Educational inequalities in exposure to tobacco promotion at the point of sale among adolescents in four Dutch cities

A. Zijp; T.R.D. van Deelen; B. van den Putte; A.E. Kunst; M.A.G. Kuipers

doi:https://doi.org/10.1016/j.healthplace.2022.102824

Educational inequalities in exposure to tobacco promotion at the point of sale among adolescents in four Dutch cities

A. Zijp, T.R.D. van Deelen, B. van den Putte, A.E. Kunst, M.A.G. Kuipers

Research output: Contribution to journal › Article › Academic › peer-review

1 Citation (Scopus)

Abstract

This study aimed to assess educational differences in adolescents’ exposure to tobacco outlets. Data were collected among 312 13-17-year-old non-smoking secondary school students in four Dutch cities. In a smartphone app, exposure (≤10 m from outlet) was measured using GPS and participants reported their educational track (pre-vocational vs. pre-university). Associations were estimated in negative binomial regression models. Mean exposure to tobacco outlet was 16.6 times in 14 days. Pre-vocational education was associated with higher exposure compared to pre-university education (IRR:1.46, 95%CI:1.08–1.98), especially around school (IRR:2.61,95%CI:1.50–4.55). These differences may contribute to socioeconomic inequalities in smoking.

Original language	English
Article number	102824
Number of pages	8
Journal	Health & Place
Volume	76
DOIs	https://doi.org/10.1016/j.healthplace.2022.102824
Publication status	Published - 1 Jul 2022

Keywords

Adolescents
Education
Exposure
Inequality
Tobacco outlet
Tobacco promotion

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@article{71b6706cd8814a22b29c651e399f95b2,

title = "Educational inequalities in exposure to tobacco promotion at the point of sale among adolescents in four Dutch cities",

abstract = "This study aimed to assess educational differences in adolescents{\textquoteright} exposure to tobacco outlets. Data were collected among 312 13-17-year-old non-smoking secondary school students in four Dutch cities. In a smartphone app, exposure (≤10 m from outlet) was measured using GPS and participants reported their educational track (pre-vocational vs. pre-university). Associations were estimated in negative binomial regression models. Mean exposure to tobacco outlet was 16.6 times in 14 days. Pre-vocational education was associated with higher exposure compared to pre-university education (IRR:1.46, 95%CI:1.08–1.98), especially around school (IRR:2.61,95%CI:1.50–4.55). These differences may contribute to socioeconomic inequalities in smoking.",

keywords = "Adolescents, Education, Exposure, Inequality, Tobacco outlet, Tobacco promotion",

author = "A. Zijp and {van Deelen}, T.R.D. and {van den Putte}, B. and A.E. Kunst and M.A.G. Kuipers",

note = "Funding Information: This study is part of the {\textquoteleft}Tobacco out of Sight{\textquoteright} project, which is funded by the Dutch Lung Foundation , Dutch Heart Foundation , Dutch Cancer Society , Dutch Thrombosis Foundation and Dutch Diabetes research Foundation , call tobacco control policies 2018, under project number 2.1.19.007 . Publisher Copyright: {\textcopyright} 2022 The Authors",

year = "2022",

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doi = "https://doi.org/10.1016/j.healthplace.2022.102824",

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AU - Zijp, A.

AU - van Deelen, T.R.D.

AU - van den Putte, B.

AU - Kunst, A.E.

AU - Kuipers, M.A.G.

N1 - Funding Information: This study is part of the ‘Tobacco out of Sight’ project, which is funded by the Dutch Lung Foundation , Dutch Heart Foundation , Dutch Cancer Society , Dutch Thrombosis Foundation and Dutch Diabetes research Foundation , call tobacco control policies 2018, under project number 2.1.19.007 . Publisher Copyright: © 2022 The Authors

PY - 2022/7/1

Y1 - 2022/7/1

N2 - This study aimed to assess educational differences in adolescents’ exposure to tobacco outlets. Data were collected among 312 13-17-year-old non-smoking secondary school students in four Dutch cities. In a smartphone app, exposure (≤10 m from outlet) was measured using GPS and participants reported their educational track (pre-vocational vs. pre-university). Associations were estimated in negative binomial regression models. Mean exposure to tobacco outlet was 16.6 times in 14 days. Pre-vocational education was associated with higher exposure compared to pre-university education (IRR:1.46, 95%CI:1.08–1.98), especially around school (IRR:2.61,95%CI:1.50–4.55). These differences may contribute to socioeconomic inequalities in smoking.

AB - This study aimed to assess educational differences in adolescents’ exposure to tobacco outlets. Data were collected among 312 13-17-year-old non-smoking secondary school students in four Dutch cities. In a smartphone app, exposure (≤10 m from outlet) was measured using GPS and participants reported their educational track (pre-vocational vs. pre-university). Associations were estimated in negative binomial regression models. Mean exposure to tobacco outlet was 16.6 times in 14 days. Pre-vocational education was associated with higher exposure compared to pre-university education (IRR:1.46, 95%CI:1.08–1.98), especially around school (IRR:2.61,95%CI:1.50–4.55). These differences may contribute to socioeconomic inequalities in smoking.

KW - Adolescents

KW - Education

KW - Exposure

KW - Inequality

KW - Tobacco outlet

KW - Tobacco promotion

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VL - 76

JO - Health & Place

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M1 - 102824

ER -

Educational inequalities in exposure to tobacco promotion at the point of sale among adolescents in four Dutch cities

Abstract

Keywords

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