Spat Spatiotemporal Epidemiol - The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia.

Tópicos

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Resumo

M: We explored the association between the density of tobacco outlets and neighbourhood socioeconomic status, and between neighbourhood tobacco outlet density and individual smoking status. We also investigated the density of tobacco outlets around primary and secondary schools in New South Wales (NSW).METHODS: We calculated the mean density of retail tobacco outlets registered in NSW between 2009 and 2011, using kernel density estimation with an adaptive bandwidth. We used generalised ordered logistic regression model to explore the association between socioeconomic status and density of tobacco outlets. The association between neighbourhood tobacco outlet density and individuals' current smoking status was investigated using random-intercept generalised linear mixed models. We also calculated the median tobacco outlet density around NSW schools.RESULTS: More disadvantaged Census Collection Districts (CDs) were significantly more likely to have higher tobacco outlet densities. After adjusting for neighbourhood socioeconomic status and participants' age, sex, country of birth and Aboriginal status, neighbourhood mean tobacco outlet density was significantly and positively associated with individuals' smoking status. The median of tobacco outlet density around schools was significantly higher than the state median.CONCLUSION: Policymakers could consider exploring a range of strategies that target tobacco outlets in proximity to schools, in more disadvantaged neighbourhoods and in areas of existing high tobacco outlet density.

Resumo Limpo

m explor associ densiti tobacco outlet neighbourhood socioeconom status neighbourhood tobacco outlet densiti individu smoke status also investig densiti tobacco outlet around primari secondari school new south wale nswmethod calcul mean densiti retail tobacco outlet regist nsw use kernel densiti estim adapt bandwidth use generalis order logist regress model explor associ socioeconom status densiti tobacco outlet associ neighbourhood tobacco outlet densiti individu current smoke status investig use randomintercept generalis linear mix model also calcul median tobacco outlet densiti around nsw schoolsresult disadvantag census collect district cds signific like higher tobacco outlet densiti adjust neighbourhood socioeconom status particip age sex countri birth aborigin status neighbourhood mean tobacco outlet densiti signific posit associ individu smoke status median tobacco outlet densiti around school signific higher state medianconclus policymak consid explor rang strategi target tobacco outlet proxim school disadvantag neighbourhood area exist high tobacco outlet densiti

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