Evidence map›Paper›PMID 42008525›Full record

ArticlePloS one2026

Mapping sources of chronic disease-promoting products in retail environments: An analysis of co-location patterns of alcohol, tobacco, and fast-food retailers.

Aline D'Angelo Campos, Paul L Delamater, Marissa G Hall, Melissa J Cox, Shelley D Golden

Abstract read
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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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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

5 authors.

Aline D'Angelo CamposCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID https://orcid.org/0000-0001-7382-5976
Paul L DelamaterCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID https://orcid.org/0000-0003-3627-9739
Marissa G HallCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Melissa J CoxLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Shelley D GoldenLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHigh densities of alcohol, tobacco, and fast-food retailers each pose increased risk of behaviors that contribute to chronic diseases. However, retail density studies typically examine only one type of retailer at a time. This study examines co-location patterns of alcohol, tobacco, and fast-food retailers in North Carolina, a geographically and demographically diverse US state.

methodsUsing 2021 data, we calculated tract-level density of each retailer type (retailers per 1,000 residents) and categorized tracts as "high density" (≥ 75th percentile) or not in each retailer type. We then determined the percentage of residents that lived in tracts high in one, two, three, or none of the retailer types. Additionally, using bivariate logistic regression, we examined the relationship between tracts' demographic composition and likelihood of being high in all retailer types.

resultsAmong individuals residing in areas with a high density of any retailer type (36.5% of the state's population), most lived in areas simultaneously high in alcohol, tobacco, and fast-food retailers (9.7%) - exceeding those who lived in areas high in only fast food (9%), only tobacco (4.6%), or only alcohol (3.6%). Areas with a higher percentage of residents below 150% of the federal poverty line, lower median household income, or a larger African American population were more likely to be high in all three retailer types simultaneously (all p < 0.05).

conclusionOur analysis revealed a substantial degree of co-location of alcohol, tobacco, and fast-food retailers, as well as important disparities in the demographic characteristics of the residents in areas where such retailers are more likely to co-locate. This analysis could be expanded to other states, providing insights into reinforcing retail-related risks for chronic diseases and health disparities nationwide.

Indexed as

Alcoholic BeveragesCommerceFast FoodsTobacco ProductsChronic DiseaseHumansNorth Carolina

Identifiers

PMID42008525
PMCPMC13095102

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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.