Abstract

BackgroundPharmacy-based tobacco sales are a rapidly increasing segment of the U.S. retail tobacco market. Growing evidence links easy access to tobacco retail outlets such as pharmacies to increased tobacco use. This mixed-mode survey was the first to employ a nationally representative sample of consumers (n = 3057) to explore their opinions on sale of tobacco products in pharmacies and grocery stores.ResultsThe majority reported that sale of tobacco products should be either ‘allowed if products hidden from view’ (29.9%, 25.6%) or ‘not allowed at all’ (24.0%, 31.3%) in grocery stores and pharmacies, respectively. Significantly fewer smokers, compared to non-smokers, reported agreement on point-of-sale restrictions on sales of tobacco products (grocery stores: 27.1% vs. 59.6%, p < .01; pharmacy: 32.8% vs. 62.0%, p < .01). Opinions also varied significantly by demographic characteristics and factors such as presence of a child in the household and urban/rural location of residence.ConclusionsOverall, a majority of consumers surveyed either supported banning sales of tobacco in grocery stores and pharmacies or allowing sales only if the products are hidden from direct view. Both policy changes would represent a departure from the status quo. Consistent with the views of practicing pharmacists and professional pharmacy organizations, consumers are also largely supportive of more restrictive policies.

Highlights

  • Pharmacy-based tobacco sales are a rapidly increasing segment of the U.S retail tobacco market

  • The design included an Random Digit Dialing (RDD) frame and an internet panel frame developed from a probability sample of U.S adults, in order to reduce non-coverage issues arising from wireless substitution

  • The majority reported that sale of tobacco products should be restricted in grocery stores and pharmacies

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Summary

Introduction

Pharmacy-based tobacco sales are a rapidly increasing segment of the U.S retail tobacco market. On the other hand, have spent 92% of their total marketing expenditures ($110 billion) since 1998, to promote and advertise their products in retail environments including pharmacies and grocery stores. From 1998 to 2008, annual tobacco spending in the retail environment increased from $5.4 billion to $9.8 billion, indicating the importance of point-of-sale marketing to the tobacco industry [10]. This advertising strategy exposes youth to tobacco marketing in grocery stores and contradicts the health orientation of pharmacies

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