Evidence map›Paper›PMID 33243803›Full record

ArticleBMJ open2020

Modelling retailer-based exemptions in flavoured tobacco sales restrictions: national estimates on the impact of product availability.

Barbara A Schillo, Adam F Benson, Lauren Czaplicki, Andrew Anesetti-Rothermel, Elexis C Kierstead, Randall Simpson, Natasha C Phelps, Peter Herman, Chang Zhao, Shyanika W Rose

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Barbara A SchilloSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA.
Adam F BensonSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA abenson@truthinitiative.org.ORCID 0000-0001-8111-5464
Lauren CzaplickiSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA.ORCID 0000-0002-7496-0990
Andrew Anesetti-RothermelSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA.
Elexis C KiersteadSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA.
Randall SimpsonSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA.
Natasha C PhelpsPublic Health Law Center, Saint Paul, Minnesota, USA.
Peter HermanNORC at the University of Chicago, Chicago, Illinois, USA.
Chang ZhaoNORC at the University of Chicago, Chicago, Illinois, USA.
Shyanika W RoseSchroeder Institute, Truth Initiative, Washington, District of Columbia, USA.ORCID 0000-0002-4200-1197

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMore than 250 US localities restrict sales of flavoured tobacco products (FTPs), but comprehensiveness varies, and many include retailer-based exemptions. The purpose of this study is to examine resulting changes in the US retail environment for FTPs if there was a hypothetical national tobacco control policy that would prohibit FTP sales in all retailers except (1) tobacco specialty stores or (2) tobacco specialty stores and alcohol outlets. DESIGN AND

settingA cross-sectional analysis of the FTP retail environment in every US Census tract (n=74 133). FTP retailers (n=3 10 090) were enumerated using nine unique codes from a national business directory (n=296 716) and a national vape shop directory (n=13 374). OUTCOME MEASURES: We assessed FTP availability using static-bandwidth and adaptive-bandwidth kernel density estimation. We then calculated the proportion of FTP stores remaining and the mean density of FTP retailers under each policy scenario for the overall population, as well as across populations vulnerable to FTP use.

resultsExempting tobacco specialty stores alone would leave 25 276 (8.2%) FTP retailers nationwide, while exempting both tobacco specialty stores and alcohol outlets would leave 54 091 (17.4%) retailers. On average, the per cent remaining FTP availability per 100 000 total population was 7.1% for a tobacco specialty store exemption and 18.1% for a tobacco specialty store and alcohol outlet exemption. Overall, density estimate trends for remaining FTP availability among racial/ethnic populations averaged across Census tracts mirrored total population density. However, estimates varied when stratified by metropolitan status. Compared with the national average, FTP availability would remain 47%-49% higher for all racial/ethnic groups in large metropolitan areas.

conclusionsRetailer-based exemptions allow greater FTP availability compared with comprehensive policies which would reduce FTP availability to zero. Strong public policies have the greatest potential impact on reducing FTP availability, particularly among urban, and racial/ethnic minority populations.

Indexed as

Tobacco ProductsCommerceCross-Sectional StudiesEthnicityHumansMinority Groupshealth policypublic healthstatistics & research methods

Identifiers

PMID33243803
PMCPMC7692830

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.