RESEARCH PAPER
Adolescents notice fewer tobacco displays after implementation of the point-of-sale tobacco display ban in Finland
 
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1
Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
2
Alcohol, Drugs and Addictions Unit, Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland
3
Program in Public Health, College of Health Sciences, University of California, Irvine, United States
4
Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
5
PERLA - Tampere Centre for Childhood, Youth and Family Research, Tampere University, Tampere, Finland
6
Department of Adolescent Psychiatry, Pitkäniemi Hospital, Tampere University Hospital, Nokia, Finland
CORRESPONDING AUTHOR
Jaana M. Kinnunen   

Faculty of Social Sciences, Health Sciences, P.O. Box 100, FI-33014 Tampere University, Tampere, Finland
Publish date: 2019-02-28
Submission date: 2018-11-05
Final revision date: 2019-01-17
Acceptance date: 2019-02-15
 
Tob. Prev. Cessation 2019;5(February):8
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Finland implemented a point-of-sale (POS) display ban for tobacco products and their trademarks in 2012, and for electronic cigarettes in 2016. In this study we examine whether noticing tobacco products changed among adolescents after the implementation of the display ban and describe the noticing of e-cigarette displays post-implementation.

Methods:
Repeated cross-sectional national survey data of 12- to 16-year-olds from years 2011, 2013, 2015 and 2017 were used. Measures included adolescent self-report on noticing displays of tobacco and e-cigarettes in shops, kiosks and service stations. Adjusting for age, gender, smoking and academic achievement, logistic regression analyses were conducted by retailer type to test the association between survey year and noticing POS tobacco displays.

Results:
The proportions of adolescents noticing tobacco displayed in shops, kiosks and service stations decreased from 2011 to 2013 (from over 80% to about 30%). Between 2013 and 2017, exposure to tobacco displays decreased for kiosks but slightly increased for shops and service stations. However, in all retailer types, rates in 2017 were still well below the pre-ban levels of 2011. In 2017, noticing e-cigarette displays by 12- to16-year-old adolescents was reported by 5.6% in shops, 20.5% in kiosks and 5.1% in service stations.

Conclusions:
The pronounced decline in adolescents’ exposure to tobacco products at POS observed in the current study implies adherence to the ban, as intended by the law. We encourage more countries to enact POS tobacco advertising and display bans, and to enforce the POS regulations to all tobacco products and novel nicotine delivery systems.

ACKNOWLEDGEMENTS
We thank Lasse Pere for preparing the data for the analyses. We also thank the adolescents who participated in the surveys by giving their valuable time
CONFLICTS OF INTEREST
The authors declare that they have no competing interests, financial or otherwise, related to the current work. JM Kinnunen and AH Rimpelä report grants from Ministry of Social Affairs and Health, during the conduct of the study. The rest of the authors have also completed and submitted an ICMJE form for disclosure of potential conflicts of interest.
FUNDING
This work was supported by the Ministry of Social Affairs and Health (proposal numbers 201310055, 201410069, STM/322/2017), Finland, and by the Competitive Research Funding of the Tampere University Hospital (proposal numbers 9M090, 9P041, 9P063, 9S055), Tampere, Finland. The funding bodies had no involvement in the design of the study nor in the collection, analysis, interpretation of data, and in writing the manuscript.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
 
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