Tobacco retailer density and its association with birth outcomes in the USA: 2000-2016.

ABSTRACT:

Introduction

Significant progress has been made in reducing maternal exposure to tobacco smoke and subsequent adverse birth outcomes, however, reductions may require strategies that reduce the availability of tobacco retailers. In this study, we investigated the relationship between tobacco retailer density and birth outcomes across the USA and predicted the potential impact of a tobacco retailer density cap on these outcomes.

Methods

Annual US county (n=3105), rates of preterm birth, low birth weight, small-for-gestational age, all-cause infant mortality and sudden infant death syndrome (SIDS) were calculated using National Vital Statistics System data. Tobacco retailers were identified from the National Establishment Time-Series Database. We used Poisson regression to esti

SUBMITTER: Baggett CD 

PROVIDER: S-EPMC11842616 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature