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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

BackgroundIn 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.MethodsA repeat cross-sectional in-home survey with young people aged 11–16 years old...

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Published in:Tobacco control 2020-05, Vol.29 (3), p.282-288
Main Authors: Ford, Allison, MacKintosh, Anne Marie, Moodie, Crawford, Kuipers, Mirte A G, Hastings, Gerard B, Bauld, Linda
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cited_by cdi_FETCH-LOGICAL-b613t-87dd2dbea23a857d20e4c4dee7dd26eebe54e2624410eab11a5756bb31ea85ce3
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creator Ford, Allison
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Moodie, Crawford
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description BackgroundIn 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.MethodsA 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.ResultsPreban, 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
doi_str_mv 10.1136/tobaccocontrol-2018-054831
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We explored any impact of the ban on youth before, during and after implementation.MethodsA 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.ResultsPreban, 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&lt;0.001). Smoking susceptibility decreased from 28% preban to 23% mid-ban and 18% postban (p for trend &lt;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%).ConclusionsBoth 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.</description><identifier>ISSN: 0964-4563</identifier><identifier>EISSN: 1468-3318</identifier><identifier>DOI: 10.1136/tobaccocontrol-2018-054831</identifier><identifier>PMID: 31088915</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adolescent Behavior ; Adolescents ; advertising and promotion ; Bans ; Child ; Child Behavior ; Cigarette Smoking ; Cigarettes ; Commerce - legislation &amp; jurisprudence ; Cross-sectional studies ; Female ; Field study ; Health Behavior ; Health Policy ; Health Promotion ; Health Status ; Humans ; Legislation, Drug ; Male ; Marketing - legislation &amp; jurisprudence ; Middle class ; Odds Ratio ; Original Research ; Perceptions ; Polls &amp; surveys ; prevention ; public policy ; Retail stores ; Smoking ; Sociodemographics ; Teenagers ; Tobacco ; Tobacco Industry - economics ; Tobacco Industry - legislation &amp; jurisprudence ; Tobacco Products - economics ; Tobacco Products - legislation &amp; jurisprudence ; United Kingdom ; Working class ; Young adults</subject><ispartof>Tobacco control, 2020-05, Vol.29 (3), p.282-288</ispartof><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: http://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. 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We explored any impact of the ban on youth before, during and after implementation.MethodsA 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.ResultsPreban, 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&lt;0.001). Smoking susceptibility decreased from 28% preban to 23% mid-ban and 18% postban (p for trend &lt;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%).ConclusionsBoth 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.</description><subject>Adolescent</subject><subject>Adolescent Behavior</subject><subject>Adolescents</subject><subject>advertising and promotion</subject><subject>Bans</subject><subject>Child</subject><subject>Child Behavior</subject><subject>Cigarette Smoking</subject><subject>Cigarettes</subject><subject>Commerce - legislation &amp; jurisprudence</subject><subject>Cross-sectional studies</subject><subject>Female</subject><subject>Field study</subject><subject>Health Behavior</subject><subject>Health Policy</subject><subject>Health Promotion</subject><subject>Health Status</subject><subject>Humans</subject><subject>Legislation, Drug</subject><subject>Male</subject><subject>Marketing - legislation &amp; 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Medical Complete (Alumni)</collection><collection>ABI/INFORM Trade &amp; Industry</collection><collection>Agriculture Science Database</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Tobacco control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ford, Allison</au><au>MacKintosh, Anne Marie</au><au>Moodie, Crawford</au><au>Kuipers, Mirte A G</au><au>Hastings, Gerard B</au><au>Bauld, Linda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Tobacco control</jtitle><stitle>Tob Control</stitle><addtitle>Tob Control</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>29</volume><issue>3</issue><spage>282</spage><epage>288</epage><pages>282-288</pages><issn>0964-4563</issn><eissn>1468-3318</eissn><abstract>BackgroundIn 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.MethodsA 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.ResultsPreban, 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&lt;0.001). Smoking susceptibility decreased from 28% preban to 23% mid-ban and 18% postban (p for trend &lt;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%).ConclusionsBoth 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.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>31088915</pmid><doi>10.1136/tobaccocontrol-2018-054831</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3624-6673</orcidid><orcidid>https://orcid.org/0000-0002-1805-2509</orcidid><orcidid>https://orcid.org/0000-0002-8133-1834</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescent Behavior
Adolescents
advertising and promotion
Bans
Child
Child Behavior
Cigarette Smoking
Cigarettes
Commerce - legislation & jurisprudence
Cross-sectional studies
Female
Field study
Health Behavior
Health Policy
Health Promotion
Health Status
Humans
Legislation, Drug
Male
Marketing - legislation & jurisprudence
Middle class
Odds Ratio
Original Research
Perceptions
Polls & surveys
prevention
public policy
Retail stores
Smoking
Sociodemographics
Teenagers
Tobacco
Tobacco Industry - economics
Tobacco Industry - legislation & jurisprudence
Tobacco Products - economics
Tobacco Products - legislation & jurisprudence
United Kingdom
Working class
Young adults
title 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
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