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纽约市心理健康状况患者住房计划附近的烟草零售环境。

Tobacco retail environment near housing programmes for patients with mental health conditions in New York City.

机构信息

Department of Population Health, New York University School of Medicine, New York City, New York, USA.

Research Service, VA New York Harbor Healthcare System, New York City, New York, USA.

出版信息

Tob Control. 2018 Sep;27(5):526-533. doi: 10.1136/tobaccocontrol-2016-053590. Epub 2017 Aug 30.

DOI:10.1136/tobaccocontrol-2016-053590
PMID:28855299
Abstract

OBJECTIVES

The current study sought to characterise the tobacco retail environment of supportive housing facilities for persons with mental health (MH) conditions in New York City (NYC) and to estimate the potential impact of a tobacco retail ban near public schools on the retail environment of MH housing in NYC.

METHODS

Texas A&M Geocoding Services was used to geocode the addresses of housing programmes for patients with MH conditions, non-MH residences, public schools and tobacco retailers in NYC. ESRI ArcMap was used to calculate the number of tobacco retailers within a 500-foot radius around each housing programme and school address point, and the Euclidean distance to the nearest retailer. Generalised linear models were used to compare retail counts and distance between MH and non-MH residences.

RESULTS

The mean number of tobacco retailers within 500 feet of an MH housing programme was 2.9 (SD=2.3) and the mean distance to nearest tobacco retailer was 370.6 feet (SD=350.7). MH residences had more retailers within 500 feet and a shorter distance to the nearest retailer compared with non-MH residences in Brooklyn, the Bronx and Staten Island (p<0.001). Banning tobacco licences within 350, 500 or 1000 feet of a school would significantly improve the tobacco retail environment of MH housing programmes and reduce disparities between MH and non-MH residences in some boroughs.

CONCLUSIONS

People with MH conditions residing in supportive housing in NYC encounter a heavy tobacco retail environment in close proximity to their home, and in some boroughs, one worse than non-MH residences. Implementing a ban on tobacco retail near public schools would improve the tobacco retail environment of MH housing programmes in NYC.

摘要

目的

本研究旨在描述纽约市(NYC)支持性住房设施中精神健康(MH)条件人群的烟草零售环境,并估计在公立学校附近禁止烟草零售对 NYC 中 MH 住房的零售环境的潜在影响。

方法

德克萨斯 A&M 地理编码服务用于对 NYC 中 MH 条件住房计划、非 MH 住所、公立学校和烟草零售商的地址进行地理编码。ESRI ArcMap 用于计算每个住房计划和学校地址点周围 500 英尺半径内的烟草零售商数量以及到最近零售商的欧几里得距离。广义线性模型用于比较 MH 和非 MH 住所之间的零售计数和距离。

结果

MH 住房计划周围 500 英尺范围内的烟草零售商平均数量为 2.9(SD=2.3),到最近烟草零售商的平均距离为 370.6 英尺(SD=350.7)。与布鲁克林、布朗克斯和斯塔滕岛的非 MH 住所相比,MH 住所周围 500 英尺内的零售商数量更多,到最近零售商的距离更近(p<0.001)。在距离学校 350、500 或 1000 英尺范围内禁止烟草许可证将显著改善 MH 住房计划的烟草零售环境,并减少某些行政区内 MH 和非 MH 住所之间的差距。

结论

居住在 NYC 支持性住房中的 MH 条件人群在家附近面临着密集的烟草零售环境,在某些行政区,这种环境比非 MH 住所更差。在公立学校附近实施烟草零售禁令将改善 NYC 中 MH 住房计划的烟草零售环境。

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