Idaho's Tobacco Retail Environment: Measuring Youth Exposure

Why Youth Exposure to Tobacco Products and Marketing Matters

The tobacco retail environment, including convenience stores, gas stations, tobacco/vape shops, and other outlets, is the primary setting for the selling and marketing of tobacco/nicotine products. Youth are especially susceptible to tobacco access and marketing. Research supports that easy access to tobacco products, tobacco displays, discounts, and advertisements normalizes tobacco use and increases the chances that youth will try and use tobacco in the future. Retail exposure to electronic-cigarette (vape) ads is linked to a higher likelihood of vape use, vape brand preference, and a perception that vapes are less harmful than cigarettes. Research shows that tobacco retail and marketing is more concentrated (dense) in predominantly racially diverse and low-income communities.


References: (Chaitan et al., 2025; Golden et al., 2025; Lee, et al., 2022; Mills et al., 2022; U.S. Dept of Health and Human Services [HHS], 2024)

Youth Exposure to Tobacco Retail in Idaho

Idaho is home to over 800 K-12 public and private schools serving over 300,000 students. There are over 1,600 tobacco retailers across Idaho. This work examines how the density and proximity of tobacco retail environments intersect with K-12 students' daily lives. This evaluation does not explore associations between retail tobacco exposure and tobacco use among youth or adults.

Measuring tobacco retail density and proximity to Idaho youth is important; it is well documented that increased exposure to tobacco products, marketing, and promotions is associated with youth tobacco experimentation and future use. Understanding youth tobacco retail exposure helps guide support for health education and actions to limit exposure to tobacco retail products and marketing.


References: (Chaitan et al., 2025; Hawkins, et al., 2025; Lee et al., 2022)
Legend:   School    Tobacco Retailer

Idaho Schools & Tobacco Retailers Overview

~845
Total K-12 Schools
~320K
K-12 Students
~1,660
Total Tobacco Retailers

In 2023-2024, 90% of schools in Idaho are public schools. Public schools include four Tribal Schools.

Convenience stores and gas stations make up most of the tobacco retail, exposing youth regularly to tobacco products, marketing, and promotion.


Data for schools (2023-2024) are from the National Center for Education Statistics (NCES). Data for tobacco retailers are from Idaho Department of Health & Welfare (personal communication).

Tobacco Retail Density

Research supports that high tobacco retail density is associated with earlier youth use, higher youth and adult use, and lower success quitting tobacco. Measuring tobacco density provides important information on accessibility and exposure to tobacco products and promotions.

This work measures the density of Idaho tobacco retail per 1,000 people at the county and school district level, a common tobacco density measure. Using this rate allows for comparisons between populations of different sizes.


References: (Cantrell et al., 2016; Golden et al., 2025; Muzekari, et al.,2025; Santiago-Torres et al., 2025)

Tobacco Retail Density by County

Overall, there are 0.83 tobacco retailers per 1,000 people in Idaho. Following national data trends, tobacco retail density is higher in rural Idaho counties.

The emerging standard being used to limit youth exposure to tobacco advertising and promotion is 1 retailer per 1,000 to 2,000 residents. This standard is used to set a cap on the number of licenses issued to new tobacco retailers.

On the map, purple indicates relatively low retail density, yellow indicates moderate density, and orange indicates statistically high retail density.

Click on a county to see details.


References: (Centers for Disease Control and Prevention, 2019; Mills et al., 2022)

Tobacco Retail Density by School District

Displaying tobacco retail density per 1,000 people by school district provides a more detailed picture of youth tobacco exposure. In general, students in rural and smaller school districts have greater tobacco retail exposure.

Areas with densities with over 2-3 tobacco retailers per 1,000 people are often cited as examples of tobacco swamps, or areas with extreme retailer concentration.

On the map, purple indicates relatively low retail density, yellow indicates moderate density, and orange indicates statistically high retail density.

Click on a district to see details.


References: (Combs, et al., 2022; Gaiha, et al., 2025; Webb, et al., 2025)

Tobacco Retail Proximity to Schools

Research supports distorted perceptions of tobacco use, earlier tobacco initiation, and higher tobacco use when retailers are close to schools and other youth-oriented locations. Overall, almost 20% (19.6%) of schools in Idaho are located within 1,000 feet of at least one tobacco retailer. There is significant variation in tobacco retail proximity to schools across the state.

19.6%

of schools in Idaho are within 1,000 feet of at least one tobacco retailer

The proximity of tobacco retailers to schools is a critical factor in youth tobacco products and marketing exposure.

There is no law in Idaho that sets restrictions on the distance that a tobacco retailer must maintain from schools. Nationwide, several states, counties, and cities restrict tobacco retailers within 500 or 1,000 feet of schools to reduce youth exposure to tobacco products, marketing, and promotion.

Utah State Proximity Requirements:
A municipality may not issue a tobacco retail license if the business is located within 1,000 feet of a private or public K-12 school. see legal code


References: (Muzekari, et al., 2025; Ribisel et al., 2017)

Retail Proximity

This work describes youth 'tobacco exposure zones' as areas within a 1,000-foot radius of a tobacco retailer, a distance commonly used to measure youth proximity to tobacco retail.

Tobacco exposure zones are indicated by grey circles on the map. The magenta circles represent schools that lie within a tobacco exposure zone.

Notice the proximity of schools to tobacco retail in Pocatello. Many of these retailers are convenience stores and are along daily routes to school. Convenience stores often serve as community hubs in rural areas. Nationwide, nearly half (47.5%) of youth visit convenience stores at least once a week, and 14.9% visit daily for snacks and drinks. Convenience store visits are higher among youth living in rural areas and in areas of economic deprivation.

Also notice the dense clustering of tobacco retail in central areas of Pocatello, which increases competitive pricing and creates advertising hotspots.


References: (Sanders-Jackson et al., 2015; Wagoner et al., 2020)

Legend:   Tobacco exposure zone
School    School within 1,000 ft of tobacco retailer

Proximity Between Tobacco Retailers

Research supports that clustering of tobacco retail is associated with higher tobacco use, decreased success at quitting, and earlier youth tobacco initiation. Clustering of tobacco retail increases price competition, leading to tobacco discounts, lower everyday prices, and increased marketing and promotions. —References: (Hawkins et al., 2025; Santiago-Torres et al., 2025)

This work maps and provides the number and percentage of tobacco retailers within 500 feet of one another, a common measure of high tobacco retail proximity. There is no legal or accepted standard for the distance between tobacco retailers in Idaho. Cities and counties in the U.S. have adopted laws and ordinances to restrict tobacco retail proximity.

Wake County, North Carolina
passed a Unified Development Ordnance (UDO) that prohibits new tobacco/vape/hemp retailers from locating within 1,000 feet of a similar retailer.


Clustering of multiple retailers increases competitive pricing and marketing intensity.

40.4%

of Idaho tobacco retailers are within 500 feet of another retailer

Student Exposure to Tobacco Retail by School District

Idaho's public school districts vary dramatically in size, student population, and geographic setting. This map shows district boundaries across the state.

Warmer colors (oranges/reds) on the map indicate higher percentages of students exposed to tobacco retail within the district. These are typically rural areas, with fewer schools and lower populations.

Analyzing exposure at the district level helps identify which educational communities face the greatest challenges from nearby tobacco retail.

Click on a district to see details.

Household Tobacco Spending by County

The map displays average annual household spending on tobacco products across Idaho counties. Darker shades indicate higher spending levels. Click on a county to see details.

This metric reveals geographic patterns in tobacco consumption and helps identify communities where youth may face higher exposure to tobacco use in their households and neighborhoods.

Spending ranges from $316 to $621 per household annually

Data Source: ESRI Demographics (Vintage 2025, Average Household Spending on Tobacco)

Median Income by County

This map displays median household income by county. The lightest shades indicate lower income levels and the darker shades indicate higher income levels.

Median household income is one of the strongest predictors of tobacco outlet density. Lower median household income is often associated with higher tobacco retail density compared to higher median household income. —Reference: (Mills et al., 2022)

Median household income ranges from $46,548 to $97,817 annually

Data Source: ESRI Demographics (Vintage 2025, Median Household Income)

Area Deprivation Index

The Area Deprivation Index (ADI) is a scientifically validated tool that ranks neighborhoods by social disadvantage by looking at factors beyond just income. The ADI combines data on income, employment, education, and housing to determine an ADI score between 1 (lowest deprivation) and 10 (highest deprivation). The ADI is useful to identify, evaluate, and improve factors that impact health and quality of life across populations.

The map displays ADI for Idaho at the census block level, using state-only deciles. Warmer colors (reds/oranges) indicate more disadvantaged areas, while cooler colors (blues) indicate less disadvantaged areas. The small grey/black circles represent tobacco exposure zones, with the black areas indicating high concentration of tobacco retail. Note that some of the most disadvantage areas also have the highest concentration of tobacco retail.


Reference: (Kind and Buckingham, 2018)
Data Source: Neighborhood Atlas (2023), downloaded Nov 5, 2025

County-Level Analysis

Select a county to view detailed statistics about student exposure to tobacco retail.

School District Analysis

Select a school district to view detailed statistics about student exposure to tobacco retail.

Explore Further

Visit our interactive tobacco map and county summary page




Data Sources

Population estimates (2024, 2025)
Consumer Spending Tobacco (2025)
Median Household Income (2025)
ESRI Demographics
Vintage 2025
School districts, school district populations SAIPE 2023
Public and Private School Data (2023-2024) National Center for Education Statistics (NCES)
[ public, private ]
Tobacco retailer names, locations (2024) Personal email from Idaho Department of Health and Welfare
Area Deprivation Index (ADI) Neighborhood Atlas



References

Cantrell, J., Pearson, J. L., Anesetti-Rothermel, A., Xiao, H., Kirchner, T. R., & Vallone, D. (2016). Tobacco retail outlet density and young adult tobacco initiation. Nicotine & Tobacco Research, 18(2), 130–137. https://doi.org/10.1093/ntr/ntv036

Centers for Disease Control and Prevention. (2019). A guide to the types of data needed to formulate local retail tobacco control policy. Preventing Chronic Disease, 16, 180282. https://www.cdc.gov/pcd/issues/2019/18_0282.htm

Centers for Disease Control and Prevention. (2024, September 17). Economic trends in tobacco. https://www.cdc.gov/tobacco/php/data-statistics/economic-trends/index.html

Combs, T. B., Ornstein, J. T., Chaitan, V. L., Golden, S. D., Henriksen, L., & Luke, D. A. (2022). Draining the tobacco swamps: Shaping the built environment to reduce tobacco retailer proximity to residents in 30 big US cities. Health & Place, 75, 102815. https://doi.org/10.1016/j.healthplace.2022.102815

Harlow, A. F., Thompson, L. K., Eckel, S. P., Leventhal, M. A., Haley, D. F., Roberts, M. E., Cockburn, M. G., & Barrington-Trimis, J. L. (2025). Prospective association of tobacco retailer density and neighborhood walkability with youth vaping initiation in California, USA. Tobacco Control. Advance online publication. https://doi.org/10.1136/tc-2024-058974

"Economic Trends in Tobacco." Centers for Disease Control and Prevention. Accessed December 14, 2025. https://www.cdc.gov/tobacco/php/data-statistics/economic-trends/index.html

Gaiha, S. M., Lempert, L. K., & Halpern-Felsher, B. (2025). Trends in youth tobacco use and the rural-urban gap: The hardening of daily use. Tobacco Control, 34(1), 45–52. https://doi.org/10.1136/tc-2024-058912

Golden SD, Kuo TM, Kong AY, Baggett CD, Henriksen L, Ribisl KM. County-level associations between tobacco retailer density and smoking prevalence in the USA, 2012. Prev Med Rep. 2019 Oct 31;17:101005. doi: 10.1016/j.pmedr.2019.101005. PMID: 31934535; PMCID: PMC6951276.

Hawkins, M., Edwards, C., Amenyo, B., White, J., Boumatar, K., Ndombo, P. K., Dahlquist, C., & Snelling, A. (2025). Cross-sectional examination of tobacco point-of-sale marketing practices by location and type of retail environment in the District of Columbia. Tobacco Prevention & Cessation, 11, Article 211431. https://doi.org/10.18332/tpc/211431

Kind, A. J. H., & Buckingham, W. R. (2018). Making neighborhood disadvantage metrics accessible: The Neighborhood Atlas. New England Journal of Medicine, 378(26), 2456–2458. https://doi.org/10.1056/NEJMp1802313

Lee, J. G. L., Kong, A. Y., Sewell, K. B., Golden, S. D., Combs, T. B., Ribisl, K. M., & Henriksen, L. (2022). Associations of tobacco retailer density and proximity with adult tobacco use behaviours and health outcomes: A meta-analysis. Tobacco Control, 31(e2), e189–e200. https://doi.org/10.1136/tobaccocontrol-2021-056711

Mantey, D. S., Pasch, K. E., Loukas, A., & Perry, C. L. (2019). Exposure to Point-of-Sale Marketing of Cigarettes and E-Cigarettes as Predictors of Smoking Cessation Behaviors. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 21(2), 212–219. https://doi.org/10.1093/ntr/ntx246

Mills, S. D., Kong, A. Y., Reimold, A. E., Baggett, C. D., Wiesen, C. A., & Golden, S. D. (2022). Sociodemographic disparities in tobacco retailer density in the United States, 2000–2017. Nicotine & Tobacco Research, 24(8), 1291–1299. https://doi.org/10.1093/ntr/ntac020

Muzekari, B., Cooper, N., Resnick, A., et al. (2025). Naturalistic tobacco retail exposure and smoking outcomes in adults who smoke cigarettes daily. JAMA Network Open, 8(9), e2530132. https://doi.org/10.1001/jamanetworkopen.2025.30132

Ribisl, K. M., Luke, D. A., Bohannon, D. L., Sorg, A. A., & Moreland-Russell, S. (2017). Reducing disparities in tobacco retailer density by banning tobacco product sales near schools. Nicotine & Tobacco Research, 19(2), 239–244. https://doi.org/10.1093/ntr/ntw185

Sanders-Jackson, A., Parikh, N. M., Schleicher, N. C., Fortmann, S. P., & Henriksen, L. (2015). Convenience store visits by US adolescents: Rationale for healthier retail environments. Health & Place, 34, 63–66. https://doi.org/10.1016/j.healthplace.2015.03.011

Santiago-Torres, M., Mull, K. E., Sullivan, B. M., & Bricker, J. B. (2025). Does living near a tobacco retailer impact the efficacy of smoking cessation treatments?: Analysis from a randomized trial. Addictive Behaviors Reports, 22, Article 100635. https://doi.org/10.1016/j.abrep.2025.100635

Shrestha, S. S., Chen, P.-H., Grosse, S. D., Armour, B. K., Wang, L., Xu, X., & King, B. A. (2022). Economic loss attributable to cigarette smoking in the USA: an economic modelling study. The Lancet Public Health, 7(10), e834–e843. https://doi.org/10.1016/S2468-2667(22)00200-X

Wagoner, K. G., King, J. L., Suerken, C. K., Reboussin, B. A., Ross, J. C., & Sutfin, E. L. (2020). Youth and young adult convenience store behaviors: Findings from intercept surveys. Nicotine & Tobacco Research, 22(5), 794–800. https://doi.org/10.1093/ntr/ntaa098

Webb, E., Craigmile, P. F., Morean, M. E., Kong, G., Lee, J. G. L., Martin, R. J., Barrington-Trimis, J., Qiang, R., Spinola, V. B., & Roberts, M. E. (2025). Tobacco retailer density and rurality across four US states: California, Connecticut, North Carolina, and Ohio. The Journal of Rural Health, 41(3), Article e70073. https://doi.org/10.1111/jrh.12312

U.S. Department of Health and Human Services. (2024). Eliminating tobacco-related disease and death: Addressing disparities—A report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Full report


Credits

Idaho's Tobacco Retail Environment: Measuring Youth Exposure was sponsored by Project Filter, Idaho's Tobacco Prevention and Control Program, Bureau of Community Health, Division of Public Health, Idaho Department of Health and Welfare and supported by the Idaho Millennium Fund.

University of Idaho Project Team: Helen Brown | Principal Investigator, Felix Liao| Co-Investigator, Jennifer Hinds | Website/Story Map Develper, Julene Ewert | Graphic Design, Kathryn Pawelko | Editorial Oversight.

For more information, email: ProjectFilter@dhw.idaho.gov

Suggested citation:
Brown, H., Hinds, J., and Liao, F. (2025). Idaho's tobacco retail environment: Measuring youth exposure. University of Idaho; Project Filter; Idaho Department of Health and Welfare. [https://modelingidahohealth.org/tobacco-youth-exposure]

Acknowledgement:

Story map developed by Research Computing and Data Services at University of Idaho.
Illustrations by Julene Ewert.