Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation

Introduction The state of California has enacted progressive anti-tobacco policies, including Proposition 56 in 2016. In response, the alternative and emerging tobacco product (ATP) industry has increased its political activity. This study explores the association between the proportion of people vo...

Full description

Bibliographic Details
Main Authors: Vidya Purushothaman, Raphael E. Cuomo, Jiawei Li, Tim K. Mackey
Format: Article
Language:English
Published: European Publishing 2023-01-01
Series:Tobacco Prevention and Cessation
Subjects:
Online Access:http://www.tobaccopreventioncessation.com/Examining-the-association-between-California-tobacco-licensed-retail-density-and,156460,0,2.html
_version_ 1797839614816288768
author Vidya Purushothaman
Raphael E. Cuomo
Jiawei Li
Tim K. Mackey
author_facet Vidya Purushothaman
Raphael E. Cuomo
Jiawei Li
Tim K. Mackey
author_sort Vidya Purushothaman
collection DOAJ
description Introduction The state of California has enacted progressive anti-tobacco policies, including Proposition 56 in 2016. In response, the alternative and emerging tobacco product (ATP) industry has increased its political activity. This study explores the association between the proportion of people voting against Proposition 56 and tobacco/ATP retail density. Methods We conducted a retrospective analysis using data on licensed California tobacco retailers, which were then cross-referenced for categorization using Yelp. Proportion voting against Proposition 56 was obtained from the Secretary of State’s website. A series of linear regression tests were performed between populationnormalized retailer density and voting proportion at the county level before and after adjusting for covariates such as age, gender, race/ethnicity and median household income. Results The total number of licensed tobacco retailers increased by 29.31% from 2015 to 2019. Association between proportion voting against Proposition 56 and retail density was significant during voting and during periods of policy implementation and post-implementation (2016–2018) for non-specialized tobacco retailers. For specialized/ATP retailers, significance was only detected during the post-implementation period (2018–2019) after normalization. Proportion voting against Proposition 56 was also a significant predictor of increase in total number of non-specific (β=0.48, p=0.008) as well as specialized tobacco and/or ATP retail storefronts (β=0.21, p=0.001) from 2016 to 2018. Conclusions This study provides initial evidence of the association between tobacco retail density and voting patterns for anti-tobacco policy. Future research should examine the role of tobacco retail density on variation in local support for state tobacco control initiatives, including tailoring outreach to specific voting census blocks in communities with heavy retail presence.
first_indexed 2024-04-09T16:00:51Z
format Article
id doaj.art-856b3ce49cf14276a7dfbf6ae2ede422
institution Directory Open Access Journal
issn 2459-3087
language English
last_indexed 2024-04-09T16:00:51Z
publishDate 2023-01-01
publisher European Publishing
record_format Article
series Tobacco Prevention and Cessation
spelling doaj.art-856b3ce49cf14276a7dfbf6ae2ede4222023-04-25T11:26:55ZengEuropean PublishingTobacco Prevention and Cessation2459-30872023-01-019January11110.18332/tpc/156460156460Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislationVidya Purushothaman0Raphael E. Cuomo1Jiawei Li2Tim K. Mackey3https://orcid.org/0000-0002-2191-7833Department of Anesthesiology, University of California, San Diego School of Medicine, San Diego, United StatesDepartment of Anesthesiology, University of California, San Diego School of Medicine, San Diego, United StatesGlobal Health Policy and Data Institute, San Diego, United StatesGlobal Health Policy and Data Institute, San Diego, United StatesIntroduction The state of California has enacted progressive anti-tobacco policies, including Proposition 56 in 2016. In response, the alternative and emerging tobacco product (ATP) industry has increased its political activity. This study explores the association between the proportion of people voting against Proposition 56 and tobacco/ATP retail density. Methods We conducted a retrospective analysis using data on licensed California tobacco retailers, which were then cross-referenced for categorization using Yelp. Proportion voting against Proposition 56 was obtained from the Secretary of State’s website. A series of linear regression tests were performed between populationnormalized retailer density and voting proportion at the county level before and after adjusting for covariates such as age, gender, race/ethnicity and median household income. Results The total number of licensed tobacco retailers increased by 29.31% from 2015 to 2019. Association between proportion voting against Proposition 56 and retail density was significant during voting and during periods of policy implementation and post-implementation (2016–2018) for non-specialized tobacco retailers. For specialized/ATP retailers, significance was only detected during the post-implementation period (2018–2019) after normalization. Proportion voting against Proposition 56 was also a significant predictor of increase in total number of non-specific (β=0.48, p=0.008) as well as specialized tobacco and/or ATP retail storefronts (β=0.21, p=0.001) from 2016 to 2018. Conclusions This study provides initial evidence of the association between tobacco retail density and voting patterns for anti-tobacco policy. Future research should examine the role of tobacco retail density on variation in local support for state tobacco control initiatives, including tailoring outreach to specific voting census blocks in communities with heavy retail presence.http://www.tobaccopreventioncessation.com/Examining-the-association-between-California-tobacco-licensed-retail-density-and,156460,0,2.htmlregression analysishealth policyecological epidemiologytobacco researchtobacco retailers
spellingShingle Vidya Purushothaman
Raphael E. Cuomo
Jiawei Li
Tim K. Mackey
Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation
Tobacco Prevention and Cessation
regression analysis
health policy
ecological epidemiology
tobacco research
tobacco retailers
title Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation
title_full Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation
title_fullStr Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation
title_full_unstemmed Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation
title_short Examining the association between California tobacco licensed retail density and public support or opposition to state anti-tobacco legislation
title_sort examining the association between california tobacco licensed retail density and public support or opposition to state anti tobacco legislation
topic regression analysis
health policy
ecological epidemiology
tobacco research
tobacco retailers
url http://www.tobaccopreventioncessation.com/Examining-the-association-between-California-tobacco-licensed-retail-density-and,156460,0,2.html
work_keys_str_mv AT vidyapurushothaman examiningtheassociationbetweencaliforniatobaccolicensedretaildensityandpublicsupportoroppositiontostateantitobaccolegislation
AT raphaelecuomo examiningtheassociationbetweencaliforniatobaccolicensedretaildensityandpublicsupportoroppositiontostateantitobaccolegislation
AT jiaweili examiningtheassociationbetweencaliforniatobaccolicensedretaildensityandpublicsupportoroppositiontostateantitobaccolegislation
AT timkmackey examiningtheassociationbetweencaliforniatobaccolicensedretaildensityandpublicsupportoroppositiontostateantitobaccolegislation