Abstract

The aim was to assess the association of exposure to point-of-sale (POS) tobacco marketing with quit attempt and quit success in a prospective study of smokers in the United States. Data were collected via telephone-interview on exposure to POS tobacco marketing, sociodemographic and smoking-related variables from 999 smokers in Omaha, Nebraska, in the United States. Exposure to POS tobacco marketing was measured by asking respondents three questions about noticing pack displays, advertisements, and promotions in their respective neighborhoods stores. These three variables were combined into a scale of exposure to POS tobacco marketing. About 68% of the respondents participated in a six-month follow-up phone interview and provided data on quit attempts and smoking cessation. At the six-month follow-up, 39.9% of respondents reported to have made a quit attempt, and 21.8% of those who made a quit attempt succeeded in quitting. Exposure to POS marketing at baseline was not associated with the probability of having made a quit attempt as reported at the six-month follow-up (p = 0.129). However, higher exposure to POS marketing was associated with a lower probability of quit success among smokers who reported to have attempted to quit smoking at six-month follow-up (p = 0.006). Exposure to POS tobacco marketing is associated with lower chances of successfully quitting smoking. Policies that reduce the amount of exposure to POS marketing might result in higher smoking cessation rates.

Highlights

  • Tobacco is one of the most marketed products in the United States [1]

  • The unadjusted results indicated that exposure to POS marketing, urge to buy cigarettes, baseline quit attempt, motivation to quit, intention to quit, self-efficacy to quit, race/ethnicity, and method of recruitment had an association with quit attempt

  • In Supplementary Materials analyses (Table S1), we defined quit attempt as making an attempt that resulted in not smoking for longer than 24 hours. This definition did not change the conclusions of the study and there was no evidence of an association between POS marketing and quit attempt (p = 0.209)

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Summary

Introduction

Tobacco is one of the most marketed products in the United States [1]. The 1998 Master SettlementAgreement (MSA), which imposed significant restrictions on tobacco marketing in most outdoor places, resulted in an increased focus of the tobacco industry on marketing activities at the point of sale (POS) [2,3,4]. Tobacco is one of the most marketed products in the United States [1]. In 2011, the tobacco industry spent $7.5 billion on POS marketing [5] in three areas of (1) product displays; (2) advertisements; and (3) promotional and price incentives to consumers [3,6]. Despite the extensive amount of POS tobacco marketing that currently exists in the United States, very little research has addressed its impact on smoking cessation behavior. Germain et al examined the effect of “sensitivity” to POS tobacco displays on quitting behavior [7]. They conducted telephone surveys of 222 adult smokers in Australia at baseline and a follow-up

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