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The neighbourhood effects of geographical access to tobacco retailers on individual smoking behaviour

Pearce, Jamie, Hiscock, Rosemary, Moon, Graham and Barnett, Ross (2009) The neighbourhood effects of geographical access to tobacco retailers on individual smoking behaviour Journal of Epidemiology & Community Health, 63, (1), pp. 69-77. (doi:10.1136/jech.2007.070656).

Record type: Article


Objective: To investigate whether neighbourhood measures of geographical accessibility to outlets selling tobacco (supermarkets, convenience stores and petrol stations) are associated with individual smoking behaviour in New Zealand.

Methods: Using Geographical Information Systems, travel times from the population-weighted centroid of each neighbourhood to the closest outlet selling tobacco were calculated for all 38,350 neighbourhoods across New Zealand. These measures were appended to the 2002/03 New Zealand Health Survey; a national survey of 12,529 adults. Two-level logistic regression models were fitted to examine the effects of neighbourhood locational access upon individual smoking behaviour after controlling for potential individual- and neighbourhood-level confounding factors, including deprivation and urban/rural status.

Results: After controlling for individual-level demographic and socioeconomic variables, individuals living in the quartiles of neighbourhoods with the best access to supermarkets (OR
1.23, 95% CI 1.06-1.42) and convenience stores (OR 1.19, 95% CI 1.03-1.38) had a higher odds of smoking compared to individuals in the worst access quartiles. However, the
association between neighbourhood accessibility to supermarkets and convenience stores was not apparent once other neighbourhood-level variables (deprivation and rurality) were included.

Conclusions: At the national level, there is little evidence to suggest that after adjustment for neighbourhood deprivation better locational access to tobacco retail provision in New Zealand is associated with individual-level smoking behaviour.

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More information

Published date: January 2009
Organisations: Economy Culture & Space, PHEW – P (Population Health)


Local EPrints ID: 64029
ISSN: 0143-005X
PURE UUID: 28e0e488-dc9f-4f2a-83ea-d4430ac50abb
ORCID for Graham Moon: ORCID iD

Catalogue record

Date deposited: 08 Dec 2008
Last modified: 17 Jul 2017 14:14

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