Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco, CA, USA.
Addiction. 2024 Jun;119(6):1048-1058. doi: 10.1111/add.16467. Epub 2024 Mar 7.
The ubiquity of tobacco retailers helps to sustain the tobacco epidemic. A tobacco retail reduction approach that has not been tried is transitioning tobacco sales to state-controlled alcohol stores (TTS), which are limited in number and operate under some restrictions, e.g. regarding opening hours or marketing materials. This study summarizes policy experts' and advocates' views of TTS, including (1) advantages and disadvantages; (2) feasibility; and (3) potential implementation obstacles.
This study was a qualitative content analysis of semi-structured interviews.
Ten US states with alcoholic beverage control systems were included.
The participants comprised a total of 103 tobacco control advocates and professionals, public health officials, alcohol policy experts and alcohol control system representatives, including two tribal community representatives.
Interviewees' perspectives on their state's alcoholic beverage control agency (ABC, the agency that oversees or operates a state alcohol monopoly) and on TTS were assessed.
Interviewees thought TTS offered potential advantages, including reduced access to tobacco products, less exposure to tobacco advertising and a greater likelihood of successful smoking cessation. Some saw potential long-term health benefits for communities of color, due to the smaller number of state alcohol stores in those communities. Interviewees also raised concerns regarding TTS, including ABCs' limited focus on public health and emphasis on revenue generation, which could conflict with tobacco use reduction efforts. Some interviewees thought TTS could enhance the power of the tobacco and alcohol industries, increase calls for alcohol system privatization or create difficulties for those in recovery.
In the United States, transitioning tobacco sales to state-controlled alcohol stores (TTS) could have a positive public health impact by reducing tobacco availability, marketing exposure and, ultimately, tobacco use. However, tensions exist between alcohol control system goals of providing revenue to the state and protecting public health. Should a state decide to pursue TTS, several guardrails should be established, including building into the legislation an explicit goal of reducing tobacco consumption.
烟草零售商的普遍存在有助于维持烟草流行。一种尚未尝试过的减少烟草零售的方法是将烟草销售转移到由国家控制的酒类商店（TTS），这些商店数量有限，并且受到一些限制，例如营业时间或营销材料。本研究总结了政策专家和倡导者对 TTS 的看法，包括（1）优缺点；（2）可行性；和（3）潜在的实施障碍。
这是一项对半结构化访谈的定性内容分析研究。
包括 10 个拥有酒精饮料控制系统的美国州。
共有 103 名烟草控制倡导者和专业人士、公共卫生官员、酒精政策专家和酒精控制系统代表参加了研究，其中包括两名部落社区代表。
评估了受访者对其所在州的酒精饮料管制机构（ABC，负责监督或运营州立酒类垄断机构）和 TTS 的看法。
受访者认为 TTS 具有潜在优势，包括减少获得烟草产品的机会、减少接触烟草广告的机会以及更有可能成功戒烟。一些人认为，由于这些社区中的州立酒类商店数量较少，因此有色人种社区可能会获得长期的健康益处。受访者还对 TTS 提出了一些担忧，包括 ABC 对公共卫生的关注有限，以及对创造收入的重视，这可能与减少烟草使用的努力相冲突。一些受访者认为 TTS 可能会增强烟草和酒精行业的实力，增加对酒精系统私有化的呼吁，或给那些正在康复的人带来困难。
在美国，将烟草销售转移到由国家控制的酒类商店（TTS）可能会通过减少烟草供应、营销曝光率，最终减少烟草使用，对公共卫生产生积极影响。然而，在为国家提供收入和保护公共健康这两个酒精控制系统目标之间存在紧张关系。如果一个州决定推行 TTS，应建立一些护栏，包括在立法中明确设定减少烟草消费的目标。
