Is adolescent smoking related to the density and proximity of tobacco outlets and retail cigarette advertising near schools?
Abstract
Objective To examine the quantity (density) and location (proximity) of tobacco outlets and retail cigarette advertising in high school neighborhoods and their association with school smoking prevalence.Methods Data from the 135 high schools that participated in the 2005-2006 California Student Tobacco Survey were combined with retailer licensing data about the location of tobacco outlets within walking distance (1/2 mi or 805 m) of the schools and with observations about the quantity of cigarette advertising in a random sample of those stores (n=384). Multiple regressions, adjusting for school and neighborhood demographics, tested the associations of high school smoking prevalence with the density of tobacco outlets and retail cigarette advertising and with the proximity of tobacco outlets to schools.Results The prevalence of current smoking was 3.2 percentage points higher at schools in neighborhoods with the highest tobacco outlet density (>5 outlets) than in neighborhoods without any tobacco outlets. The density of retail cigarette advertising in school neighborhoods was similarly associated with high school smoking prevalence. However, neither the presence of a tobacco outlet within 1000 ft of a high school nor the distance to the nearest tobacco outlet from school was associated with smoking prevalence.Conclusions Policy efforts to reduce adolescent smoking should aim to reduce the density of tobacco outlets and retail cigarette advertising in school neighborhoods. This may be achieved through local zoning ordinances, including limiting the proximity of tobacco outlets to schools.
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Similar findings have been observed for tobacco retailers around schools.
“Similar findings have been observed for tobacco retailers around schools.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [381]
Among 24,875 students from 135 randomly selected California high schools, the absolute prevalence of current smoking was 3.2% higher at schools in neighborhoods with the highest tobacco outlet density compared with neighborhoods with no tobacco outlets.
“For example, among 24,875 students from 135 randomly selected California high schools, the absolute prevalence of current smoking was 3.2% higher at schools in neighborhoods with the highest tobacco outlet density (≥5 outlets within 0.8 km) compared with neighborhoods with no tobacco outlets.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [381]
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- Authors
- Henriksen, L., Feighery, E. C., Schleicher, N. C., Cowling, D. W., Kline, R. S., & Fortmann, S. P.
- Affiliations
- Stanford Medicine (US)
- Public Health Institute (US)
- California Department of Public Health (US)
- Corresponding author
- Henriksen, Lisa
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 47
- Issue
- 2
- Pages
- 210-214
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2074354222
- Cited by
- 299
- References
- 25
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 3 · 2023: 12 · 2022: 13 · 2021: 15 · 2020: 26 · 2019: 28 · 2018: 21 · 2017: 16 · 2016: 25 · 2015: 37 · 2014: 22 · 2013: 23 · 2012: 19
- FWCI
- 6.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- California Department of Public Health
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- adolescent smoking, tobacco outlet density, zoning law, tobacco retail licensing
- MeSH terms
- Adolescent, Adolescent Behavior, Advertising, California, Commerce, Cross-Sectional Studies, Female, Humans, Male, Schools, Smoking, Tobacco Industry
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