Commercial tobacco retail marketing in rural communities in Appalachian Kentucky, 2024

IF 2.8 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2026-06-01 Epub Date: 2025-12-22 DOI:10.1016/j.pmedr.2025.103354

Saber Feizy, Judy van de Venne, Melissa Abadi, W. Jay Christian, Jayani Jayawardhana, Bethany Shorey Fennell, Delvon T. Mattingly, Shyanika W. Rose

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引用次数: 0

Abstract

Objective

To investigate heterogeneous commercial tobacco marketing patterns across rurality gradient.

Methods

We conducted audits in all retail stores (n = 279) selling at least one commercial tobacco/nicotine product in eight U.S. Appalachian Kentucky counties in 2024, comprising rural and peri-urban catchments. Trained auditors assessed product availability, discounts, and advertising. Stores were linked to census tract demographics and Index of Relative Rurality (IRR) quartiles. Poisson models assessed prevalence rates of exterior and interior ads and discounts for cigarettes, nicotine vapes, and nicotine pouches (ONP) by IRR quartiles.

Results

Most stores carried cigarettes, cigarillos, and smokeless products, and over 50 % sold ONP, little cigars, and vapes. Lower proportions of stores in rural catchment carried ONP, little cigars, snus, and vapes. Stores in the least rural areas (Q1) had greater likelihood of exterior ads for vapes/ONPs. Stores across rural areas (Q1-Q3 vs Q4) had greater likelihood of interior vape ads. Stores in moderately-rural areas had greater likelihood of cigarette discounts inside (Q2 and Q3) and outside (Q3) stores (vs Q4).

Conclusions

Conventional combustible and smokeless products were widely available throughout Appalachian Kentucky. Newer non-combustible products were less available in the most rural areas. Exterior store marketing was less present in the most rural areas.

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肯塔基州阿巴拉契亚农村社区的商业烟草零售营销，2024年。

目的：探讨跨农村梯度的异质商业烟草营销模式。方法：我们于2024年在美国肯塔基州阿巴拉契亚地区的八个县（包括农村和城郊集水区）对所有销售至少一种商业烟草/尼古丁产品的零售商店（n = 279）进行了审计。训练有素的审核员评估了产品的可用性、折扣和广告。商店与人口普查区的人口统计和相对农村性指数（IRR）四分位数相关联。泊松模型按IRR四分位数评估了香烟、尼古丁电子烟和尼古丁袋（ONP）的外部和内部广告和折扣的流行率。结果：大多数商店出售香烟、小雪茄和无烟产品，超过50%的商店出售ONP、小雪茄和电子烟。农村集水区的商店出售ONP、小雪茄、鼻烟和电子烟的比例较低。农村地区最少的商店（Q1）更有可能为电子烟/电子烟做外部广告。农村地区的商店（第一季度至第三季度与第四季度）更有可能在室内投放电子烟广告。中等农村地区的商店更有可能在室内（第二季度和第三季度）和室外（第三季度）投放香烟折扣（与第四季度相比）。结论：传统可燃和无烟产品在肯塔基州阿巴拉契亚地区广泛使用。在大多数农村地区，较新的不可燃产品较少。在大多数农村地区，外部商店营销较少。

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