Tobacco Retail Density and Initiation of Alternative Tobacco Product Use Among Teens.

ABSTRACT:

Purpose

The rise of noncigarette, alternative tobacco product (ATP) use among adolescents may be due in part to an increase in retail availability of ATPs. We examined whether proximity and density of tobacco retailers near students' homes are associated with a higher likelihood of initiating ATP use over time.

Methods

Using data from 728 adolescents (aged 13-19 years at baseline) residing in 191 different neighborhoods and attending 10 different California high schools, longitudinal multilevel and cross-classified random effect models evaluated individual-level, neighborhood-level, and school-level risk factors for ATP initiation after 1 year. Covariates were obtained from the American Community Survey and the California Department of Education.

Results

The sample wa

SUBMITTER: Abdel Magid HS 

PROVIDER: S-EPMC7089810 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature