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NTP Carcinogenesis Bioassay of Propyl Gallate (CAS No. 121-79-9) in F344/N Rats and B6C3F1 Mice (Feed Study).

Propyl gallate is a white to nearly white odorless powder having a slightly bitter taste. Solutions of propyl gallate turn dark in the presence of iron or iron salts. Propyl gallate has been used since 1948 as an antioxidant to stabilize cosmetics, food packaging materials, and foods containing fats. As an additive, it may be found in edible fats, oils, mayonnaise, shortening, baked goods, candy, dried meat, fresh pork sausage, and dried milk, and it is used in hair grooming products, pressure-sensitive adhesives, lubricating oil additives, and transforming oils. A NTP Carcinogenesis bioassay of propyl gallate was conducted by feeding diets containing 6,000 or 12,000 ppm propyl gallate to groups of 50 F344/N rats and 50 B6C3F1 mice of each sex for 103 weeks. Groups of 50 untreated rats and 50 untreated mice of each sex served as controls. Survival of rats and mice was not adversely affected by propyl gallate, but mean body weights of dosed rats and mice of each sex were lower than those of the controls. At 104 weeks, mean body weights of low-and high-dose rats were 4% and 8% lower than those of the controls for males and 11% and 19% lower than those of the controls for females. Similarly, mean body weights of low-and high-dose mice were 5% and 8% lower than those of the controls for males and 11% (both dose groups) lower than those of the controls for females. Thyroid follicular-cell adenomas or carcinomas (combined) occurred in male rats with a statistically significant (P<0.05) positive trend, but the incidences in the dosed groups were not statistically significant in direct comparisons with the control groups. Moreover, the incidence of high-dose male rats with follicular-cell tumors (3/50, 6%) was not statistically different from the historical control rate (14/584, 2.4%) for the laboratory that conducted this bioassay. Rare tumors (an astrocytoma or a glioma) were found in the brains of two low-dose female rats. The incidence of all brain tumors in the Bioassay Program is only 0.86%. The absence of this tumor in the high-dose female rat group reduces the likelihood that this tumor is related to propyl gallate administration. Increased incidences of hepatic cytoplasmic vacuolization and suppurative inflammation of the prostate were observed in dosed male rats. These findings were considered to be related to administration of propyl gallate. Tumors (mostly benign) of the preputial gland, islet-cell tumors of the pancreas, and pheochromocytomas of the adrenal gland were observed with significantly (P<0.05) higher incidences in the low- dose male rats, but there was little evidence of an effect in the high-dose group. The incidences of male rats with tumors of the preputial gland were 1/50 (2%) for controls, 8/50 (16%) for the low-dose, and 0/50 (0%) for the high-dose group. Islet-cell tumors of the pancreas occurred in 2/50 (4%) control males, 9/50 (18%) low-dose males, and 4/50 (8%) for high-dose males. Pheochromocytomas of the adrenal gland were observed in 4/50 (8%) control males, 13/48 (25%) low-dose males, and 8/50 (16%) high-dose males. Negative trends (P<0.05) were observed for leukemia in male rats (16/50, 7/50, 6/50) and for fibroadenomas of the mammary gland in female rats (11/50, 2/50, 5/50). In male mice, malignant lymphoma was observed with a significantly (P</=0.014) positive trend (control, 1/50, 2%; low-dose, 3/49, 6%; high-dose, 8/50, 16%), and the incidence in the high-dose group was significantly (P</=0.028) higher than that observed in the concurrent controls. However, the high-dose incidence was not statistically different from the historical rate (60/640, 9.4%) for the laboratory that conducted this bioassay. Adenomas of the liver in female mice occurred with a statistically significant (P</=0.022) positive trend, and the incidence in the high-dose group was significantly (P</=0.039) higher than that of the controls (0/50, 0%; 2/50, 4%; 5/49, 10%). The incidences of hepatocellular adenomas or carcinomas (combined) were similar in control and dosed groups (3/50, 6%; 3/50, 6%; 5/49, 10%). Negative&percnt;; 2/50, 4&percnt;; 5/49, 10&percnt;). The incidences of hepatocellular adenomas or carcinomas (combined) were similar in control and dosed groups (3/50, 6&percnt;; 3/50, 6&percnt;; 5/49, 10&percnt;). Negative trends (P<0.05) were obtained for fibromas of the skin or subcutaneous tissue in male mice (5/50, 1/49, 0/50). Under the conditions of this bioassay, propyl gallate was not considered carcinogenic for F344/N rats, although there was evidence of an increased proportion of low-dose male rats with preputial gland tumors, islet-cell tumors of the pancreas, and pheochromocytomas of the adrenal glands; rare tumors of the brain occurred in two low-dose females. Propyl gallate was not considered to be carcinogenic for B6C3F1 mice of either sex, although the increased incidence of malignant lymphoma in male mice may have been related to the dietary administration of propyl gallate. Levels of Evidence of Carcinogenicity: Male Rats: Equivocal Female Rats: Negative Male Mice: Equivocal Female Mice: Negative Synonyms: 2,4,5 trihydroxybenzoic acid propyl ester; gallic acid propyl ester; Progallin P; Tennox PG

Journal Article↗

Dietary determinants of dental caries and dietary recommendations for preschool children.

OBJECTIVES: The purpose of this review, commissioned by the Administration for Children and Families, the Health Resources and Services Administration, the Health Care Financing Administration, and the Department of Agriculture's Food and Nutrition Service, was to update the evidence of the dietary factors that affect dental caries, and subsequently formulate dietary recommendations for preschool children based on principles of cariology. METHODS: Literature on the dental caries process, dietary factors affecting dental caries initiation and progression, nutrition education and counseling were reviewed and synthesized. Dietary guidelines for children at various ages were then constructed based on the review. RESULTS: Dental caries in preschool children is due to a combination of factors, including colonization of teeth with cariogenic bacteria, type of foods and frequency of exposure of these foods to the cariogenic bacteria, and susceptible teeth. Caries risk is greatest if sugars are consumed at high frequency and are in a form that is retained in the mouth for long periods. Sucrose is the most cariogenic sugar because it can form glucan that enables firm bacterial adhesion to teeth and limits diffusion of acid and buffers in the plaque. There is emerging interest in the effects of tooth development and its role in the future dental caries risk of the child. CONCLUSIONS: Nutrition education and counseling for the purposes of reducing caries in children is aimed at teaching parents the importance of reducing high frequency exposures to obvious and hidden sugars. Guidelines include: avoiding frequent consumption of juice or other sugar containing drinks in bottle or sippy cup; discouraging the behavior of a child sleeping with a bottle; promoting non-cariogenic foods for snacks; fostering eating patterns consistent with Food Guide Pyramid; limiting cariogenic foods to mealtimes; rapidly clearing cariogenic foods from the child's oral cavity either by tooth brushing or by consumption of protective foods; and restricting sugar containing snacks that are slowly eaten (e.g., candy, cough drops, lollipops, suckers). Along with nutritional factors, a comprehensive approach to preventing dental caries in preschool children must include improved general dietary habits, good oral hygiene, appropriate use of fluorides, and access to preventive and restorative dental care.

Child Nutrition Sciences↗

Anthropology and style of life in middle age women.

The anthropometric pattern, demographics data, lifestyle factors and several aspects of morbidity were analyzed for 400 Cuban women ages 40-60 years. More than 85% of women were obese, being these in direct association with morphology typically androgens, more evident in the postmenopausal women. In these women observed less body mass index and overweight, in an equivalent way between pre and postmenopausal women. A moderate consumption of rice, was evidenced, pastas and vegetables, few candies and fatty, what points to or quite acceptable knowledge of the harmful effect of some foods, to weigh that the shadowy use of saturated fats and not saturated it was the most frequent thing. By multifactor approach it is possible to make relation between nutritional patterns, morphology and climacteric symptoms; Cuban women present a different frequencies from an other literature showing the risk of generalist this studies and health's actions.

Adult↗

Importance of caloric intake during renal failure.

Loss of excretory function in acute renal failure results in the retention of catabolites and fluid. In the absence of available carbohydrate, endogenous fat and protein become the main caloric sources. This results in the rapid accumulation of keto acids and nitrogenous wastes. By providing readily available non-nitrogenous calories, protein catabolism is reduced, complete oxidation of fat is obtained and energy is provided to drive potassium into the intracellular compartment. The patient should be encouraged to eat despite his apathy, fear of vomiting and characteristically paranoid mood. Tube or parenteral feeding is complicated by the need to restrict fluid. Numerous small feedings are more successful than large meals. Hard candy and alcohol are often acceptable sources of calories, fat emulsions seldom. Oral hygiene aids feeding, and tranquilizers and anticholinergics are useful. If the patient does not take food by mouth, tube feeding may be carried out. Because of the bleeding tendency so often occurring in uremia, tube feeding may be contraindicated if it causes erosion of the pharynx or esophagus. Intravenous infusion of invert sugar, glucose and alcohol may be necessary if nutrition cannot be accomplished by other means.

Acute Kidney Injury↗

Patient selection criteria for electrostimulation of salivary production in the treatment of xerostomia secondary to Sjogren's syndrome.

Electrostimulation has been introduced as a technique for increasing salivary output in the treatment of patients with xerostomia (dry mouth) secondary to Sjogren's syndrome. The procedure uses an electrostimulation device (salivation electrostimulator) to increase salivary production from existing glandular tissue. The device delivers a low-voltage electrical stimulus to the mouth via a probe. Patients with residual salivary tissue in the oral and pharyngeal regions who demonstrate a decrease in the flow rate of saliva are potential candidates for this procedure. It is estimated that more than one million people in the United States, predominantly middle-aged and elderly women, suffer from Sjogren's syndrome. Patients with chronic xerostomia complain of a continual feeling of oral dryness and have difficulty eating dry foods. These patients are susceptible to increased caries, oral pain, infection, and have difficulty speaking, chewing, and swallowing. The approach to the treatment of xerostomia in Sjogren's patients is usually determined by the level of severity of the symptoms. Appropriate management of patients with xerostomia requires that those patients whose salivary flow can be increased by means of sialagogues be distinguished from those patients whose salivary flow is either unaffected or insufficiently stimulated. To alleviate some of the complications due to salivary dysfunction in those patients who respond to stimuli, pharmacologic sialagogues as well as sialagogues that include sugarless gums, mints and candies are prescribed in order to increase salivary flow. Recently, electrostimulation via a hand-held stimulus probe has been introduced as a method of treatment in xerostomia secondary to Sjogren's syndrome.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

[Street food among children: a study in north Tunisia].

As urbanization increases in Tunisia, eating meals outside the home is becoming more frequent. Children are prime consumers for the fast food sold in the streets. Neither their nor their parents' attitude towards street food is well documented as yet. This study was conducted in the city of Bizerte in February 1998. Its aim was to gather information about street food and parents' and children's attitudes towards it to help organize educational sessions with the children, parents, teachers, and vendors. The study interviewed 421 primary school children, ranging in age from 6 to 15 years (mean age: 10 years), from 24 schools. Half received pocket money, a percentage that did not differ by sex. Three quarters of the children used more than 75% of their pocket money to buy street food. The items bought most frequently were candy (27.2%), sandwiches (23.9%), pastries (23.9%), sunflower seeds and peanuts (21%), and either pizza, chocolate, or cheese (20.3%); the largest proportion of money was spent on sandwiches. In more than half the cases (55.7% of the children), the main motivation for buying street food was either to replace or fill out a meal at home, with sandwiches or pastries. The parents' monthly income did not influence the children's purchasing behavior, but the rhythm of receiving pocket money did. Most children were satisfied with the nutritional and hygienic quality of the food available, but their opinion of this quality as well as the reasons for buying the food and the prices spent on it differed considerably from that of their parents. This study highlights the important role of street foods in the daily diet of schoolchildren and the need for appropriate nutrition education in primary schools.

Adolescent↗

Comparing acculturation models in evaluating dietary habits among low-income Hispanic women.

OBJECTIVES: Studies have demonstrated that Hispanic women in the United States who are more acculturated tend to consume fewer fruits and vegetables, and more fat, compared to less acculturated women. However, some studies have found an opposite trend. Such discrepancies could be caused by inconsistencies in the assessment of acculturation. The goal of the current study was to determine whether different methods of defining acculturation could identify dietary fat use practices among Hispanic women living in the United States. DESIGN: One hundred nineteen Hispanic women were recruited from adult education vocational rehabilitation classes, and completed questionnaires assessing dietary fat practices, acculturation, and demographic information. RESULTS: Years living in the United States was not associated with higher or lower fat use in this sample. A preference for speaking English at home was significantly associated with less consumption of beans and peas. Being born in the United States was significantly associated with greater consumption of convenience foods and chocolate candy. Being born in the United States and exhibiting a preference for English were significantly associated with greater consumption of convenience foods and salty snacks, as well as greater frequency of eating higher fat foods, overall. CONCLUSIONS: The operational definition of acculturation significantly influences whether acculturation is associated with dietary fat practices in low-income Hispanic women. The discrepancies in the conclusions about dietary fat practices between these 4 methods demonstrate the need for a better understanding of cultural influences on dietary habits, as well as a consistent measure of acculturation in this field.

Acculturation↗

[Results of immunization of seronegative children with live poliomyelitis vaccine].

The humoral immunity status to poliomyelitis viruses was studied in a group of children under 3 years previously immunized at least 3 times with SLV incorporated into dragee-candy. A regular increase with age of the number of subjects possessing virus-neutralizaing antibody to poliomyelitis viruses was demonstrated, the incidence of antibody to the three virus types being distributed by age groups as follows: under 1 year -- 24%, 1 year -- 53%, 2 years -- 71.2%, 3 years -- 84.8%. The immune response in children was observed to begin developing after the first vaccination mainly to one virus type. Among the children of 1--3 years of age examined, 1.1% to 6.0% had no antibody to polioviruses. An attempt was made to induce antibody production in these children by an additional vaccination with liquid SLV monitoring the implantation of the vaccine virus in the intestinal tract and seroconversion in the blood. Consecutive administration of the oral liquid vaccine of national make was found to result in immune response in 100% of vaccinees.

Antibodies, Viral↗

Volunteers: help in plain sight.

Hospital volunteers no longer fit the stereotypic patient escort and "candy striper" roles. Find out how to make the best use of the talents of newly retired Baby Boomers, downsized executives and other community helpers you may have overlooked.

Adult↗

Thirst distress and interdialytic weight gain: how do they relate?

Thirst is a frequent and stressful symptom experienced by hemodialysis patients. Several studies have noted a positive relationship between thirst and interdialytic weight gain (IDWG). These factors prompted us to consider ways that we could intervene to reduce thirst and IDWG through an educative, supportive nursing intervention. This paper presents the results of a pilot research project, the purpose of which was to: examine the relationship between thirst distress (the negative symptoms associated with thirst) and IDWG in a sample of our patients, describe patients' strategies for management of thirst, and establish the necessary sample size for the planned intervention study. The pilot research project results showed that in a small sample of 20, there was a mildly positive, though not statistically significant, correlation between thirst distress and IDWG (r = 0.117). Subjects shared a wide variety of thirst management strategies including: limiting salt intake, using ice chips, measuring daily allotment, performing mouth care, eating raw fruits and vegetables, sucking on hard candy and chewing gum. This pilot research project showed that given an alpha of 0.05 and a power of 80%, we will require a sample of 39 subjects to detect a 20% change in IDWG. We will employ these results to plan our intervention study, first by establishing the appropriate sample size and second by incorporating identified patient strategies into an educational pamphlet that will form the basis of our intervention.

Adaptation, Psychological↗

Intracoronary brachytherapy for in-stent restenosis using long sources reduces restenosis.

Edge restenosis (candy wrapper effect) and late thrombosis remain a problem in various randomized intracoronary brachytherapy (ICBT) trials for the treatment of in-stent restenosis (ISR). Target vessel revascularization (TVR) due to target lesion revascularization (TLR) and edge restenosis can be decreased with the use of longer ICBT sources and debulking devices and has not been systematically studied. We analyzed 226 patients with ISR (240 vessels of 264 lesions; average lesion length 17.5+/-8.9 mm) who had lesion debulking followed by 90 Strontium (Sr) beta-irradiation using the Novoste Betacath system (30 mm source in 144 vessels and 40 mm source in 96 vessels). Dual antiplatelet therapy was recommended for one year. At follow-up of 12+/-2 months, clinical TVR occurred in 9.7%, with TLR in 7.1% and non-TLR in 2.6% of cases. There was no delayed or late subacute thrombosis. Beta-irradiation using a longer 90Sr source after lesion modification with cutting balloon (CB) and or rotational atherectomy (RA), along with the use of long-term dual antiplatelet therapy is safe and associated with single-digit clinical restenosis.

Angioplasty, Balloon, Coronary↗

Determination of allura red in some food samples by adsorptive stripping voltammetry.

Square wave (SW) voltammetry was used to explore the adsorption properties of the food additive dye Allura Red on a hanging mercury drop electrode (HMDE). By using the adsorptive stripping voltammetric approach, we developed a sensitive electroanalytical method for the determination of this azo dye. A well-developed voltammetric peak probably related to the cathodic reduction of the azo moiety was obtained in pH 9 Britton-Robinson (B-R) buffer at 613 mV. Cyclic voltammetric studies indicated that the reduction process was irreversible and primarily controlled by adsorption. The adsorptive voltammetric signal was evaluated with respect to various experimental conditions; the optimized values were supporting electrolyte, B-R buffer; pH 11; accumulation time, 180 s; accumulation potential, 0.0 V; scan rate, 900 mV/s; pulse amplitude, 75 mV; and SW frequency, 90 Hz. Adsorptive voltammetric peak current showed a linear response for Allura Red in the concentration range of 2.5 x 10(-8) to 2.0 x 10(-7) mol/L (r = 0.998). The limit of detection was 8.5 x 10(-9) mol/L (4.2 ng/mL), the precision in terms of relative standard deviation was 1.3%, and the mean recovery was 102%. Possible interferences by several substances usually present in food products such as food additive azo dyes (E110, E102), gelatin, natural and artificial sweeteners, preservatives, and antioxidants were also evaluated. The proposed electrochemical procedure was successfully applied to the determination of this food dye in commercially available candy and a soft drink. The results were compared by statistical evaluation with those obtained by a reference spectrophotometric method.

Azo Compounds↗

Death of a child after ingestion of a metallic charm--Minnesota, 2006.

Lead-based paint remains the most common source of lead exposure for children aged <6 years. However, one report determined that 34% of children aged <6 years with lead poisoning in Los Angeles County had been exposed to items containing lead that had been brought into the home. These items might include candy, folk and traditional medications, ceramic dinnerware, and metallic toys and trinkets. Exposures to some of these items can result in life-threatening BLLs of > or =100 microg/dL (elevated BLLs are > or =10 microg/dL for children and > or =25 microg/dL for adults). In 2004, a child in Oregon had a BLL of 123 microg/dL after ingesting a necklace with high lead content. The same year, the Consumer Product Safety Commission (CPSC) recalled 150 million pieces of imported metallic toy jewelry sold in vending machines. Some lead-contaminated items intended for use by children are manufactured in countries with limited government regulation of lead in consumer products. With the decline in BLLs in U.S. children, widespread education of the dangers of lead paint, and systematic reduction of lead hazards in U.S. housing, acute ingestion of lead-containing items has become increasingly more common as a source of life-threatening BLLs.

Child, Preschool↗

The effect of aggressive nutrition on infection rates in patients maintained on peritoneal dialysis.

Aggressive nutrition has been reported to improve growth parameters in children undergoing peritoneal dialysis. The current study reports the effect of a program of aggressive nutrition, started in 1/1988, on catheter-related infection rates in children undergoing chronic peritoneal dialysis. A combination of high calorie foods, supplements, "candy bar diets", and, when necessary, modular gastrostomy feedings, to provide 3-4 gm/kg/d and 100-120 kcal/kg/d was used. Peritonitis and catheter infection rates were assessed. A total of 37 pediatric patients underwent peritoneal dialysis from 1/1986-7/1990, with a total cumulative experience of 596 patient months. The peritonitis rate decreased from 1 episode/5.53 patient-month in 1987 to 1 episode per 46 patient-month in 1990. There was no significant effect on the catheter infections or the number of admissions/patient month. However, there was a 55% decline in the number of hospitalization days/patient month (p less than 0.01). The decrease in the peritonitis rate was independent of the modality of peritoneal dialysis or the usage of ultraviolet connecting devices. In 10 patients followed sequentially, the peritonitis rate was less (1 episode/23.5 patient months) after gastrostomy tube placement and feedings than before gastrostomy tube placement (1 episode/8.28 patient months) (p less than 0.01). There were no significant differences in serum albumin or total protein levels between the two observation periods. We conclude that adequate nutrition may play a role in decreasing the peritonitis rate in children maintained on peritoneal dialysis and speculate improved white cell function as a possible underlying mechanism.

Adolescent↗

[Identification of risk factors in relatives of type-2 diabetics].

OBJECTIVE: To identify risk factors and warning signs in a sample of first-degree relatives of type-2 diabetics at the Family Medicine Unit 2 of the General Hospital in Irapuato, Guanajuato, Mexico. MATERIAL AND METHODS: In a non-probabilistic sample of 360 relatives, a 14-item questionnaire was applied to measure abdominal perimeter and body mass index (obesity and overweight), eating habits, addictions and sedentarism. The questionnaire was made by general consent of experts, by applying Cronbach's alpha reliability coefficient. Specific rates of prevalence by sex and age groups were estimated. RESULTS: 233 (65%) relatives were females. As part of their family history background, arterial hypertension was recorded in 263 (73%) and acute myocardial infarction in 97 (27%). Among the dangerous food for health consumed by the relatives of diabetics are cola drinks in 94.7%, red meat in 83%, candies in 74.7% and chips in 65.8%; only half of them consumed fresh fruits and vegetables; a quarter of them ate prickly pears or whole wheat bread. There were 163 (45.3%) persons with high-risk abdominal perimeter, and sedentarism was present in 267 (74.2%). However, obesity was 3 times more frequent in females, but excessive drinking or smoking habits were 7 times more prevailing in males. CONCLUSIONS: A high-risk behavior was demonstrated among relativies of diabetic patients. Therefore, a public-health educational program is required to modify risky habits. A change towards prevention rather than cure is much needed in health staff.

Adult↗

Operant conditioning of schizophrenic children.

Though there is little agreement concerning the diagnosis, incidence or etiology of childhood schizophrenia, until recently most authors agree there is no effective treatment. Operant conditioning is reported to succeed where other therapies have failed. Twenty children diagnosed according to Creak's criteria in two groups matched for age, sex, duration of stay, Vineland score and amount of speech, were treated by either interpretive play therapy or operant conditioning. Emotional relatedness and self-identity, then imitation of behaviour and speech were conditioned with the positive reinforcements of candy. Tested before, during and after fifty 45-minute sessions, those in the operant-conditioning group had gained more speech and improved more on Vineland score. The relative efficacy of operant conditioning may be related to the greater ease with which the staff learned this technique and the need of these children for predictable routines. The experiment will continue with a crossover complex.

Awareness↗

2006 National Caring Awards. Ben Carson, MD.

Ben Carson is world famous, both for his work as a physician and as a humanitarian. Dr. Carson is the director of neurosurgery at Johns Hopkins University Hospital, who made history in 1987 when he successfully separated Siamese twins joined at the head. As important as this life-saving work is to him, what is more important is the philanthropic work that he and his wife, Candy, are doing to help underprivileged youth.

Altruism↗

Tobacco advertising in retail stores.

Recent studies have described tobacco advertising in the print media, on billboards, and through sponsorship of cultural and sporting events. However, little attention has been given to another common and unavoidable source of tobacco advertising, that which is encountered in retail stores. In July 1987, we conducted a survey of 61 packaged goods retail stores in Buffalo, NY, to assess the prevalence and type of point-of-sale tobacco advertising. In addition, store owners or managers were surveyed to determine their store's policy regarding tobacco advertising, receipt of monetary incentives from distributors for displaying tobacco ads, and willingness to display antitobacco ads. Six types of stores were involved in the study: 10 supermarkets, 10 privately owned grocery stores, 9 chain convenience food stores that do not sell gasoline, 11 chain convenience food stores that sell gasoline, 11 chain pharmacies, and 10 private pharmacies. Two-thirds of the stores displayed tobacco posters, and 87 percent had promotional items advertising tobacco products, primarily cigarettes. Larger stores, and those that were privately owned, tended to display more posters and promotional items. Eighty percent of tobacco product displays were for cigarettes, 16 percent for smokeless tobacco products, and 4 percent for cigars and pipe tobacco. Convenience stores selling gasoline had the most separate tobacco product displays. Of tobacco product displays, 24 percent were located adjacent to candy and snack displays. Twenty-nine of the 61 store owners or managers indicated that their store had a policy regulating the display of tobacco ads and tobacco product displays. Policies dealt primarily with the location of tobacco posters (for example, no ads in the window) and number of product displays. Only 14 shop owners or managers indicated that they had previously displayed antitobacco information; more than half (31 of 61) said that they would be willing to display antitobaccoads.In many stores space availability is a barrier to displaying antitobacco information. Materials should be designed that have some utility for the store, such as posters that list store hours or directional information (that is, in and out signs).Antitobacco messages could also be displayed on check out dividers, check out mats, shopping carts,shopping bags, and milk cartons. In chain stores,decisions regarding the display of antitobacco information are likely to be made at the corporate level. Standards encouraging retailers to adopt more responsible policies related to advertising and sale of tobacco products should be established.

Advertising↗