title: A comparison of the advertising and accessibility of cigars, cigarettes, chewing tobacco, and loose tobacco.
abstract: BACKGROUND
  Tobacco products were compared in regard to their price, point-of-purchase advertising, accessibility to shoplifters, and rate of sale to minors.
  
  
  METHODS
  An experimental design compared the rates of illegal sales to minors of cigarettes, chewing tobacco, and cigars. Observational surveys of 102 stores measured the number of advertisements for four tobacco products, the manner in which products were displayed, and their accessibility to shoplifters.
  
  
  RESULTS
  Illegal sales rates were similar for cigarettes, chewing tobacco, and cigars. Cigars were the least expensive. Cigarettes were the most heavily advertised product, followed by chewing tobacco, cigars, and loose tobacco. Cigarettes were the most accessible to shoplifters. All types of tobacco products were displayed to permit the package to serve as advertising.
  
  
  CONCLUSIONS
  Point-of-purchase advertising for cigars may be increasing, and their lower price makes them more affordable to youths. Food and Drug Administration regulations that limit point-of-purchase advertising for tobacco products should be expanded to include cigars. Manufacturers pay retailers for the placement of product displays that allow the package to be used as an advertisement without the appearance of the Surgeon General's warning. Generic packaging may be necessary to protect children from point-of-purchase advertising.
authors.affiliation: Department of Family Medicine and Community Health, University of Massachusetts Medical Center, Worcester, Massachusetts 01655, USA. joe.difranza@banyan.ummed.edu
authors.forename: J R
authors.initials: JR
authors.lastname: DiFranza
authors.forename: M
authors.initials: M
authors.lastname: Coleman
authors.forename: D
authors.initials: D
authors.lastname: St Cyr
mesh_terms: D000293:Adolescent; D000329:Advertising / Q000331:legislation & jurisprudence; D006801:Humans; D008404:Massachusetts; D010947:Plants, Toxic; D017149:Private Sector / Q000331:legislation & jurisprudence; D011640:Public Policy; D014026:Nicotiana; D014029:Tobacco Use Disorder / Q000517:prevention & control*