smoking Prevention and Tobacco Control Act banned flavored cigarettes other than menthol in 2009, but little cigars and cigarillos (referred to as small cigar) are still sold in a variety of fruit, sweet, and alcohol/cocktail flavors. Electronic cigarettes ar sold in more than 7,500 flavors, including Juicy Peach, Very Vanilla, and Tutti Frutti Gumballs. In addition, retail marketing of small cigars and e-cigarettes as low-cost alternatives to cigarette smoking likely contributes to their growing popularity among adolescents. This proposal seeks continued funding to better understand the impact of retail tobacco marketing on adolescent tobacco use, with a change in focus from studying cigarettes to cigarette substitutes/complements. Specifically, this longitudinal study aims to: (1) test whether adolescents' exposure to retail marketing for flavored small cigars and e-cigarettes is associated with higher odds of past-month and ever use of these products at two timepoints; (2) examine how promotion and price of flavored small cigars and e-cigarettes change over time and as a function of student demography at nearby schools and the proportion of school-age residents in the neighborhood; (3) characterize the strength of local tobacco retailer licensing and test whether stronger licensing predicts higher prices for flavored products; and (4) disseminate research results to federal, state and local stakeholders concerned with regulating tobacco products and marketing. To accomplish these aims, data about adolescents' use of small cigars and e- cigarettes will be obtained from the California Student Tobacco Survey (CSTS), a biennial surveillance survey conducted for the California Tobacco Control Program (in academic years 2015-16 and 2017-18). Each administration of the CSTS will yield responses from approximately 25,000 students (grades 6-12) attending 140 schools that are stratified by region. In conjunction with the CSTS surveys, trained observers will assess the availability, placement, promotion and price of flavored small cigars and e-cigarettes in a random sample of 500 licensed tobacco retailers within walking distance of the surveyed schools. The proximity of tobacco retailers to schools will be determined using a GIS dataset of campus boundary files that better reflects the school environment than previous methods. Multilevel modeling will test whether greater promotion and lower prices of flavored small cigars and e-cigarettes is associated with higher odds of current and ever use by students at nearby schools, adjusting for both individual-level characteristics and school-level demographics. The proposed research would inform tobacco control policy and regulatory science by advancing our understanding of the health risks associated with the retail availability and promotion of flavored tobacco products near schools.

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Publications

Disparities in retail marketing for menthol cigarettes in the United States, 2015.
Authors: Mills S.D. , Henriksen L. , Golden S.D. , Kurtzman R. , Kong A.Y. , Queen T.L. , Ribisl K.M. .
Source: Health & Place, 2018-07-26 00:00:00.0; 53, p. 62-70.
EPub date: 2018-07-26 00:00:00.0.
PMID: 30055469
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Marijuana as a 'concept' flavour for cigar products: availability and price near California schools.
Authors: Henriksen L. , Schleicher N.C. , Ababseh K. , Johnson T.O. , Fortmann S.P. .
Source: Tobacco Control, 2017-10-12 00:00:00.0; , .
EPub date: 2017-10-12 00:00:00.0.
PMID: 29025999
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Natural American Spirit Brand Marketing Casts Health Halo Around Smoking.
Authors: Epperson A.E. , Henriksen L. , Prochaska J.J. .
Source: American Journal Of Public Health, 2017 May; 107(5), p. 668-670.
PMID: 28398789
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The flip side of Natural American Spirit: corporate social responsibility advertising.
Authors: Epperson A.E. , Prochaska J.J. , Henriksen L. .
Source: Tobacco Control, 2017-02-25 00:00:00.0; , .
EPub date: 2017-02-25 00:00:00.0.
PMID: 28237942
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Prices for Tobacco and Nontobacco Products in Pharmacies Versus Other Stores: Results From Retail Marketing Surveillance in California and in the United States.
Authors: Henriksen L. , Schleicher N.C. , Barker D.C. , Liu Y. , Chaloupka F.J. .
Source: American Journal Of Public Health, 2016 Oct; 106(10), p. 1858-64.
PMID: 27552272
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Tobacco outlet density near home and school: Associations with smoking and norms among US teens.
Authors: Schleicher N.C. , Johnson T.O. , Fortmann S.P. , Henriksen L. .
Source: Preventive Medicine, 2016 Oct; 91, p. 287-293.
PMID: 27569829
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Effect Of Warning Statements In E-cigarette Advertisements: An Experiment With Young Adults In The United States
Authors: Sanders-Jackson A. , Schleicher N.C. , Fortmann S.P. , Henriksen L. .
Source: Addiction (abingdon, England), 2015 Dec; 110(12), p. 2015-24.
PMID: 25557128
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Knowledge About E-Cigarette Constituents and Regulation: Results From a National Survey of U.S. Young Adults.
Authors: Sanders-Jackson A.N. , Tan A.S. , Bigman C.A. , Henriksen L. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2015 Oct; 17(10), p. 1247-54.
PMID: 25542915
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Convenience Store Visits By Us Adolescents: Rationale For Healthier Retail Environments
Authors: Sanders-Jackson A. , Parikh N.M. , Schleicher N.C. , Fortmann S.P. , Henriksen L. .
Source: Health & Place, 2015 Jul; 34, p. 63-6.
PMID: 25955537
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Racial Differences In Cigarette Brand Recognition And Impact On Youth Smoking
Authors: Dauphinee A.L. , Doxey J.R. , Schleicher N.C. , Fortmann S.P. , Henriksen L. .
Source: Bmc Public Health, 2013; 13, p. 170.
PMID: 23442215
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Comprehensive Tobacco Marketing Restrictions: Promotion, Packaging, Price And Place
Authors: Henriksen L. .
Source: Tobacco Control, 2012 Mar; 21(2), p. 147-53.
PMID: 22345238
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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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