VicHealth Centre for Tobacco Control, Cancer Council Victoria, 100 Drummond Street, Melbourne, Victoria 3053, Australia, Department of Psychology, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada, Ontario Institute for Cancer Research, Toronto, Ontario M5G 1L7, Canada, Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada and Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA.
Health Educ Res. 2013 Oct;28(5):898-910. doi: 10.1093/her/cyt058. Epub 2013 May 2.
This study examined the impact of point-of-sale (POS) tobacco marketing restrictions in Australia and Canada, in relation to the United Kingdom and the United States where there were no such restrictions during the study period (2006-10). The data came from the International Tobacco Control Four Country Survey, a prospective multi-country cohort survey of adult smokers. In jurisdictions where POS display bans were implemented, smokers' reported exposure to tobacco marketing declined markedly. From 2006 to 2010, in Canada, the percentages noticing POS tobacco displays declined from 74.1 to 6.1% [adjusted odds ratio (OR) = 0.26, P < 0.001]; and reported exposure to POS tobacco advertising decreased from 40.3 to 14.1% (adjusted OR = 0.61, P < 0.001). Similarly, in Australia, noticing of POS displays decreased from 73.9 to 42.9%. In contrast, exposure to POS marketing in the United States and United Kingdom remained high during this period. In parallel, there were declines in reported exposures to other forms of advertising/promotion in Canada and Australia, but again, not in the United States or United Kingdom. Impulse purchasing of cigarettes was lower in places that enacted POS display bans. These findings indicate that implementing POS tobacco display bans does result in lower exposure to tobacco marketing and less frequent impulse purchasing of cigarettes.
本研究考察了澳大利亚和加拿大的销售点（POS）烟草营销限制对英国和美国的影响，因为在研究期间（2006-10 年）这些国家/地区没有此类限制。数据来自国际烟草控制四国调查，这是一项针对成年吸烟者的前瞻性多国队列调查。在实施 POS 展示禁令的司法管辖区，吸烟者报告的烟草营销暴露明显下降。2006 年至 2010 年，在加拿大，注意到 POS 烟草展示的百分比从 74.1%降至 6.1%（调整后的优势比（OR）=0.26，P<0.001）；报告的 POS 烟草广告暴露从 40.3%降至 14.1%（调整后的 OR=0.61，P<0.001）。同样，在澳大利亚，注意到 POS 展示的百分比从 73.9%降至 42.9%。相比之下，在此期间，美国和英国的 POS 营销暴露仍然很高。与此同时，加拿大和澳大利亚报告的其他形式广告/促销的暴露量也有所下降，但美国和英国没有。在实施 POS 展示禁令的地方，香烟的冲动购买量较低。这些发现表明，实施 POS 烟草展示禁令确实会降低对烟草营销的暴露，减少香烟的冲动购买。
