Draining the tobacco swamps: Shaping the built environment to reduce tobacco retailer proximity to residents in 30 big US cities |
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| Affiliation: | 1. Center for Public Health Systems Science, Brown School at Washington University in St. Louis, 1 Brookings Drive, MSC 1196-0251-46, St. Louis, MO, 63130, USA;2. School of Public and International Affairs, The University of Georgia, 180 Baldwin Hall, Athens, GA, 30602, USA;3. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, Chapel Hill, NC, 27599-7440, USA;4. Lineberger Comprehensive Cancer Center, University of North Carolina, 101 Manning Drive, Chapel Hill, NC, 27599-7295, USA;5. Stanford Prevention Research Center, Stanford University School of Medicine, 3300 Hillview Ave, Mail Code 5537, Palo Alto, CA, 94304-1334, USA |
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| Abstract: | Combining geospatial data on residential and tobacco retailer density in 30 big US cities, we find that a large majority of urban residents live in tobacco swamps – neighborhoods where there is a glut of tobacco retailers. In this study, we simulate the effects of tobacco retail reduction policies and compare probable changes in resident-to-retailer proximity and retailer density for each city. While measures of proximity and density at baseline are highly correlated, the results differ both between effects on proximity and density and across the 30 cities. Context, particularly baseline proximity of residents to retailers, is important to consider when designing policies to reduce retailer concentration. |
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| Keywords: | Tobacco retailer density Tobacco retailer proximity Retail tobacco policy |
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