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For Smokers Trying to Quit, Proximity’s a Problem


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Research done in Mecklenburg County shows more retail shops selling tobacco in black neighborhoods than in white areas.

By Rose Hoban

How far do you have to walk for a smoke?

It turns out that if you live in a dense, minority neighborhood in Mecklenburg County, it’s not far. And in that neighborhood, you’ll be surrounded by many stores selling tobacco products.

But if you live in a white neighborhood, it takes a lot more effort to satisfy a nicotine craving.

When consumers walk into many convenience stores, they find walls of products to choose from.

When consumers walk into many convenience stores, they find walls of products to choose from. Image courtesy CounterTobacco.org

That proximity could make all the difference when you’re trying to quit, according to research done by UNC-Chapel Hill public health student Amanda Kong and presented at last month’s Minority Health Conference held at the Friday Center in Chapel Hill.

Kong, who worked as a tobacco-cessation counselor at a community health clinic before returning to school, said she often encountered people who were trying to quit, until they walked into a convenience store.

“I would have a lot of people that would quit, but they would come back in because a pack of their brand was on sale or they walked by a convenience store and went in,” Kong said. “So they would relapse all the time.”

It got Kong thinking about the larger environment smokers encounter, one where exhortations to light up are around many corners.

Fewer steps

Using mapping software, Kong looked at the distances to stores in Mecklenburg County that feature tobacco products. She used census data on the race and ethnicity of Mecklenburg residents, plugged in all the addresses in the county and mapped it against data about tobacco retailers.

The results were striking: As the number of black residences in a neighborhood increases, the distance to tobacco sales gets shorter. But in white neighborhoods, the opposite was true: As the number of white residences increases, the number of tobacco retailers drops.

Tobacco retailer density map of Mecklenburg County. Kong's mapping showed residences in lower income areas are on average closer to ten tobacco retailers than a residence in higher income areas are to a single retailer.

Kong’s mapping showed that residences in lower-income areas are on average closer to 10 tobacco retailers than residences in higher-income areas are to a single retailer. Map courtesy Amanda Kong

In addition, Kong looked at the average distance to the nearest five and the nearest 10 tobacco retailers. Same thing: Not only were there more tobacco retailers in black neighborhoods, they were, on average, closer to people’s homes than they were in white neighborhoods.

“Those in the lower-income areas are not just closer to one retailer, they’re closer to a cluster of retailers compared to the highest-income areas,” she said.

Basically, Kong found, the environment sets residents of those neighborhoods up to have higher rates of smoking.

“Our environment does impact our behaviors,” she said.

And the research backs her up. Researchers at the Johns Hopkins Bloomberg School of Public Health reviewed literature from around the world on the relationship between “point of sale” marketing by tobacco companies and smoking rates, and the association between more marketing and more smoking was indisputable.

“Targeted marketing (i.e., promoting different products in different socioeconomic areas) increases the power of POS promotion by segmenting customers into groups and tailoring advertising to appeal to them,” the Johns Hopkins team wrote.

“The tobacco industry spends over 90 percent of their advertising and marketing dollars in the retail environment,” said Allison Myers, a researcher from the UNC Gillings School of Global Public Health and the head of Counter Tobacco, an organization that examines tobacco marketing.

“It’s a lot of money,” Myers said, “about a million dollars an hour that they spend in the retail space, keeping tobacco cheap and visible.”

Beyond Mecklenburg

North Carolina’s laws regulating tobacco sales are among the looser ones in the country. According to a database compiled and maintained by the American Lung Association, North Carolina goes easy when it comes to licensing distributors, charging wholesalers only $25 per year.

And Myers pointed out that North Carolina is among a handful of states that requires no retail license to sell tobacco, even though “you need a license to sell alcohol, or cut hair, or to do nails.”

Photo shows signs offering discounts on cigarettes. Allison Myers said one policy that can reduce smoking is to forbid the use of coupons to purchase tobacco products.

Allison Myers said one policy that can reduce smoking is to forbid the use of coupons to purchase tobacco products. Photo courtesy Elvert Barnes, flickr creative commons

Myers said some regulations on tobacco sales could go a long way toward reducing smoking rates in the state.

“For example, prohibiting sales of tobacco in pharmacies, prohibiting sales of tobacco within 1,000 feet of schools … these could really reverse some of the disparities that you saw in Amanda’s study between proximity and density of retailers and race and ethnicity,” Myers said.

Instead, people walking into tobacco retailers confront a “power wall” of brands and discounts and marketing.

“We … know that for adults who are trying to quit, seeing power-wall displays cues an urge to smoke,” Myers said. “Many people make purchases when they do not intend to, and we see less-successful quit attempts because of what we’re seeing in the retail environment.”

But in North Carolina, municipalities are forbidden to regulate how tobacco gets sold.

“Like in Massachusetts, for example, there are more than 100 communities where you can’t sell tobacco at pharmacies. In Chicago, there have been restrictions on menthol-flavored tobacco products near schools,” Myers said.

Seeing all that tobacco can prompt someone to light up, even if they’re trying to quit.

“That’s what we see with a lot of relapse behavior,” Kong said. “Someone has quit smoking, they go to a store or they go to multiple stores and they see it again and again.

“It’s a cue to start smoking again.”

 

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  • Hank

    What a waste of tax payer dollars; to see if a tobacco retailer is 3/4 of a mile or 1.25 miles away. Could it just be there are more retailers b/c the density of population is simply greater to support a greater demand. I am not going to build a store where there is little or a saturated market. I am going to where my customers are located. People still have the freedom to choose to smoke or not. This is a life choice they have to make. This is not a business praying on the poor. This is a business to sale a product. Why not attack alcohol that causes far more crimes and death than tobacco. Simply put wealthier individuals typically do not have a higher percentage of smokers; but they do as with all income levels consume alcohol. Just Sayin.

  • Pingback: Why tobacco retailer density matters | allisonemyers()

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