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ABSTRACT: Objectives
To identify the behavioral mechanisms and effects of tobacco control policies designed to reduce tobacco retailer density.Methods
We developed the Tobacco Town agent-based simulation model to examine 4 types of retailer reduction policies: (1) random retailer reduction, (2) restriction by type of retailer, (3) limiting proximity of retailers to schools, and (4) limiting proximity of retailers to each other. The model examined the effects of these policies alone and in combination across 4 different types of towns, defined by 2 levels of population density (urban vs suburban) and 2 levels of income (higher vs lower).Results
Model results indicated that reduction of retailer density has the potential to decrease accessibility of tobacco products by driving up search and purchase costs. Policy effects varied by town type: proximity policies worked better in dense, urban towns whereas retailer type and random retailer reduction worked better in less-dense, suburban settings.Conclusions
Comprehensive retailer density reduction policies have excellent potential to reduce the public health burden of tobacco use in communities.
SUBMITTER: Luke DA
PROVIDER: S-EPMC5388950 | biostudies-literature | 2017 May
REPOSITORIES: biostudies-literature
Luke Douglas A DA Hammond Ross A RA Combs Todd T Sorg Amy A Kasman Matt M Mack-Crane Austen A Ribisl Kurt M KM Henriksen Lisa L
American journal of public health 20170501 5
<h4>Objectives</h4>To identify the behavioral mechanisms and effects of tobacco control policies designed to reduce tobacco retailer density.<h4>Methods</h4>We developed the Tobacco Town agent-based simulation model to examine 4 types of retailer reduction policies: (1) random retailer reduction, (2) restriction by type of retailer, (3) limiting proximity of retailers to schools, and (4) limiting proximity of retailers to each other. The model examined the effects of these policies alone and in ...[more]