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Health Educ Res. 2013 Oct;28(5):898-910. doi: 10.1093/her/cyt058. Epub 2013 May 2.

Impact of point-of-sale tobacco display bans: findings from the International Tobacco Control Four Country Survey.

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VicHealth Centre for Tobacco Control, Cancer Council Victoria, 100 Drummond Street, Melbourne, Victoria 3053, Australia, Department of Psychology, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada, Ontario Institute for Cancer Research, Toronto, Ontario M5G 1L7, Canada, Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA, School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario N2L 3G1, Canada and Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA.


This study examined the impact of point-of-sale (POS) tobacco marketing restrictions in Australia and Canada, in relation to the United Kingdom and the United States where there were no such restrictions during the study period (2006-10). The data came from the International Tobacco Control Four Country Survey, a prospective multi-country cohort survey of adult smokers. In jurisdictions where POS display bans were implemented, smokers' reported exposure to tobacco marketing declined markedly. From 2006 to 2010, in Canada, the percentages noticing POS tobacco displays declined from 74.1 to 6.1% [adjusted odds ratio (OR) = 0.26, P < 0.001]; and reported exposure to POS tobacco advertising decreased from 40.3 to 14.1% (adjusted OR = 0.61, P < 0.001). Similarly, in Australia, noticing of POS displays decreased from 73.9 to 42.9%. In contrast, exposure to POS marketing in the United States and United Kingdom remained high during this period. In parallel, there were declines in reported exposures to other forms of advertising/promotion in Canada and Australia, but again, not in the United States or United Kingdom. Impulse purchasing of cigarettes was lower in places that enacted POS display bans. These findings indicate that implementing POS tobacco display bans does result in lower exposure to tobacco marketing and less frequent impulse purchasing of cigarettes.

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