Amid declining cigarette consumption, sales of non-cigarette tobacco products remain strong. Importantly, thediverse products available in the current tobacco marketplace pose different levels of harm to the user.Combustible products such as cigarettes and cigars are higher on the tobacco risk continuum than non-combustible products such as smokeless tobacco and electronic cigarettes (e-cigs). Conceivably, smokerswho switch to a non-combustible product may reduce their risk of smoking-related disease. This behavior,however, is significantly more common among whites compared to blacks, who have the highest rates ofcombustible tobacco use of any racial or ethnic group. Indeed, cigarette smoking rates are declining fasteramong whites than blacks, potentially driven by e-cig uptake. Differential rates of quitting smoking by switchingto e-cigs or other non-combustible products may exacerbate existing health disparities between whites andblacks. Although tobacco use is influenced by several individual, interpersonal, and societal factors, the retailenvironment is known to play a critical role in shaping smoking behaviors, particularly among racial minorities,whom the tobacco industry has historically exploited. Despite the growing popularity of e-cigs and other non-cigarette tobacco products, little is known about the promotion of these products at the point-of-sale. Thisproject will examine how the retail of diverse tobacco products varies across the U.S. and the extent to which itis associated with use behaviors of community residents. Specifically, this study will 1) investigate therelationship between regional tobacco product sales, tobacco control policies, and community demographicsusing Nielsen market scanner data and census data, 2) document the association between the local tobaccoretail environment and tobacco product use using geocoded data from the National Health Interview Survey(NHIS) and store audits, and 3) model smoking-related disparities attributed to changes in tobacco usebehaviors using repeated cross-sectional NHIS data and longitudinal data from the Population Assessment ofTobacco and Health (PATH) study.

Public Health Relevance

The current tobacco marketplace in the United States is more diverse than ever; with consumption of cigars;smokeless tobacco; and electronic cigarettes remaining strong amid declining cigarette consumption. Thisstudy will characterize the promotion of tobacco products with varying levels of harm across diversecommunities to examine the potential impacts on smoking-related health disparities.

National Institute of Health (NIH)
Office of The Director, National Institutes of Health (OD)
Early Independence Award (DP5)
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Special Emphasis Panel (ZRG1-RPHB-W (53)R)
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Basavappa, Ravi
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Columbia University (N.Y.)
Public Health & Prev Medicine
Schools of Public Health
New York
United States
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Giovenco, Daniel P; Ackerman, Christopher; Hrywna, Mary et al. (2018) Changes in the availability and promotion of non-cigarette tobacco products near high schools in New Jersey, USA. Tob Control 27:578-579
Giovenco, Daniel P; Delnevo, Cristine D (2018) Prevalence of population smoking cessation by electronic cigarette use status in a national sample of recent smokers. Addict Behav 76:129-134
Giovenco, Daniel P; Spillane, Torra E; Mauro, Christine M et al. (2018) Cigarillo sales in legalized marijuana markets in the U.S. Drug Alcohol Depend 185:347-350
Giovenco, Daniel P (2018) Smoke Shop Misclassification May Cloud Studies on Vape Shop Density. Nicotine Tob Res 20:1025-1026