Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29351
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Adolescents' perceptions of tobacco accessibility and smoking norms and attitudes in response to the tobacco point-of-sale display ban in Scotland: Results from the DISPLAY study (Forthcoming/Available Online)
Author(s): AG Kuipers, Mirte
Best, Catherine
Wilson, Michael
Currie, Dorothy
Ozakinci, Gozde
Marie Mackintosh, Anne
Stead, Martine
Eadie, Douglas
MacGregor, Andy
Pearce, Jamie
Amos, Amanda
Haw, Sally
Contact Email: martine.stead@stir.ac.uk
Keywords: Smoking
tobacco control
adolescents
young people
point of sale
display
tobacco marketing
social norm
tobacco access
Issue Date: 3-May-2019
Citation: AG Kuipers M, Best C, Wilson M, Currie D, Ozakinci G, Marie Mackintosh A, Stead M, Eadie D, MacGregor A, Pearce J, Amos A & Haw S (2019) Adolescents' perceptions of tobacco accessibility and smoking norms and attitudes in response to the tobacco point-of-sale display ban in Scotland: Results from the DISPLAY study (Forthcoming/Available Online). Tobacco Control. https://doi.org/10.1136/tobaccocontrol-2018-054702
Abstract: Background: Scotland implemented a ban on open display of tobacco products in supermarkets in April 2013, and small shops in April 2015. This study aimed to quantify changes in perceived tobacco accessibility, smoking norms, and smoking attitudes among adolescents in Scotland, following the implementation of partial and comprehensive point-of-sale tobacco display bans. Methods: From the Determining the Impact of Smoking Point of Sale Legislation Among Youth (DISPLAY) study’s 2013-2017 annual surveys we retrieved data comprising 6,202 observations on 4,836 12-17-year-olds from four schools. Applying generalised estimating equations, associations between time (post-ban: 2016-2017 vs pre-ban:2013) and three outcomes were estimated. Outcomes were perceived commercial access to tobacco, perceived positive smoking norm (friends think it’s OK to smoke), and positive smoking attitude (you think it’s OK to smoke). Analyses were adjusted for socio-demographics, smoking status, family smoking, friend smoking, and e-cigarette use. Results: Crude trends showed an increase over time in perceived accessibility, norms, and attitudes. However, after adjustment for confounders, mainly e-cigarette use, we found significant declines in perceived access (OR=0.72, 95%CI=0.57-0.90) and in positive smoking attitude (OR=0.67, 95%CI=0.49-0.91), but no change in perceived positive smoking norm (OR=1.00, 95%CI=0.78-1.29). Current/past occasional or regular e-cigarette use was associated with higher odds of perceived access (OR= 3.12, 95%CI=2.32-4.21), positive norm (OR=2.94, 95%CI=2.16-4.02), and positive attitude (OR=3.38, 95%CI=2.35-4.87). Conclusion: Only when taking into account that the use of e-cigarettes increased in 2013-2017 did we find that the point-of-sale tobacco display ban in supermarkets and small shops in Scotland was followed by reductions in adolescents’ perceived accessibility of tobacco and positive attitudes towards smoking.
DOI Link: 10.1136/tobaccocontrol-2018-054702
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This article has been accepted for publication in Tobacco Control following peer review. The definitive copyedited, typeset version Kuipers MA, Best C, Wilson M, et al Adolescents’ perceptions of tobacco accessibility and smoking norms and attitudes in response to the tobacco point-of-sale display ban in Scotland: results from the DISPLAY Study Tobacco Control, Online First, is available online at: https://doi.org/10.1136/tobaccocontrol-2018-054702

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