Associations of tobacco retailer availability with chronic obstructive pulmonary disease related hospital outcomes, United States, 2014. (January 2021)

• Record Type: Journal Article
• Authors: Kong, Amanda Y.; Baggett, Christopher D.; Gottfredson, Nisha C.; Ribisl, Kurt M.; Delamater, Paul L.; Golden, Shelley D.
• Is Part Of: Health & place. Volume 67(2021)
• Publication Date: 2021-01
• Subjects: Tobacco retailer availability -- Tobacco retailer density -- Chronic obstructive pulmonary disease -- Hospital discharge; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2020.102464
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: 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. Highlights: Higher tobacco retailer density is associated with a higher COPD discharge rate. Higher retailer density is also associated with higher COPD health care costs. Retailer-based regulations may help reduce tobacco use and related health problems.