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Explore the significance of point-of-sale tobacco marketing and its influence on customer behavior, from never-smokers to established smokers and those trying to quit. See how advertising and promotions affect brand impressions and purchase decisions, and understand the link between retailer density and smoking prevalence. Discover how cigarette display cues can trigger cravings and impulse purchases for both active smokers and those attempting to quit. Learn how residential proximity to tobacco retailers can impact smoking abstinence rates, highlighting the complexities of the tobacco retail landscape and the challenges it poses to public health initiatives.
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The Importance of Point of sale Counter Tobacco Allison E. Myers, MPH Kurt M. Ribisl, PhD Adapted from a presentation given January 16, 2013 Office of Smoking and Health Centers for Disease Control and Prevention Atlanta, GA
Industry spends $1M/hour at retail $7,673,534,192 2011 spent on cigarette and smokeless marketing, advertising and promotion at the point of sale Federal Trade Commission Cigarette and Smokeless Reports Cigarettes Smokeless
Industry is buying health behavior impact Consider three customer segments: NEVER-SMOKER SMOKER TRYING TO QUIT
Consider three customer segments: NEVER-SMOKER
Shopping, brand impressions prompt initiation NEVER-SMOKER Henriksen, et al., 2010, Pediatrics GREATER VISIT FREQUENCY, GREATER BRAND IMPRESSIONS = HIGHER ODDS OF INITIATION
From never-smoker to established-smoker NEVER-SMOKER PUFFER Greater ADVERTISING in stores = 8% higher odds of becoming a puffer. Slater, et al. (2007) Arch Pediatr Adolesc Med
From never-smoker to established-smoker NEVER-SMOKER PUFFER EXPERIMENTER ESTABLISHED Greater ADVERTISING in stores = 8% higher odds of becoming a puffer. Greater PROMOTIONS in stores increase odds of youth moving towards higher levels of uptake. Slater, et al. (2007) Arch Pediatr Adolesc Med
Retailer density linked to prevalence LOW DENSITY (1-5) (n=43) HIGH DENSITY (>5) (n=47) NO RETAILERS (n=45) SCHOOL SCHOOL SCHOOL 15.1% prevalence 11.9% prevalence 13.6% prevalence Henriksen, et al., 2008: Preventive Medicine AREAS WITH HIGHER RETAILER DENSITY (>5) WITHIN WALKING DISTANCE HAD HIGHER OVERALL SMOKING PREVALENCE (15.1%)
Consider three customer segments: SMOKER TRYING TO QUIT
Cigarette display cues craving SMOKER Carter, et al., 2006, Nicotine & Tobacco Research PICTURE OF EIGHT CIGARETTE PACKS INCREASED CRAVING AMONG NICOTINE-DEPRIVED AND NON-NICOTINE DEPRIVED SMOKERS
Cigarette displays prompt impulse purchase TRYING TO QUIT SMOKER Wakefield, et al., 2008, Addiction SMOKERS NOTICE THE DISPLAY. SOME GET THE URGE TO BUY. SOME BUY, EVEN THOUGH TRYING TO QUIT
Residential proximity linked to quit success 250 m OR = 0.54 95%[CI] = 0.33, 0.87 <250 m vs. ≥250m TRYING TO QUIT Reitzel, et al., 2010, American Journal of Public Health LOWER ODDS OF SMOKING ABSTINENCE WITH CLOSER RESIDENTIAL PROXIMITY TO TOBACCO RETAILER
Summary: $1M/hour well spent New York Data – What’s In Store Campaign Retail marketing: • Prompts initiation • Promotes daily consumption • Discourages quitting