SAVI Community Trends Report: Unequal Access Tobacco Epidemic Report 2017 FINAL - Page 11

Mapping tobacco access in the Indianapolis metropolitan area has revealed that vulnerable populations have far more retail access to tobacco than do other segments of the population . Because tobacco use is such a big problem in our city , we must continue to identify cross-sector opportunities for addressing disparities in tobacco use and access and to work together toward change in the policy environment .
Limitations
Available state data tell us the locations that have legal certificates to sell tobacco , but the data do not reveal if any of these outlets do not sell tobacco even though they have certificates . There is currently no publically available source of data on actual tobacco sales . Tobacco retailers are not required to report this information . Tobacco tax certificates cannot be used to track tobacco sales , as these are sold to the distributors versus the retailers . Private marketing firms generate and sell estimates based on surveys and audits . We did not purchase those for the purpose of this analysis . Our measures of tobacco retail access do not account for growing Internet e-cigarette sales or access via other vehicles besides commercial retail location .
In our access measurements , we did not control for population density . It is possible that in more sparsely populated areas , distances considered accessible ( i . e ., considered reasonable to travel for a tobacco purchase ) are much greater than those in higher density areas ( e . g ., the urban core ).
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About the analysis
In our analysis , we derived tobacco access for census tracts in the Indianapolis Metropolitan Statistical Area ( MSA ) through the calculation of density and accessibility of licensed tobacco retail outlets . We obtained the location of 2017 licensed outlets from the Indiana State Department of Health . We used five-year population estimates by census tracts for 2010-2014 , from the American Community Survey . For additional caution , we tested the results for significance to ensure the differences between the means for each indicator in each access group were not the result of random occurrence . ( See Appendix B .)
About the authors
This analysis and article were prepared by a team from the Polis Center : Karen F . Comer , MLA ; Kelly Davila , MA ; Debra Hollon , MBA ; and Matt Nowlin , MP .
Special thanks to faculty and staff at the IU Richard M . Fairbanks School of Public Health for their contributions , including Paul Halverson , PhD ; Sue Hancock , MPH ; and Katy Ellis , MPH for report review and input and to Josh Vest , PhD , for methodology review .
Special thanks also to Joe Gibson , PhD , and David Broyles , MPH , of the Marion County Public Health Department , and to Allison Meyers , MPH , PhD , Counter Tools , for their expert review .
About the analysis In our analysis, we derived tobacco access for census tracts in the India- napolis Metropolitan Statistical Area (MSA) through the calculation of density and accessibility of licensed tobacco retail outlets. We obtained the location of 2017 licensed outlets from the Indiana State Department of Health. We used five-year popu- lation estimates by census tracts for 2010-2014, from the American Com- munity Survey. For additional caution, we tested the results for significance to ensure the differences between the means for each indicator in each access group were not the result of random occurrence. (See Appendix B.) Mapping tobacco access in the Indianapolis metro ƗF&V2&WfVVBFBgVW&&PVF2fRf"&R&WF66W72FF&66FFFW"6VvVG2bFPVF&V6W6RF&66W6R27V6&r&&VW"6GvRW7B6FVPFFVFg7&726V7F"'GVFW2f FG&W76rF7&FW2F&66W6R@66W72BFv&FvWFW"Fv&B6vPFRƖ7Vf&VB&WBFRWF'0F2Ǘ62B'F6RvW&P&W&VB'FVg&FRƗ06VFW#&Vb6W"VǐFfFV'&$BGBvƖƖ֗FF0f&R7FFRFFFVW2FR6F2F@fRVv6W'Ff6FW2F6VF&66'W@FRFFFB&WfVbbFW6RWFWG0FB6VF&66WfVFVvFWfP6W'Ff6FW2FW&R27W'&VFǒV&Ɩ6ǐf&R6W&6RbFF7GVF&666W2F&66&WFW'2&RB&WV&VBF&W'BF2f&FF&66F6W'Ff6FW06B&RW6VBFG&6F&666W22FW6P&R6BFFRF7G&'WF'2fW'7W2FR&WFW'2&fFR&WFrf&2vVW&FRB6VW7FЦFW2&6VB7W'fW2BVFG2vRFB@W&66RF6Rf"FRW'6RbF2Ǘ62W"V7W&W2bF&66&WF66W72F@66VBf"w&vrFW&WBR6v&WGFR6W0"66W72fFW"fV6W2&W6FW26W&6&WF6F7V6F2Ff7VGB7Ff`BFRR&6&Bf&&266bV&Ɩ2VFf"FV"6G&'RЧF26VFrVfW'6C7VR66BGVƗ2f"&W'B&WfWr@WBBF6fW7BBf WFFw&WfWr7V6F26FRv'6BBFfB'&W2`FR&6VGV&Ɩ2VFFW'FVBBFƗ6WW'2B6VFW"F2f"FV WW'B&WfWrखW"66W72V7W&VVG2vRFBB6G&f"VFFV6GB276&RFB&R7'6VǒVFVB&V2F7F6W26Ч6FW&VB66W76&RR66FW&VB&V6&PFG&fVf"F&66W&66R&RV6w&VFW"FF6RvW"FV6G&V0RrFRW&&6&R