The neighbourhood effects of geographical access to tobacco retailers on individual smoking behaviour
Open accessAbstract
Objective: To investigate whether neighbourhood measures of geographical accessibility to outlets selling tobacco (supermarkets, convenience stores and petrol stations) are associated with individual smoking behaviour in New Zealand. Methods: Using geographical information systems, travel times from the population-weighted centroid of each neighbourhood to the closest outlet selling tobacco were calculated for all 38 350 neighbourhoods across New Zealand. These measures were appended to the 2002/03 New Zealand Health Survey, a national survey of 12 529 adults. Two-level logistic regression models were fitted to examine the effects of neighbourhood locational access upon individual smoking behaviour after controlling for potential individual- and neighbourhood-level confounding factors, including deprivation and urban/rural status. Results: After controlling for individual-level demographic and socioeconomic variables, individuals living in the quartiles of neighbourhoods with the best access to supermarkets (OR 1.23, 95% CI 1.06 to 1.42) and convenience stores (OR 1.19, 95% CI 1.03 to 1.38) had a higher odds of smoking compared with individuals in the worst access quartiles. However, the association between neighbourhood accessibility to supermarkets and convenience stores was not apparent once other neighbourhood-level variables (deprivation and rurality) were included. Conclusions: At the national level, there is little evidence to suggest that, after adjustment for neighbourhood deprivation, better locational access to tobacco retail provision in New Zealand is associated with individual-level smoking behaviour.
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Several cross-sectional observational studies in both youth and adults have demonstrated positive associations between density of and/or distance to neighborhood tobacco retail outlets and prevalence of smoking.
“Several cross-sectional observational studies in both youth and adults have demonstrated positive associations between density of and/or distance to neighborhood tobacco retail outlets and prevalence of smoking.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [376]
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Mozaffarian, D., Afshin, A., Benowitz, N. L., Bittner, V., Daniels, S. R., Franch, H. A., Jacobs, D. R., Kraus, W. E., Kris-Etherton, P. M., Krummel, D. A., et al. (2012) · Circulation · doi:10.1161/cir.0b013e318260a20b · Cited by 601 · see citing works
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- Authors
- Pearce, J., Hiscock, R., Moon, G., & Barnett, R.
- Affiliations
- University of Canterbury (NZ)
- University of Southampton (GB)
- Corresponding author
- Pearce, J
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2008-07-15
- Volume
- 63
- Issue
- 1
- Pages
- 69-77
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- OpenAlex
- W2141535642
- Cited by
- 96
- References
- 45
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 9 · 2020: 3 · 2019: 8 · 2018: 5 · 2017: 4 · 2016: 6 · 2015: 7 · 2014: 16 · 2013: 8 · 2012: 7
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Transportation › Urban Transport and Accessibility
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- tobacco retailers, geographic accessibility, smoking behavior, neighborhood effects, supermarkets, convenience stores, gas stations, neighborhood disadvantage, rurality, tobacco control, New Zealand
- MeSH terms
- Adolescent, Adult, Aged, Commerce, Female, Humans, Male, Middle Aged, New Zealand, Residence Characteristics, Smoking, Social Environment, Nicotiana, Tobacco Products, Health Behavior, Young Adult
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