Cigarette advertising and promotional strategies in retail outlets: results of a statewide survey in California

Objective-To examine the extent and types of cigarette advertising materials in stores and to assess tobacco company compliance with the 1998 Master Settlement Agreement (MSA). Design-A cross-sectional analysis of a random sample of 586 stores that sold cigarettes. Setting-US state of California. Main outcome measures-Trained data collectors classified cigarette advertising materials by type (signs, displays, functional items), location (interior or exterior), and placement (below 3 feet (1 m) or near candy). Results-California retail outlets featured 17.2 (SD 16.1) tobacco advertising materials on average, and 94% of stores featured at least some advertising. About 85% of these were within 4 feet (1.3 Ill) of the counter. About 50% of the scores had ads at or below 3 feet, and 23% had cigarette to candy. in violation of the MSA, 3% of stores featured signs with cartoons and 11% had large exterior signs. Conclusions-Tobacco companies are aggressively using stores to market cigarettes. Moreover, the spirit of the MSA-to protect children from cigarette advertising-has not been realised. Future studies should monitor industry use of this venue and assess the impact of exposure to cigarette advertising materials in stores on adult smokers and youth.