War in the Store Elsa Larson PhD MS Program Evaluator Senior Public Health Epidemiologist Rhode Island Department of Health Tobacco Control Program Q Whats the big deal A Health Equity and Social Justice ID: 915451
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Slide1
Slide2Data to Action:
How to Use Local Data to Fight the “War in the Store”
Elsa Larson, PhD, MSProgram Evaluator | Senior Public Health EpidemiologistRhode Island Department of HealthTobacco Control Program
Slide3Q.
What’s the big deal? A. Health Equity and Social Justice! The tobacco industry spends $1 million/hour to market products in the US. In Rhode Island, tobacco industry spends $25 million/year to market products.Today, tobacco marketing…..
happens mostly in the storeincreases youth use and stops people from quitting (adults, too).targets low-income and minority neighborhoods Also targets YOUTH – how?
Slide4Where do you see tobacco marketing?
TOBACCO INDUSTRY TACTICS:Flavored tobacco productsLittle cigars, e-cigs, hookahCheap productsAds inside and outside the storeDOES IT WORK?
90% of smokers start before 187 out of 10 US youth who use tobacco used a flavored productIn RI, 27% of HS youth use some type of tobacco.
4.8
% of HS students smoke cigarettes, but 19.3% used
e-cigarettes
Youth exposed to more marketing:
s
moke morethink smoking is less harmfulthink smoking is normal or cool
Slide5What is already known about RI’s retail
environment?~1300 licensed tobacco retailers concentrated in urban areasLower-income neighborhoods more likely to be exposed to:Higher retail densityMore price promotions
More convenience storesMore retailers near schoolsRhode Island Model Policy restricts the sale of flavored products and price promotions (Providence, Central Falls, Woonsocket)
Slide6Interventions through local policy
Program Goal:Reduce exposure to tobacco marketing and products ↓Prevent tobacco initiation among youthSTRATEGY: Change the retail environment through local policiesRestrict flavored products, restrict discounted products
Restrict exterior advertisingReduce the number of stores allowed to sell tobaccoPlace products out of sight or out of reachRequire a local tobacco retail license….
Slide7L
ocal data mattersState-level data are great, but local data are compelling.You can….Monitor tobacco industry marketing in YOUR communityDescribe the problem to YOUR decision-makersUse data to support the most relevant policies for your city/townUse data to tell your story
Collect credible evidence through tools like STARS
Slide8Slide9What is STARS?
Standardized Tobacco Assessment for Retail SettingsNational tool developed by Stanford Prevention Research Center Used in stores with a tobacco retail licenseRIDOH will provide training and TA
Slide1020
questions, ≈10 minutesFront and back; paper and pencilTasks include assessing the following:
Six types of tobacco productsAdvertisements (inside and outside the store)
P
lacement
of products and ads in the store
Price
promotions for tobacco products
STARS
Slide11Product overview
Slide12Flavor
examplesFruit or sweetLiquorMintApple (green, wild)
CherryChocolateCinnamonCreamGrape (white, red) HoneyJava
Peach
Spice
Strawberry
Sweet
Vanilla
Bourbon CognacMargarita Peach schnapps
Pina
Colada
Spiced Rum
Whiskey
Wine
Wine grape
Fresh
Frost
Menthol
Peppermint
Spearmint
Wintergreen
Winterchill
Tobacco product flavors
Tobacco products come in a variety of flavors
Tobacco products that can be flavored include cigarillos/little cigars, large cigars, chew, snuff, dip or
snus
, and e-cigarettes
The only flavored cigarettes are menthol cigarettes
You do not need to tell the difference between flavor types (e.g. fruit, liquor) – you only need to find one flavor of any type
Follow along in your pocket guide
Note:
these are only examples of flavors and not an exhaustive list
Slide13Examples of flavored cigarillos/little cigars
Note:
Cigarillos/little cigars that are labeled “sweet” are considered flavored
Slide14Examples of flavored chew, snuff, dip and snus
Slide15Examples of flavored e-cigarettes
Tobacco is not considered flavors
Examples of flavored e-cigarettes
Slide166.
Which products are advertised outside the store (on windows/doors, buildings, sidewalk or elsewhere)?
Follow along in your pocket guide
Select
Yes
for each tobacco product advertised outside the store
If there are no exterior advertisements for a tobacco product, select
No
Slide17Advertisements are
Intended to sell products
Branded (name or logo
)
Displayed as a sign,
poster,
banner or neon light
With or
without
price
Printed, not hand-written
Can have hand-written price information
Slide1812a & 12b. Any cigarettes or menthol cigarettes sold here?
Select Yes if cigarettes (any kind) or menthol cigarettes are sold at the storeIf cigarettes or menthol cigarettes are usually sold but are currently “out of stock,” select Yes If there are no cigarettes or menthol cigarettes sold at the store, select NoPlease ask the cashier in stores where tobacco products are not visible to customers
Slide19Mints also count but
energy drinks and bottled soda are excludedLook carefully at the cigarette display12 inches is roughly equal to two hand lengths Do not count cigarette advertisements near toys, candy, etc.Select Yes if any cigarette (menthol or non-menthol) is within 12 inches of question items
If there are no cigarettes (menthol or non-menthol) within 12 inches of question items, select No12c. Any cigarettes (menthol or non-menthol) within 12 inches of toys, candy, gum, slushy/soda machines or ice cream?
Follow along in your pocket guide
Within 12 inches
Slide2012d
. Product ad (menthol or non-menthol) within 3 feet of floor? Look on door, near counter and around store entrance Do not include advertisements outside of the store (e.g., sidewalk signs) or behind the counterSelect Yes if any cigarette (menthol or non-menthol) advertisement is within 3 feet of floor If there are no cigarette (menthol or non-menthol) advertisements within 3 feet of floor, select No
Follow along in your pocket guide
Within 3 feet of floor
Slide2112e
& 12f. Any cigarette or menthol cigarette price promotions?Select Yes if there is a visible cigarette or menthol cigarette price promotion inside or outside the store If there are no cigarette or menthol cigarette price promotions inside or outside the store, select No
Slide22Focus on one product at a time
Work down the columns
(e.g.,
13a-13h) to answer the questions
As you become more familiar with this form you may develop your own method for answering the questions
The next set of slides addresses the following concepts:
Advertised for less than $1
Self-service display
Cross-product promotion with cigarettes
13a
–
16i:
Other products
16
15
14
13
Slide23Examples of cigarillo/little cigar price promotions
Slide24Examples of e-cigarette price promotions
Slide2513d. Advertised for less than $1?
Include cigarillos/little cigars in packs and singles Select Yes if there is any cigarillo/little cigar advertised for less than $1 (select NO if not)
Slide2613g, 14g, & 16g. Self-service display?
Displayed so customers can take tobacco product instead of asking clerk for assistanceThe opening must face the customerDo not include Products that face the customer but that are behind the counterProducts that are on the counter but are protected by a display caseCigarettes (menthol or non-menthol), chew, snuff, dip or snus that are self-service
Slide27Field notes & photo opportunity
Take any necessary notes in this section while completing the store observationCheck box if a photo at the store:Could be useful to illustrate results, to interest the public, or to educate policy makersIllustrates a local priority issue (e.g., tobacco products near candy)Good examples for training
Slide28RI STARS Preliminary Results: 2016
16 cities/towns completed STARS75 youth and adults trained in data collection through 6 trainings23% of all retailers surveyed (302/1305)Surveys took less than 10 minutes
Slide29RI STARS Preliminary Results: 2016
47% of observed stores were convenience stores52% had exterior advertising25% placed tobacco next to candy or toys35% sold little cigars/cigarillos <$1.0081% sold little cigars/cigarillos (59% sold flavored little cigars/cigarillos)
67% sold e-cigs (55% sold flavored e-cigs)What are the key messages here?
Slide30RI STARS Preliminary Results: 2016
4 focus groups with 30 data collectors conducted after data collectionCustomized 2-page reports for each city/townGIS maps examine tobacco retailer density and retailer proximity to schoolsRIDOH submitted abstract to CDC’s National Conference on Smoking or Health in March 2017.
Slide31Slide32Slide33Slide34Slide35Data to Action Examples
STARS data used by partners to support policy change:Woonsocket Central Falls West Warwick STARS data used to educate and inform the community:Pawtucket video and poetry slamBay Team media insert in 4 cities/towns
Slide36Data to Action Goals
Goal: 39/39 cities and towns use STARS by 2018!Goal: Produce more success stories about data in action!Goal: Use data to mobilize more youth and decision-makers (add data to your story!)
Slide37Want to try STARS?
Contact Geri Guardino, MPAPolicy AnalystTobacco Control ProgramRhode Island Department of Health401-222-3044geri.guardino@health.ri.gov