Studies show that exposure to point-of-sale (POS) cigarette advertising and promotions is associated with youth smoking experimentation and progression to regular smoking and unplanned tobacco purchases and urges to smoke among adult smokers. The 2009 Family Smoking Prevention and Tobacco Control Act gives states and local governments the authority to regulate the time, place, and manner of cigarette advertising. The proposed research builds on our previously developed virtual convenience store (Tobacco iShoppe) for comparing policy options to curb and counter the influence of POS cigarette advertising and pack displays. In Years 1 and 2 of the grant, we will conduct a series of qualitative and quantitative studies to develop, pilot test, and optimize the virtual store conditions. In Year 3, we will conduct a randomized controlled experiment to test the virtual store conditions in which POS tobacco ads, displays, and health warnings are modified and compared to a status quo condition. A national sample of youth (current smokers and susceptible never smokers) and adults (current smokers and recent quitters) will be recruited from a national online panel and randomized to one of five virtual store conditions. The test conditions are as follows: T1 (Ad and Display Ban), T2 (Graphic Health Warnings), T3 (Text-Only Tombstone Advertising), and T4 (Ban on Tobacco Price Promotions). Each participant will be given up to 10 minutes to complete a shopping task of selecting four items to purchase in the Tobacco iShoppe. We will capture data on participants'activity in the store, including the selection of tobacco products. Participants then will complete an online survey to assess urge to smoke (adults only) and other variables. The key study outcomes are cigarette purchase attempts in the virtual store for youth and adults and the urge to smoke for adults. In Year 4, we will conduct a randomized controlled experiment to test the virtual store conditions in which nicotine replacement therapy (NRT) and e cigarettes are prominently displayed at the POS, crossed with the display ban condition, and compared to a status quo condition.

Public Health Relevance

The proposed research will provide policy-relevant data on the potential impact of restricting and countering tobacco ads at the POS on youth and adult smoking outcomes. The findings can help guide the development of state and local policies aimed at regulating the time, place, and manner of cigarette advertising so as to reduce youth and adult smoking.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Specialized Center (P50)
Project #
Application #
Study Section
Special Emphasis Panel (ZRG1)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Georgia State University
United States
Zip Code
Shang, Ce; Huang, Jidong; Cheng, Kai-Wen et al. (2016) Global Evidence on the Association between POS Advertising Bans and Youth Smoking Participation. Int J Environ Res Public Health 13:
Nyman, Amy L; Sterling, Kymberle L; Weaver, Scott R et al. (2016) Little Cigars and Cigarillos: Users, Perceptions, and Reasons for Use. Tob Regul Sci 2:239-251
Weaver, Scott R; Majeed, Ban A; Pechacek, Terry F et al. (2016) Use of electronic nicotine delivery systems and other tobacco products among USA adults, 2014: results from a national survey. Int J Public Health 61:177-88
Lee, Joseph G L; Gregory, Kyle R; Baker, Hannah M et al. (2016) ""May I Buy a Pack of Marlboros, Please?"" A Systematic Review of Evidence to Improve the Validity and Impact of Youth Undercover Buy Inspections. PLoS One 11:e0153152
Nayak, Pratibha; Pechacek, Terry F; Weaver, Scott R et al. (2016) Electronic nicotine delivery system dual use and intention to quit smoking: Will the socioeconomic gap in smoking get greater? Addict Behav 61:112-6
Nayak, Pratibha; Kemp, Catherine B; Redmon, Pamela (2016) A Qualitative Study of Vape Shop Operators' Perceptions of Risks and Benefits of E-Cigarette Use and Attitude Toward Their Potential Regulation by the US Food and Drug Administration, Florida, Georgia, South Carolina, or North Carolina, 2015. Prev Chronic Dis 13:E68
Robinson, R J; Hensel, E C; Roundtree, K A et al. (2016) Week Long Topography Study of Young Adults Using Electronic Cigarettes in Their Natural Environment. PLoS One 11:e0164038
Pechacek, Terry F; Nayak, Pratibha; Gregory, Kyle R et al. (2016) The Potential That Electronic Nicotine Delivery Systems Can be a Disruptive Technology: Results From a National Survey. Nicotine Tob Res 18:1989-97
Lee, Joseph G L; Landrine, Hope; Torres, Essie et al. (2016) Inequities in tobacco retailer sales to minors by neighbourhood racial/ethnic composition, poverty and segregation, USA, 2015. Tob Control 25:e142-e145
Dube, Shanta R; Pathak, Sarita; Nyman, Amy L et al. (2015) Electronic Cigarette and Electronic Hookah: A Pilot Study Comparing Two Vaping Products. Prev Med Rep 2:953-958

Showing the most recent 10 out of 13 publications