Original Investigation

Naturalistic Tobacco Retail Exposure and Smoking Outcomes in Adults Who Smoke Cigarettes Daily

JAMA Network Open 10.1001/jamanetworkopen.2025.30132

September 29, 2025 at 11:00 AM EDT

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Is exposure to retail marketing in people’s daily environments associated with critical health risk behaviors such as smoking?In this cohort study of 273 individuals who smoked cigarettes daily, individuals reported significantly greater cravings and smoked more cigarettes on days when their smartphone-logged tobacco retail exposure was higher than usual.These findings suggest that tobacco retail exposure is associated with smoking dynamically across time, with important implications for public health.

Corresponding Authors: Benjamin Muzekari, MA (muzekari@upenn.edu), and Emily B. Falk, PhD (emilybfalk@falklab.org), Annenberg School for Communication, University of Pennsylvania, 3620 Walnut St, Philadelphia, PA 19104.

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