Impact of a ban on the open display of tobacco products in retail outlets on never smoking youth in the UK: findings from a repeat cross-sectional survey before, during and after implementation.


Journal

Tobacco control
ISSN: 1468-3318
Titre abrégé: Tob Control
Pays: England
ID NLM: 9209612

Informations de publication

Date de publication:
05 2020
Historique:
received: 07 11 2018
revised: 14 03 2019
accepted: 20 03 2019
pubmed: 16 5 2019
medline: 29 5 2021
entrez: 16 5 2019
Statut: ppublish

Résumé

In the UK, a ban on the open display of tobacco products at the point of sale (POS) was phased in between 2012 and 2015. We explored any impact of the ban on youth before, during and after implementation. A repeat cross-sectional in-home survey with young people aged 11-16 years old in the UK was conducted preban (2011, n=1373), mid-ban (2014, n=1205) and postban (2016, n=1213). The analysis focuses on the never-smokers in the sample (n=2953 in total). Preban, we quantified the associations of noticing cigarettes displayed at POS and cigarette brand awareness with smoking susceptibility. We measured any change in noticing cigarettes displayed at POS, cigarette brand awareness and smoking susceptibility between preban, mid-ban and postban. Postban, we assessed support for a display ban, perceived appeal of cigarettes and perceived acceptability of smoking as a result of closed displays. Preban, noticing cigarettes displayed at POS (adjusted OR [AOR]=1.97, 95% CI 1.30 to 2.98) and higher brand awareness (AOR=1.15, 95% CI 1.03 to 1.29) were positively associated with smoking susceptibility. The mean number of brands recalled declined from 0.97 preban to 0.69 postban (p<0.001). Smoking susceptibility decreased from 28% preban to 23% mid-ban and 18% postban (p for trend <0.001). Postban, 90% of never-smokers supported the display ban and indicated that it made cigarettes seem unappealing (77%) and made smoking seem unacceptable (87%). Both partial and full implementation of a display ban were followed by a reduction in smoking susceptibility among adolescents, which may be driven by decreases in brand awareness.

Sections du résumé

BACKGROUND
In the UK, a ban on the open display of tobacco products at the point of sale (POS) was phased in between 2012 and 2015. We explored any impact of the ban on youth before, during and after implementation.
METHODS
A repeat cross-sectional in-home survey with young people aged 11-16 years old in the UK was conducted preban (2011, n=1373), mid-ban (2014, n=1205) and postban (2016, n=1213). The analysis focuses on the never-smokers in the sample (n=2953 in total). Preban, we quantified the associations of noticing cigarettes displayed at POS and cigarette brand awareness with smoking susceptibility. We measured any change in noticing cigarettes displayed at POS, cigarette brand awareness and smoking susceptibility between preban, mid-ban and postban. Postban, we assessed support for a display ban, perceived appeal of cigarettes and perceived acceptability of smoking as a result of closed displays.
RESULTS
Preban, noticing cigarettes displayed at POS (adjusted OR [AOR]=1.97, 95% CI 1.30 to 2.98) and higher brand awareness (AOR=1.15, 95% CI 1.03 to 1.29) were positively associated with smoking susceptibility. The mean number of brands recalled declined from 0.97 preban to 0.69 postban (p<0.001). Smoking susceptibility decreased from 28% preban to 23% mid-ban and 18% postban (p for trend <0.001). Postban, 90% of never-smokers supported the display ban and indicated that it made cigarettes seem unappealing (77%) and made smoking seem unacceptable (87%).
CONCLUSIONS
Both partial and full implementation of a display ban were followed by a reduction in smoking susceptibility among adolescents, which may be driven by decreases in brand awareness.

Identifiants

pubmed: 31088915
pii: tobaccocontrol-2018-054831
doi: 10.1136/tobaccocontrol-2018-054831
pmc: PMC7231456
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

282-288

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Allison Ford (A)

Institute for Social Marketing, University of Stirling, Stirling, UK a.j.ford@stir.ac.uk.
UK Centre for Tobacco and Alcohol Studies, University of Stirling, Stirling, UK.

Anne Marie MacKintosh (AM)

Institute for Social Marketing, University of Stirling, Stirling, UK.
UK Centre for Tobacco and Alcohol Studies, University of Stirling, Stirling, UK.

Crawford Moodie (C)

Institute for Social Marketing, University of Stirling, Stirling, UK.
UK Centre for Tobacco and Alcohol Studies, University of Stirling, Stirling, UK.

Mirte A G Kuipers (MAG)

Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Gerard B Hastings (GB)

Institute for Social Marketing, University of Stirling, Stirling, UK.
UK Centre for Tobacco and Alcohol Studies, University of Stirling, Stirling, UK.

Linda Bauld (L)

UK Centre for Tobacco and Alcohol Studies, University of Stirling, Stirling, UK.
Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.

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