A Cross-Sectional Study of Tobacco Advertising, Promotion, and Sponsorship in Airports across Europe and the United States

Andrea Soong, Ana Navas-Acien, Yuanjie Pang, Maria Jose Lopez, Esther Garcia-Esquinas, Frances A Stillman, Andrea Soong, Ana Navas-Acien, Yuanjie Pang, Maria Jose Lopez, Esther Garcia-Esquinas, Frances A Stillman

Abstract

Tobacco advertising, promotion, and sponsorship (TAPS) bans are effective and are increasingly being implemented in a number of venues and countries, yet the state of TAPS in airports and their effect on airport smoking behavior is unknown. The objective of this study was to evaluate the presence of TAPS in airports across Europe and the US, and to begin to examine the relationship between TAPS and smoking behaviors in airports. We used a cross-sectional study design to observe 21 airports in Europe (11) and the US (10). Data collectors observed points of sale for tobacco products, types of products sold, advertisements and promotions, and branding or logos that appeared in the airport. Tobacco products were sold in 95% of all airports, with significantly more sales in Europe than the US. Advertisements appeared mostly in post-security areas; however, airports with advertisements in pre-security areas had significantly more smokers observed outdoors than airports without advertisements in pre-security areas. Tobacco branding appeared in designated smoking rooms as well as on non-tobacco products in duty free shops. TAPS are widespread in airports in Europe and the US and might be associated with outdoor smoking, though further research is needed to better understand any relationship between the two. This study adds to a growing body of research on tobacco control in air transit and related issues. As smoke-free policies advance, they should include comprehensive TAPS bans that extend to airport facilities.

Keywords: environmental/occupational health; promotion and sponsorship (TAPS); secondhand smoke; smoke-free policy; tobacco advertising.

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Presence of TAPS in airports in Europe and the US observed in either pre- or post-security locations, 2014 *. , Present; , Not present. * Note: Because cigarettes are the most commonly used form of tobacco, the first two data columns depict their presence in pre- and post-security location separately; all other columns depict presence of the product/advertisement in either pre- or post-security location.
Figure 2
Figure 2
Selected photos from airport observations, 2014. (a) Munich airport shopping baskets; (b) Munich airport smoking lounge; (c) Dulles airport promotion; (d) Madrid airport promotion; (e) Madrid airport tobacco product display; (f) Brussels airport tobacco retail shop.

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Source: PubMed

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