Journal
HEALTH & PLACE
Volume 67, Issue -, Pages -Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2020.102464
Keywords
Tobacco retailer availability; Tobacco retailer density; Chronic obstructive pulmonary disease; Hospital discharge
Categories
Funding
- Paul C. Hardin Dissertation Completion Award from the Royster Society of Fellows at the University of North Carolina at Chapel Hill
- National Cancer Institute of the National Institutes of Health [F31CA239331, T32CA128582, P01CA225597]
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Research shows a significant positive association between tobacco retailer density and COPD-related hospitalization rate as well as total COPD-related hospital costs per population. Therefore, reducing the number of tobacco retailers may help in lowering smoking-related health burdens and costs.
There are associations between tobacco retailer density and smoking behaviors, but little is known about whether places with more tobacco retailers have more smoking-related health problems. Using cross-sectional data from 2014, we investigated the relationships between tobacco retailer density and chronic obstructive pulmonary disease (COPD) related outcomes in a sample of 1510 counties across the United States. Higher retailer density was associated with a 19% (IRR, 1.19; 95% CI, 1.12-1.27) higher COPD-related hospital discharge rate and 30% (IRR, 1.30; 95% CI 1.21-1.39) higher total COPD-related hospital costs per population. The tobacco retailer environment may be an important target for reducing smoking-related health burdens and costs.
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