Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States.
DB Consulting Group, Atlanta, GA, United States.
Prev Med. 2017 Aug;101:38-43. doi: 10.1016/j.ypmed.2017.05.005. Epub 2017 May 11.
Tobacco products are ubiquitous in most U.S. retail environments. Given that data on preferred point-of-sale purchase locations among U.S. adult tobacco users are limited, an enhanced understanding of tobacco purchase locations can help inform tobacco control policy, planning, and practice. We investigated prevalence and sociodemographic characteristics associated with cigarette purchase location among U.S. adult smokers. Pooled data came from the 2012-2013 (N=60,192) and 2013-2014 (N=75,233) National Adult Tobacco Surveys. Current cigarette smokers (n=18,005) aged ≥18 were asked if they purchased cigarettes within the previous 30days (n=15,182) and, if so, where they last purchased cigarettes. In 2016, logistic regression adjusted for sex, age, race/ethnicity, education level and annual household income was used to assess characteristics associated with purchase location. Among current smokers, 90.2% reported purchasing cigarettes in the past 30days. The most common purchase locations were convenience stores/gas stations (69.1%), tobacco discount stores (9.9%), drug stores (5.0%), supermarkets (4.9%), and liquor stores (3.6%). The odds of purchasing cigarettes at convenience stores/gas stations were higher among men (adjusted odds ratio (AOR)=1.4; 95% confidence interval (CI)=1.2-1.5) than women; and among adults aged 18-24 (AOR=3.1; 95% CI=2.4-3.9), 25-44 (AOR=3.1; 95% CI=2.7-3.7), and 45-64years (AOR=1.8 95% CI=1.6-2.1) than adults aged ≥65years. Over two-thirds of U.S. smokers last purchased cigarettes from convenience stores/gas stations. Understanding the relationship between purchase location and smoker characteristics may inform tobacco control strategies in the retail environment.
烟草制品在美国大多数零售环境中无处不在。鉴于美国成年烟草使用者首选销售点购买地点的数据有限，对烟草购买地点的深入了解可以为烟草控制政策、规划和实践提供信息。我们调查了美国成年吸烟者中与香烟购买地点相关的流行率和社会人口学特征。汇总数据来自 2012-2013 年（n=60192）和 2013-2014 年（n=75233）全国成人烟草调查。调查询问了年龄≥18 岁的当前香烟吸烟者，他们是否在过去 30 天内购买过香烟（n=15182），如果购买过，他们最后在哪里购买的香烟。2016 年，使用调整后的逻辑回归模型评估了与购买地点相关的特征，模型中调整了性别、年龄、种族/民族、教育水平和家庭年收入。在当前吸烟者中，90.2%的人报告在过去 30 天内购买过香烟。最常见的购买地点是便利店/加油站（69.1%）、烟草折扣店（9.9%）、药店（5.0%）、超市（4.9%）和酒类商店（3.6%）。与女性相比，男性（调整后的优势比（AOR）=1.4；95%置信区间（CI）=1.2-1.5）更有可能在便利店/加油站购买香烟；与 18-24 岁（AOR=3.1；95% CI=2.4-3.9）、25-44 岁（AOR=3.1；95% CI=2.7-3.7）和 45-64 岁（AOR=1.8 95% CI=1.6-2.1）的成年人相比，≥65 岁的成年人更有可能从便利店/加油站购买香烟。超过三分之二的美国吸烟者最后从便利店/加油站购买香烟。了解购买地点与吸烟者特征之间的关系，可以为零售环境中的烟草控制策略提供信息。
