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      Retail pharmacy policy to end the sale of tobacco products: what is the impact on disparity in neighborhood density of tobacco outlets?

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          Abstract

          Background

          Population-level research on the implications of retail pharmacy policies to end the sale of tobacco products is scant, and the impact of such policies on racial/ethnic and socioeconomic disparities across neighborhoods in access to tobacco products remains unexplored.

          Methods

          We investigated the association between neighborhood sociodemographic characteristics and tobacco retail density in Rhode Island (RI) (N=240 census tracts). We also investigated whether the CVS Health (N=60) policy to end the sale of tobacco products reduces the disparity in the density of tobacco retail across neighborhoods, and we conducted a prospective policy analysis to determine if a similar policy change in all pharmacies in RI (N=135) would reduce the disparity in tobacco retail density.

          Results

          The results revealed statistically significant associations between neighborhood sociodemographic characteristics and tobacco retail outlet density across RI neighborhoods. The results when excluding the CVS Health locations, as well as all pharmacies as tobacco retailers, revealed no change in the pattern for this association.

          Conclusions

          The results of this study suggest that while a commendable tobacco control policy, the CVS Health policy appears to have no impact on the neighborhood racial/ethnic and socioeconomic disparities in the density of tobacco retailers in RI. Prospective policy analyses showed no impact on this disparity even if all other pharmacies in the state adopted a similar policy

          Impact

          Policy efforts aimed at reducing the disparity in access to tobacco products should focus on reducing the density of tobacco outlets in poor and racial/ethnic neighborhoods.

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          Author and article information

          Journal
          9200608
          2299
          Cancer Epidemiol Biomarkers Prev
          Cancer Epidemiol. Biomarkers Prev.
          Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
          1055-9965
          1538-7755
          4 February 2016
          14 June 2016
          September 2016
          01 September 2017
          : 25
          : 9
          : 1305-1310
          Affiliations
          [1 ]Center for Community Based Research, Dana-Farber Cancer Institute
          [2 ]Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health
          [3 ]Department of Epidemiology, Harvard T.H. Chan School of Public Health
          [4 ]Department of Environmental Health, Harvard T.H. Chan School of Public Health
          [5 ]Lombardi Comprehensive Cancer Center, Georgetown University Medical Center
          Author notes
          Corresponding Author: Reginald D. Tucker-Seeley, Dana-Farber Cancer Institute, Center for Community Based Research, 450 Brookline Ave, LW 743, Boston, MA 02215, Phone: 617-582-8321, Fax: 617-394-2915, retucker@ 123456hsph.harvard.edu
          Article
          PMC5010482 PMC5010482 5010482 nihpa756211
          10.1158/1055-9965.EPI-15-1234
          5010482
          27302724
          8432b285-ea85-4f35-87da-07efc0f50b89
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          Article

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