Cited by 9Smoking Behavior and CessationGlobal Public Health Policies and EpidemiologyIndigenous Health, Education, and Rights

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index; none of the 10 sources its claims cite is checked for support yet.

Cigarette and E-Cigarette Retail Marketing on and Near California Tribal Lands

Open access

Abstract

Introduction. Retail settings are major channels for the tobacco industry to market commercial tobacco products. However, few studies have examined marketing strategies on Tribal lands. The resulting evidence is important, especially given that American Indian/Alaska Native (AI/AN) youth and adults have the highest smoking prevalence of any racial/ethnic group in the United States. In this study, we examined cigarette, e-cigarette, and vape/vaporizer availability, advertising, and price-reducing promotions in retail settings on and within a 1-mile radius of Tribal lands in California. Method. Trained AI/AN community health representatives (n = 8) conducted store observations (n = 96) using a checklist adapted from the Standardized Tobacco Assessment for Retail Settings observation tool. Chi-square analyses were performed to look for potential differences in availability, exterior advertising, and price promotions for cigarettes, e-cigarettes, and vapes between stores. Results. All stores sold cigarettes and over 95% sold menthol cigarettes. Nearly 25% of stores on Tribal lands were located inside a casino, and 40.4% of stores on Tribal lands offered a Tribal member discount. Stores within a 1-mile radius of Tribal lands sold significantly (p < .01) more e-cigarettes (69.8%), including flavored e-cigarettes (53.4%), compared to stores on Tribal lands (37.7% and 28.3%, respectively). Price promotions for cigarettes were significantly (p < .01) more common in stores located within a 1-mile radius of Tribal lands (46.5%) than stores on Tribal lands (22.6%). Discussion. To our knowledge, this study is the first to use store observations to examine cigarette and e-cigarette availability, advertising, and price promotions in retail settings on and near California Tribal lands. We recommend future studies build on our initial efforts to take an AI/AN Tribal community-engaged approach in assessing and documenting tobacco marketing practices on and near Tribal lands. Tribal governments can consider tobacco policies to help reduce smoking disparities and advance health equity for their communities.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This study used community health representatives to observe tobacco retail marketing at 96 stores on and within 1 mile of California Tribal lands. It found widespread cigarette availability and higher e-cigarette availability and cigarette price promotions in stores near Tribal lands, while Tribal member discounts were exclusive to stores on Tribal lands.

Key findings

  • All stores sold cigarettes and over 95% sold menthol cigarettes; 52.1% sold e-cigarettes, 39.5% sold flavored e-cigarettes, 27% sold vape pens/vaporizers, and 25% sold flavored vape pens/vaporizers.
  • Stores within a 1-mile radius of Tribal lands sold significantly more e-cigarettes (69.8%) and flavored e-cigarettes (53.4%) than stores on Tribal lands (37.7% and 28.3%, respectively; p < .01).
  • Cigarette price promotions were significantly more common in stores within a 1-mile radius (46.5%) than on Tribal lands (22.6%; p < .01).
  • Nearly 25% of stores on Tribal lands were located inside a casino, and Tribal member discounts were more common at retailers on Tribal lands (39.6%) than at retailers within 1 mile (0%).

Methods

  • Trained AI/AN community health representatives (n = 8) conducted store observations (n = 96) using the STARS-TCT checklist adapted from STARS; data were collected October 30, 2015–February 4, 2017, on and within a 1-mile radius of California Tribal lands.
  • Observations coded availability, exterior advertising, and price promotions for cigarettes, e-cigarettes, and vape pens/vaporizers; chi-square analyses tested differences between on- and near-Tribal-land stores; intercoder reliability kappa values exceeded 0.70 among 14 retailers.
  • Retailers were identified from California Department of Tax and Fee Administration, Google Maps, and Esri Dun & Bradstreet data; recruitment required Tribal council/community health board permissions and Community Advisory Board guidance.

Limitations

  • The paper states findings are limited to a convenience sample of retailers on or near California Tribal lands and are not generalizable to all U.S. Tribal lands due to geographic and Tribal diversity.
  • The paper notes data collection took approximately 16 months (October 2015–February 2017) versus approximately 10 months for similarly sized samples in other racial/ethnic minority communities, reflecting remote geography and permission/recruitment challenges.
  • Evident from the text/table: some subgroup analyses had cells with fewer than 5 and were noted as not statistically valid; the cross-sectional observational design cannot establish causal effects of marketing on tobacco use.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1177/1524839919883254

Cites

16 of 16 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

11 Own result · 6 Sources not found · 5 Own interpretation · 3 Check pending · 3 Own method

Verify all 3 references — free account

Show all 17 claims

  • It may state two separate claims as one. 6
  • Probably not a substantial claim. 7
11 of 11
  • The paper relies on this without support.

    Tobacco is a sacred herb in many AI/AN cultures.

    “This is a complex issue, because tobacco is a sacred herb in many AI/AN cultures.”
1 of 1

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

4 of 4

Citations

Cites

Show all 16 references

Cited by

Sorted by citations

See all 9

Metadata

Authors
Begay, C., Soto, C., Baezconde-Garbanati, L., Barahona, R., Rodriguez, Y. L., Unger, J. B., & Smiley, S. L.
Affiliations
University of Southern California (US)
Corresponding author
Smiley, Sabrina L.
Venue
Health Promotion Practice
Published
2020-01
Volume
21
Issue
1_suppl
Pages
18S-26S
ISSN
  • 1524-8399 (ISSN-L)
  • 1552-6372
OpenAlex
W2999543343
Cited by
9
References
16
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2022: 3 · 2020: 1
FWCI
0.73
Type
journal article
Language
en
Open access
Locations
  • Health Promotion Practice (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (P50CA180905, U54CA180905, P30CA014089)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Public Health Policies and Epidemiology
  • Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords
electronic cigarettes, cigarette availability, tobacco advertising, price promotions, tribal areas, casino, menthol cigarettes, flavored e-cigarettes, smoking disparities, health equity, California
MeSH terms
Advertising, California, Commerce, Ethnicity, Humans, Indians, North American, United States, Prevalence, Marketing, Tobacco Products, Electronic Nicotine Delivery Systems

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-11-11, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-11-11 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review