Department of Community Health, Faculty of Public Health (Drs Phetphum and Noosorn), and Tobacco Control Research Unit (Dr Phetphum), Naresuan University, Phitsanulok Province, Thailand.
J Public Health Manag Pract. 2019 Nov/Dec;25(6):537-542. doi: 10.1097/PHH.0000000000000880.
A growing body of evidence indicates that the location of tobacco retailers may influence tobacco access among youths.
The aim of this research was to examine the relationship between the proximity of tobacco retailers to schools and the violations of tobacco retailing laws.
A cross-sectional survey research.
We applied geographical information system to measure the proximity between tobacco retailers and schools and linked them with self-report surveys concerning the violations of tobacco retailing laws. We then tested the relationship between the proximity of tobacco retailers within 500 m of schools and the violations of tobacco retailing laws by the χ test.
All tobacco retailers (121 shops) and schools (14 schools) (covering 5 levels: 2 primary schools, 6 primary-middle schools, 3 secondary schools, 2 vocational schools, and 1 university) in a town municipality in Thailand.
Most tobacco retailers were most densely located around primary schools and located less than 500 m away from schools (47.1%), and most of them had violated the tobacco retailing laws. In addition, it was found that the tobacco retailers that were located less than 500 m away from schools allowed customers to do a self-service (P = .04). Nonetheless, the tobacco shops that were far away from schools, more than 500 m, were likely to sell the cigarettes in sticks (P = .04).
Our results suggest that Thai young people may be at a particularly high risk of tobacco-related problems due to high exposure to tobacco retailers and sales near their educational institutions. We support the possibility of zoning restrictions that can be used to prohibit the operation of tobacco retailers close to schools.
越来越多的证据表明，烟草零售商的位置可能会影响青少年获得烟草的机会。
本研究旨在检验烟草零售商与学校的距离与烟草零售法违规之间的关系。
横断面调查研究。
我们应用地理信息系统来测量烟草零售商与学校之间的距离，并将其与关于烟草零售法违规的自我报告调查联系起来。然后，我们通过 χ 检验测试了学校 500 米范围内烟草零售商的接近程度与烟草零售法违规之间的关系。
泰国一个城镇的所有烟草零售商（121 家商店）和学校（14 所）（涵盖 5 个级别：2 所小学、6 所小学-中学、3 所中学、2 所职业学校和 1 所大学）。
大多数烟草零售商主要分布在小学周围，距离学校不到 500 米（47.1%），并且大多数都违反了烟草零售法。此外，还发现距离学校不到 500 米的烟草零售商允许顾客自助服务（P =.04）。然而，距离学校 500 米以上的烟草商店更有可能销售成条的香烟（P =.04）。
我们的结果表明，由于泰国年轻人接触烟草零售商和在教育机构附近销售烟草的机会较多，他们可能面临特别高的与烟草相关问题的风险。我们支持实施分区限制的可能性，以禁止在学校附近经营烟草零售商。
