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- Amanda Y Kong, Christopher D Baggett, Nisha C Gottfredson, Kurt M Ribisl, Paul L Delamater, and Shelley D Golden.
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, Chapel Hill, NC 27599-7440, USA. Electronic address: akong2@live.unc.edu.
- Health Place. 2021 Jan 1; 67: 102464.
AbstractThere are associations between tobacco retailer density and smoking behaviors, but little is known about whether places with more tobacco retailers have more smoking-related health problems. Using cross-sectional data from 2014, we investigated the relationships between tobacco retailer density and chronic obstructive pulmonary disease (COPD) related outcomes in a sample of 1510 counties across the United States. Higher retailer density was associated with a 19% (IRR, 1.19; 95% CI, 1.12-1.27) higher COPD-related hospital discharge rate and 30% (IRR, 1.30; 95% CI 1.21-1.39) higher total COPD-related hospital costs per population. The tobacco retailer environment may be an important target for reducing smoking-related health burdens and costs.Copyright © 2020 Elsevier Ltd. All rights reserved.
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