We reviewed and critically appraised the evidence documenting the association between density or proximity of tobacco retail outlets and smoking behaviours among school-age youth (18 and under), between 1 January 1990 and 21 October 2019. We reviewed original quantitative research that examined the associations of tobacco retail outlet density and proximity with individual smoking status or population-level smoking prevalence; initiation of smoking; frequency of tobacco use; sales to minors; purchasing by minors; susceptibility to smoking among non-smokers; perceived prevalence of smoking, and quitting behaviours.
Thirty-five peer-reviewed papers met the inclusion criteria. This review provided evidence of a relationship between density of tobacco retail outlets and smoking behaviours, particularly for the density near youths\' home. A study using activity spaces also found a significant positive association between exposure to tobacco retail outlets and daily tobacco use. The review did not provide evidence of an association between the proximity of tobacco retail outlets to homes or schools and smoking behaviours among youth.
The existing evidence supports a positive association between tobacco retail outlet density and smoking behaviours among youth, particularly for the density near youths\' home. This review provides evidence for the development and implementation of policies to reduce the density of tobacco retail outlets to reduce smoking prevalence among youth.
我们审查并批判性地评估了记录烟草零售店密度或邻近度与学龄青年(18岁及以下)吸烟行为之间关联的证据,1990年1月1日至2019年10月21日。我们回顾了原始的定量研究,这些研究检查了烟草零售店密度和接近度与个人吸烟状况或人群吸烟流行率之间的关系;开始吸烟;烟草使用频率;向未成年人销售;未成年人购买;非吸烟者对吸烟的敏感性;吸烟的感知患病率,和放弃行为。
35篇同行评审论文符合纳入标准。这篇评论提供了烟草零售店密度与吸烟行为之间关系的证据,特别是对于年轻人家附近的密度。一项使用活动空间的研究还发现,烟草零售店的暴露与日常烟草使用之间存在显着的正相关关系。审查没有提供证据表明烟草零售店与家庭或学校的距离与年轻人的吸烟行为之间存在关联。
现有证据支持烟草零售店密度与青少年吸烟行为之间的正相关关系,特别是对于年轻人家附近的密度。这篇综述为制定和实施降低烟草零售店密度的政策以降低青少年吸烟率提供了证据。