Centre for Research on Environment Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, UK.
Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.
Tob Control. 2020 Mar;29(2):168-174. doi: 10.1136/tobaccocontrol-2018-054543. Epub 2019 Jan 29.
Reducing the local availability of tobacco is identified as the 'next frontier' in tobacco control. This paper examines the roles of tobacco retail outlet density and tobacco visibility in changing exposure to tobacco retailing before and after the introduction of point-of-sale (POS) legislation in Scotland.
National tobacco retailer register data were analysed to examine time trends in tobacco retailer density (2012-2017). Results were stratified by local authority, neighbourhood deprivation and urbanity. Next, an annual retail audit using a POS tobacco visibility tool assessed changes in total product visibility in all retail outlets in four study communities between 2013 and 2017. A longitudinal survey (2013-2017) of 5527 adolescents aged 12-17 in the four study communities enabled the calculation of residential and journey-to-school measures of tobacco retailer exposure. Trends were stratified by deprivation, urbanity and socioeconomic status.
Retail provision of tobacco declined following the introduction of the POS legislation in 2013. However, there were strong geographic differences; nationally, one-fifth of local authorities have increased provision since 2015. In the four study communities, tobacco retail provision was generally stable over the study period. Although product visibility of tobacco products reduced for adolescents there was growing socioeconomic disparity in the density of tobacco retailers and the visibility of tobacco storage.
The POS ban reduced exposure to tobacco products in communities across Scotland. However, tobacco products remain widely available, and there is growing socioeconomic disparity in the availability and visibility of tobacco.
减少烟草的本地供应被认为是烟草控制的“下一个前沿领域”。本文研究了在苏格兰实施销售点（POS）立法前后，烟草零售店密度和烟草可见度在改变烟草零售暴露方面的作用。
分析了全国烟草零售商登记数据，以检查 2012-2017 年期间烟草零售商密度的时间趋势。结果按地方当局、社区贫困程度和城市程度进行分层。然后，使用 POS 烟草可见性工具进行年度零售审计，评估了四个研究社区中所有零售点的总产品可见度在 2013 年至 2017 年期间的变化。对四个研究社区中 5527 名 12-17 岁青少年进行了一项纵向调查（2013-2017 年），计算了青少年居住和上学途中的烟草零售商暴露程度。趋势按贫困程度、城市程度和社会经济地位进行分层。
自 2013 年 POS 立法实施以来，烟草零售供应有所下降。然而，存在很强的地域差异；在全国范围内，自 2015 年以来，有五分之一的地方当局增加了供应。在四个研究社区，烟草零售供应在研究期间总体上保持稳定。尽管青少年对烟草产品的可见度降低，但烟草零售商的密度和烟草储存的可见度在社会经济方面的差距越来越大。
POS 禁令减少了苏格兰各地社区对烟草产品的接触。然而，烟草产品仍然广泛供应，并且在烟草供应和可见度方面存在越来越大的社会经济差距。
