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Tobacco retailer location restrictions

Health Factors: Tobacco Use
Decision Makers: Community Development Professionals Community Members Local Government State Government
Evidence Rating: Expert Opinion
Population Reach: 50-99% of WI's population
Impact on Disparities: Likely to decrease disparities

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Description

States or municipalities can limit where tobacco products are sold, proximity of tobacco retailers to each other, and to homes and schools via zoning regulations, retailer licensing laws, and other regulations (e.g., bans on sales). Licensing laws restrict which businesses can sell tobacco products; zoning regulations prohibit sale of tobacco products in designated zones (e.g., near youth oriented facilities such as schools, parks, or playgrounds) (PHLC-Licensing and zoning). Municipalities may also ban the sale of tobacco products in pharmacies and educational institutions (Ackerman 2016). Laws can be enacted individually or as part of broader land use and development plans (TCN 2012). 

Expected Beneficial Outcomes

Reduced youth smoking
Reduced tobacco use

Evidence of Effectiveness

Limiting tobacco retail outlets around homes and schools is a suggested strategy to reduce smoking, especially among youth (AHA-Mozaffarian 2012, PHLC-Licensing and zoning, Ackerman 2016, Gwon 2017, Myers 2015). Higher tobacco retail outlet density is associated with greater levels of youth experimentation with tobacco (Schleicher 2016, Adams 2013), youth smoking (AHA-Mozaffarian 2012, Gwon 2017, Lipperman-Kreda 2016, Lipperman-Kreda 2014, Adams 2013), and adult smoking (Cantrell 2016, AHA-Mozaffarian 2012), even when controlling for neighborhood factors such as land use, racial composition, and poverty (Novak 2006). However, additional evidence is needed to confirm effects (Ackerman 2016).

Studies of regulations in Massachusetts and California suggest banning tobacco sales in pharmacies can decrease tobacco retailer density (Jin 2016, Ackerman 2016). Licensing restrictions (Ackerman 2016, Coxe 2014) and other regulations (Ackerman 2016) that set minimum allowable distances between retailers and schools or ban sales near schools may also reduce tobacco retailer density (Myers 2015). Zoning restrictions appear to prevent new retailers from locating in designated areas but are not likely to alter existing tobacco retailer density (Ackerman 2016).

Tobacco retail outlet density is often highest in low income neighborhoods (Frick 2013, Ribisl 2016, D'Angelo 2016, Fakunle 2016), neighborhoods with primarily minority residents (Peterson 2011, Siahpush 2010), particularly black (Loomis 2013, Ribisl 2016) or Hispanic residents (Loomis 2013, D'Angelo 2016), and high poverty, urban areas (Davis 2015a).

Adults who are attempting to quit smoking and live near tobacco retail outlets appear less likely to quit smoking than adults who live farther from such outlets (Reitzel 2011).

Implementation

United States

Over 150 municipalities, primarily in Massachusetts and California, have tobacco-free pharmacy laws in place as of 2017 (ANR-Tobacco-free pharmacies). CVS Health voluntarily stopped selling tobacco products in all municipalities in 2014 (Jin 2016, CVS-Tobacco-free).

San Francisco and Philadelphia are two examples of cities with tobacco retailer density caps. San Francisco set a cap of 45 tobacco retailer licenses per district in 2015 (SF Tobacco-free) and Philadelphia set a density cap and banned tobacco retailers from locating within 500 feet of local schools, effective in early 2017 (PDPH-Tobacco retailing). As of 2014, most US states have taken some form of action to reduce tobacco retailer density (Luke 2016).

Implementation Resources

ANR-Tobacco-free pharmacies - Americans for Nonsmokers Rights (ANR). Tobacco-free pharmacies. Accessed on February 9, 2017
CounterTobacco-Licensing and zoning - CounterTobacco.org. Licensing and zoning. University of North Carolina. Accessed on February 9, 2017
CPHSS TCLC-Brossart 2014 - Brossart L, Moreland-Russell S, Walsh H, et al. Policy strategies: A tobacco control guide. St. Louis: Center for Public Health Systems Science (CPHSS), George Warren Brown School of Social Work, Washington University, Tobacco Control Legal Consortium (TCLC); 2014. Accessed on January 6, 2017
PHLC-Tobacco zoning - Tobacco Control Legal Consortium (TCLC). Land use/zoning. Saint Paul: Public Health Law Center (PHLC). Accessed on February 10, 2017

Citations - Description

Ackerman 2016 - Ackerman A, Etow A, Bartel S, Ribisl KM. Reducing the density and number of tobacco retailers: Policy solutions and legal issues. Nicotine & Tobacco Research. 2016;19(2):133-140. Accessed on February 8, 2017
PHLC-Licensing and zoning - Tobacco Control Legal Consortium (TCLC). Using licensing and zoning to regulate tobacco retailers: Tips and tools. Saint Paul: Public Health Law Center (PHLC). 2016. Accessed on February 8, 2017
TCN 2012 - Tobacco Control Network (TCN). Executive summary: 2012 Policy platform on tobacco prevention and control. Atlanta: Tobacco Technical Assistance Consortium (TTAC); 2012. Accessed on January 6, 2017

Citations - Evidence

Ackerman 2016 - Ackerman A, Etow A, Bartel S, Ribisl KM. Reducing the density and number of tobacco retailers: Policy solutions and legal issues. Nicotine & Tobacco Research. 2016;19(2):133-140. Accessed on February 8, 2017
Adams 2013 - Adams ML, Jason LA, Pokorny S, Hunt Y. Exploration of the link between tobacco retailers in school neighborhoods and student smoking. Journal of School Health. 2013;83(2):112-118. Accessed on February 9, 2017
AHA-Mozaffarian 2012 - Mozaffarian D, Afshin A, Benowitz NL, et al. Population approaches to improve diet, physical activity, and smoking habits: a scientific statement from the American Heart Association (AHA). Circulation. 2012;126(12):1514–63. Accessed on February 6, 2017
Cantrell 2016* - Cantrell J, Pearson JL, Anesetti-Rothermel A, Xiao H, Kirchner TR, Vallone D. Tobacco retail outlet density and young adult tobacco initiation. Nicotine & Tobacco Research. 2016;18(2):130-137. Accessed on February 9, 2017
Coxe 2014* - Coxe N, Webber W, Burkhart J, et al. Use of tobacco retail permitting to reduce youth access and exposure to tobacco in Santa Clara County, California. Preventive Medicine. 2014;67(Suppl 1):S46-S50. Accessed on February 8, 2017
D'Angelo 2016* - D’Angelo H, Ammerman A, Gordon-Larsen P, et al. Sociodemographic disparities in proximity of schools to tobacco outlets and fast-food restaurants. American Journal of Public Health. 2016;106(9):1556-1562. Accessed on February 9, 2017
Davis 2015a* - Davis B, Grier S. A tale of two urbanicities: Adolescent alcohol and cigarette consumption in high and low-poverty urban neighborhoods. Journal of Business Research. 2015;68(10):2109-2116. Accessed on February 9, 2017
Fakunle 2016* - Fakunle DO, Milam AJ, Furr-Holden CD, et al. The inequitable distribution of tobacco outlet density: The role of income in two Black Mid-Atlantic geopolitical areas. Public Health. 2016;136:35-40. Accessed on February 9, 2017
Frick 2013* - Frick M, Castro MC. Tobacco retail clustering around schools in New York City: Examining “place” and “space.” Health & Place. 2013;19(1):15-24. Accessed on February 9, 2017
Gwon 2017* - Gwon SH, DeGuzman PB, Kulbok PA, Jeong S. Density and proximity of licensed tobacco retailers and adolescent smoking: A narrative review. The Journal of School Nursing. 2017;33(1):18-29. Accessed on February 9, 2017
Jin 2016* - Jin Y, Lu B, Klein EG, Berman M, Foraker RE, Ferketich AK. Tobacco-free pharmacy laws and trends in tobacco retailer density in California and Massachusetts. American Journal of Public Health. 2016;106(4):679-685. Accessed on February 9, 2017
Lipperman-Kreda 2014* - Lipperman-Kreda S, Mair C, Grube JW et al. Density and proximity of tobacco outlets to homes and schools: Relations with youth cigarette smoking. Prevention Science. 2014;15(5):738-744. Accessed on January 6, 2017
Lipperman-Kreda 2016* - Lipperman-Kreda S, Grube JW, Friend KB, Mair C. Tobacco outlet density, retailer cigarette sales without ID checks and enforcement of underage tobacco laws: Associations with youths’ cigarette smoking and beliefs. Addiction. 2016;111(3):525-532. Accessed on February 9, 2017
Loomis 2013* - Loomis BR, Kim AE, Goetz JL, Juster HR. Density of tobacco retailers and its association with sociodemographic characteristics of communities across New York. Public Health. 2013;127(4):333-338. Accessed on February 9, 2017
Myers 2015* - Myers AE, Hall MG, Isgett LF, Ribisl KM. A comparison of three policy approaches for tobacco retailer reduction. Preventive Medicine. 2015;74:67-73. Accessed on February 9, 2017
Novak 2006 - Novak SP, Reardon SF, Raudenbush SW, Buka SL. Retail tobacco outlet density and youth cigarette smoking: A propensity-modeling approach. American Journal of Public Health. 2006;96(4):670–6. Accessed on January 6, 2017
Peterson 2011* - Peterson NA, Yu D, Morton CM, et al. Tobacco outlet density and demographics at the tract level of analysis in New Jersey: A statewide analysis. Drugs: Education, Prevention, and Policy. 2011;18(1):47–52. Accessed on January 6, 2017
PHLC-Licensing and zoning - Tobacco Control Legal Consortium (TCLC). Using licensing and zoning to regulate tobacco retailers: Tips and tools. Saint Paul: Public Health Law Center (PHLC). 2016. Accessed on February 8, 2017
Reitzel 2011 - Reitzel LR, Cromley EK, Li Y, et al. The effect of tobacco outlet density and proximity on smoking cessation. American Journal of Public Health. 2011;101(2):315–20. Accessed on January 6, 2017
Ribisl 2016* - Ribisl KM, Luke DA, Bohannon DL, Sorg AA, Moreland-Russell S. Reducing disparities in tobacco retailer density by banning tobacco product sales near schools. Nicotine & Tobacco Research. 2016;19(2):239-244. Accessed on February 8, 2017
Schleicher 2016* - Schleicher NC, Johnson TO, Fortmann SP, Henriksen L. Tobacco outlet density near home and school: Associations with smoking and norms among US teens. Preventive Medicine. 2016;91:287-293. Accessed on February 9, 2017
Siahpush 2010* - Siahpush M, Jones PR, Singh GK, Timsina LR, Martin J. Association of availability of tobacco products with socio-economic and racial/ethnic characteristics of neighbourhoods. Public Health. 2010;124(9):525–9. Accessed on January 6, 2017

Citations - Implementation

ANR-Tobacco-free pharmacies - Americans for Nonsmokers Rights (ANR). Tobacco-free pharmacies. Accessed on February 9, 2017
CVS-Tobacco-free - CVS Health. Be the first tobacco-free generation. Accessed on February 9, 2017
Jin 2016* - Jin Y, Lu B, Klein EG, Berman M, Foraker RE, Ferketich AK. Tobacco-free pharmacy laws and trends in tobacco retailer density in California and Massachusetts. American Journal of Public Health. 2016;106(4):679-685. Accessed on February 9, 2017
Luke 2016 - Luke DA, Sorg AA, Combs T, et al. Tobacco retail policy landscape: A longitudinal survey of US states. Tobacco Control. 2016;25(Suppl 1):i44-i51. Accessed on February 8, 2017
PDPH-Tobacco retailing - City of Philadelphia, Department of Public Health (PDPH). Commissioner’s Office: Regulation relating to tobacco retailing. Accessed on February 9, 2017
SF Tobacco-free - San Francisco Tobacco-Free. Reducing tobacco retail density in San Francisco. 2016. Accessed on February 9, 2017

Page Last Updated

February 10, 2017

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