1
|
Burguillo M, Romero-Jordán D, Sanz-Sanz JF. Efficacy of the tobacco tax policy in the presence of product heterogeneity: A pseudo-panel approach applied to Spain. Health Policy 2019; 123:924-931. [PMID: 31279587 DOI: 10.1016/j.healthpol.2019.06.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 05/23/2019] [Accepted: 06/23/2019] [Indexed: 11/25/2022]
Abstract
This paper focuses on the substitution effects between different comercial presentations of tobacco in Spain. Concretely, on cigarettes, cigars and RYO. When taxing policies increase tobacco prices these effects might lead changes from more expensive to cheaper products instead of reducing tobacco consumption. We use micro-data for the years 2006 -2012. We estimate a complete model of demand. The own-price, the income and the cross elasticity of each good are estimated. The results show that the own-price elasticity of cigarettes is low and the income elasticity of cigarettes' demand is very low. Thus in Spain smokers continue to buy cigarettes when the price of cigarettes increases and when cigarette consumers income declines. Moreover the substitutability relationship of cigarettes for cigars and RYO is weak. Thus, cigarettes smokers in Spain are loyal to this product and consider it a normal good. Moreover, cigar consumption presents high own-price and income elasticities, so cigars are luxury goods. Thus unlike cigarettes, cigar sales fall when cigar prices rise or cigar consumers income falls. Finally, RYO and cigarettes are substitutes goods and RYO and cigars are not substitute ones. That means that RYO and cigarettes can satisfy the same need; then to satisfy it the consumers can use almost indistinctibly the one or the other. This is not the case between RYO and cigars.
Collapse
Affiliation(s)
- Mercedes Burguillo
- Departamento de Economía, Universidad de Alcalá, Plaza de la Victoria, 3, 28802 Alcalá de Henares, Spain.
| | | | | |
Collapse
|
2
|
Partos TR, Gilmore AB, Hitchman SC, Hiscock R, Branston JR, McNeill A. Availability and Use of Cheap Tobacco in the United Kingdom 2002-2014: Findings From the International Tobacco Control Project. Nicotine Tob Res 2019; 20:714-724. [PMID: 28525594 PMCID: PMC5934656 DOI: 10.1093/ntr/ntx108] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Accepted: 05/17/2017] [Indexed: 01/12/2023]
Abstract
Introduction Raising tobacco prices is the most effective population-level intervention for reducing smoking, but this is undermined by the availability of cheap tobacco. This study monitors trends in cheap tobacco use among adult smokers in the United Kingdom between 2002 and 2014 via changes in product type, purchase source, and prices paid. Methods Weighted data from 10 waves of the International Tobacco Control policy evaluation study were used. This is a longitudinal cohort study of adult smokers with replenishment; 6169 participants provided 15812 responses. Analyses contrasted (1) product type: roll-your-own (RYO) tobacco, factory-made packs (FM-P), and factory-made cartons (FM-C); (2) purchase source: UK store-based sources (e.g., supermarkets and convenience stores) with non-UK/nonstore sources representing tax avoidance/evasion (e.g., outside the UK, duty free, and informal sellers); and (3) prices paid (inflation-adjusted to 2014 values). Generalized estimating equations tested linear changes over time. Results (1) RYO use increased significantly over time as FM decreased. (2) UK store-based sources constituted approximately 80% of purchases over time, with no significant increases in tax avoidance/evasion. (3) Median RYO prices were less than half that of FM, with FM-C cheaper than FM-P. Non-UK/nonstore sources were cheapest. Price increases of all three product types from UK store-based sources from 2002 to 2014 were statistically significant but not substantial. Wide (and increasing for FM-P) price ranges meant each product type could be purchased in 2014 at prices below their 2002 medians from UK store-based sources. Conclusions Options exist driving UK smokers to minimize their tobacco expenditure; smokers do so largely by purchasing cheap tobacco products from UK stores. Implications The effectiveness of price increases as a deterrent to smoking is being undermined by the availability of cheap tobacco such as roll-your-own tobacco and cartons of packs of factory-made cigarettes. Wide price ranges allowed smokers in 2014 to easily obtain cigarettes at prices comparable to 12 years prior, without resorting to tax avoidance or evasion. UK store-based sources accounted for 80% or more of all tobacco purchases between 2002 and 2014, suggesting little change in tax avoidance or evasion over time. There was a widening price range between the cheapest and most expensive factory-made cigarettes.
Collapse
Affiliation(s)
- Timea R Partos
- Addictions Department, King's College London, London, United Kingdom.,UK Centre for Tobacco & Alcohol Studies, Nottingham, United Kingdom
| | - Anna B Gilmore
- UK Centre for Tobacco & Alcohol Studies, Nottingham, United Kingdom.,Department for Health, University of Bath, Bath, United Kingdom
| | - Sara C Hitchman
- Addictions Department, King's College London, London, United Kingdom.,UK Centre for Tobacco & Alcohol Studies, Nottingham, United Kingdom
| | - Rosemary Hiscock
- UK Centre for Tobacco & Alcohol Studies, Nottingham, United Kingdom.,Department for Health, University of Bath, Bath, United Kingdom
| | - J Robert Branston
- Centre for Governance and Regulation, School of Management, University of Bath, Bath, United Kingdom
| | - Ann McNeill
- Addictions Department, King's College London, London, United Kingdom.,UK Centre for Tobacco & Alcohol Studies, Nottingham, United Kingdom
| |
Collapse
|
3
|
Critchlow N, Stead M, Moodie C, Angus K, Eadie D, MacKintosh AM. Pricing of tobacco products during, and after, the introduction of standardized packaging: an observational study of retail price data from independent and convenience (small) retailers in the United Kingdom. Addiction 2019; 114:523-533. [PMID: 30554446 PMCID: PMC6491979 DOI: 10.1111/add.14488] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Revised: 06/28/2018] [Accepted: 10/29/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND AIMS Tobacco companies claimed that standardized packaging, phased in/introduced May 2016-May 2017, would reduce prices and increase consumption. We: (1) describe changes in price-per-cigarette and price-per-gram during, and after, the introduction of standardized packaging; (2) describe price changes by cigarette price segment; and (3) analyse price changes by stage of implementation. DESIGN An observational study, using electronic point-of-sale data, monitored price trends in three periods: (1) May-September 2016, start of transition period; (2) October 2016-May 2017, when fully branded and standardized products were sold and duty escalators implemented; and (3) June-October 2017, when standardized packaging was mandatory. SETTING United Kingdom. PARTICIPANTS Small retailers (n = 500) stratified by region and deprivation. Data were monitored for 20 leading fully branded tobacco products [15 factory-made cigarettes (FMC), 5 roll-your-own (RYO)] and their standardized equivalents. MEASUREMENT Price-per-cigarette and price-per-gram, based on monthly average Recommended Retail Price (RRP) and actual sale price, adjusted for inflation using the Consumer Pricing Index (CPIH). Net changes (£GBP, %) were analysed by product type (FMC versus RYO) and FMC price segment (value, mid-price, premium). FINDINGS Between May 2016 and October 2017, the average inflation-adjusted RRP/price-per-cigarette and price-per-gram increased for FMC (all price segments) and RYO. For example, sales price-per-cigarette increased +4.64%, with the largest increases for value (+6.81%), premium (+5.32%) and mid-price FMCs (+3.30%). Net sales price-per-cigarette and price-per-gram increases were largest in period 2, when fully branded and standardized products were sold and duty escalators were implemented (FMC = +4.70%; RYO = +3.75%). There were small decreases in sales price-per-cigarette and price-per-gram once standardized packaging became mandatory (FMC = -1.14%; RYO = -0.88%). CONCLUSION In the United Kingdom, the price of leading roll-your-own and factory-made cigarette brands sold by small retailers increased as standardized packaging was phased in, with increases larger than expected through duty escalation.
Collapse
Affiliation(s)
- Nathan Critchlow
- Institute for Social Marketing, and UK Centre for Tobacco and Alcohol Studies, Faculty of Health Sciences and Sport, University of StirlingScotland, UK
| | - Martine Stead
- Institute for Social Marketing, and UK Centre for Tobacco and Alcohol Studies, Faculty of Health Sciences and Sport, University of StirlingScotland, UK
| | - Crawford Moodie
- Institute for Social Marketing, and UK Centre for Tobacco and Alcohol Studies, Faculty of Health Sciences and Sport, University of StirlingScotland, UK
- Centre for Tobacco Control Research, Faculty of Health Sciences and SportUniversity of StirlingScotland, UK
| | - Kathryn Angus
- Institute for Social Marketing, and UK Centre for Tobacco and Alcohol Studies, Faculty of Health Sciences and Sport, University of StirlingScotland, UK
| | - Douglas Eadie
- Institute for Social Marketing, and UK Centre for Tobacco and Alcohol Studies, Faculty of Health Sciences and Sport, University of StirlingScotland, UK
| | - Anne Marie MacKintosh
- Institute for Social Marketing, and UK Centre for Tobacco and Alcohol Studies, Faculty of Health Sciences and Sport, University of StirlingScotland, UK
- Centre for Tobacco Control Research, Faculty of Health Sciences and SportUniversity of StirlingScotland, UK
| |
Collapse
|
4
|
Reilly SM, Goel R, Trushin N, Bitzer ZT, Elias RJ, Muscat J, Richie JP. Effects of Charcoal on Carbonyl Delivery from Commercial, Research, and Make-Your-Own Cigarettes. Chem Res Toxicol 2018; 31:1339-1347. [PMID: 30426738 PMCID: PMC8323621 DOI: 10.1021/acs.chemrestox.8b00211] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Previous literature has shown that adding charcoal to cigarette filters can have varying effects on the delivery of toxic carbonyls depending on filter design, amount of charcoal, and puffing profiles. However, these studies have relied on either comparisons between commercially available charcoal and noncharcoal filtered cigarettes or experimental modification of filters to insert a charcoal plug into existing cellulose acetate filters. Make-your-own (MYO) cigarettes can help obviate many of the potential pitfalls of previous studies; thus, we conducted studies using commercial charcoal cigarettes and MYO cigarettes to determine the effects of charcoal on carbonyl delivery. To do this, we analyzed carbonyls in mainstream smoke by HPLC-UV after derivatization with 2,4-dinitrophenylhydrazine (DNPH). Charcoal was added in-line after the cigarettes or through the use of MYO charcoal cigarette tubes. MYO cigarettes had carbonyl deliveries similar to that of 3R4F research cigarette, regardless of tobacco type. The greatest effect on carbonyl delivery was observed with 200 mg of charcoal, significantly reducing all carbonyls under both methods tested. However, "on-tow" design charcoal filters, available on many commercially available charcoal brands, appeared to have a minimal effect on carbonyl delivery under intense smoking methods. Overall, we found that charcoal, when added in sufficient quantity (200 mg) as a plug, can substantially reduce carbonyl delivery for both MYO and conventional cigarettes. As carbonyls are related to negative health outcomes, such reductions may be associated with reductions in carbonyl-related harm in smokers.
Collapse
Affiliation(s)
- Samantha M. Reilly
- Department of Public Health Sciences, Pennsylvania State University Tobacco Center of Regulatory Science (TCORS), Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, United States
| | - Reema Goel
- Department of Public Health Sciences, Pennsylvania State University Tobacco Center of Regulatory Science (TCORS), Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, United States
| | - Neil Trushin
- Department of Public Health Sciences, Pennsylvania State University Tobacco Center of Regulatory Science (TCORS), Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, United States
| | - Zachary T. Bitzer
- Department of Food Science, College of Agricultural Sciences, Pennsylvania State University, University Park, Pennsylvania 16801, United States
| | - Ryan J. Elias
- Department of Food Science, College of Agricultural Sciences, Pennsylvania State University, University Park, Pennsylvania 16801, United States
| | - Joshua Muscat
- Department of Public Health Sciences, Pennsylvania State University Tobacco Center of Regulatory Science (TCORS), Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, United States
| | - John P. Richie
- Department of Public Health Sciences, Pennsylvania State University Tobacco Center of Regulatory Science (TCORS), Pennsylvania State University College of Medicine, Hershey, Pennsylvania 17033, United States
| |
Collapse
|
5
|
Lidón-Moyano C, Fu M, Pérez-Ortuño R, Ballbè M, Feliu A, Martín-Sánchez JC, Matilla-Santander N, Pascual JA, Fernández E, Martínez-Sánchez JM. Impact of the Spanish smoking legislation among smokers: A longitudinal study with biomarkers in Barcelona (Spain). Addict Behav 2018; 87:101-108. [PMID: 29975878 DOI: 10.1016/j.addbeh.2018.06.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Revised: 06/12/2018] [Accepted: 06/19/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND The aim of this study is to assess the impact of the Spanish tobacco control legislation on smoking behavior and salivary cotinine concentration among smokers. METHODS We used data from a longitudinal study, before (2004-2005) and after (2013-2014) the implementation of the two national smoking bans (in 2006 and 2011), in a representative sample of adults (≥16 years old) from Barcelona (Spain). We only analyzed a subsample of continuing smokers (n = 116). We conducted a survey on smoking behavior and obtained saliva sample for cotinine analyses. For this report, we analyzed a subsample of continuing smokers (n = 116). We calculated geometric means (GM). RESULTS Among continuing smokers, salivary cotinine concentration significantly increased by 28.7% (GM from 91.7 ng/ml to 117.3 ng/ml, p = 0.015) after the implementation of the two Spanish smoke-free bans. Nonetheless, no pattern of change was observed in the self-reported number of cigarettes smoked daily. CONCLUSIONS Our study shows a significant increase in the salivary cotinine concentration among adult continuing smokers after both Spanish legislations. This increase could be due to differences in smoking topography (increase in the depth of inhalation when smoking) along with changes in the type of tobacco smoked (increase in smoking roll-your-own cigarettes or mixed use of roll-your-own and manufactured cigarettes). Our results suggest the need to extend tobacco control policies, focusing on the reduction of use of any type of tobacco product and implementing better treatment to help smokers stop smoking.
Collapse
|
6
|
Branston JR, McNeill A, Gilmore A, Hiscock R, Partos TR. Keeping smoking affordable in higher tax environments via smoking thinner roll-your-own cigarettes: Findings from the International Tobacco Control Four Country Survey 2006-15. Drug Alcohol Depend 2018; 193:110-116. [PMID: 30352334 PMCID: PMC6454889 DOI: 10.1016/j.drugalcdep.2018.07.047] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2018] [Revised: 07/27/2018] [Accepted: 07/27/2018] [Indexed: 01/12/2023]
Abstract
BACKGROUND Roll-Your-Own tobacco (RYO) use is increasingly popular in many countries: it is generally cheaper than factory-made cigarettes (FM), and smokers can further reduce costs by adjusting the amount of tobacco in each cigarette. However, the level of risk of RYO compared with FM cigarettes is similar and does not meaningfully change with cigarette weight. We assessed the weight of tobacco in RYO cigarettes across jurisdictions with differing tobacco taxes/prices and over time. METHOD Six waves of the International Tobacco Control 4 Country longitudinal study of smokers and recent ex-smokers, providing 3176 observations from exclusive RYO users covering 2006-15, are used to calculate the weight of tobacco used in RYO cigarettes in the US, Canada, Australia, and the UK. Multilevel regression analyses were used to compare weights across countries, socio-demographic factors, and over time. RESULTS Smokers in the UK and Australia, where tobacco is relatively expensive, show higher levels of exclusive RYO use (25.8% and 13.8% respectively) and lower mean weights of tobacco per RYO cigarette (0.51 g(sd 0.32 g) and 0.53 g(0.28 g)), compared with both Canada and especially the US (6.0% and 3.5%, and 0.76 g(0.45 g) and 1.07 g(0.51 g)). Smokers in the UK and Australia also exhibited a statistically significant year-on-year decrease in the mean weight of each RYO cigarette. CONCLUSIONS Taxation of RYO should increase considerably in the UK and Australia so that RYO and FM cigarettes are taxed equivalently to reduce RYO attractiveness and inequalities. Other measures to reduce the price differentials, including taxing RYO solely on weight, are also discussed.
Collapse
Affiliation(s)
- J Robert Branston
- School of Management, University of Bath, Claverton Down, BA2 7AY, Bath, UK.
| | - Ann McNeill
- UK Centre for Tobacco & Alcohol Studies,King’s College London, Institute of Psychiatry Psychology & Neuroscience, LONDON
| | - Anna Gilmore
- UK Centre for Tobacco & Alcohol Studies,Department for Health, University of Bath, BATH
| | - Rosemary Hiscock
- UK Centre for Tobacco & Alcohol Studies,Department for Health, University of Bath, BATH
| | - Timea R Partos
- UK Centre for Tobacco & Alcohol Studies,King’s College London, Institute of Psychiatry Psychology & Neuroscience, LONDON
| |
Collapse
|
7
|
Joseph S, Krebs NM, Zhu J, Wert Y, Goel R, Reilly SM, Sun D, Richie JP, Nikiforov I, Cheriyath P, Muscat JE. Differences in nicotine dependence, smoke exposure and consumer characteristics between smokers of machine-injected roll-your-own cigarettes and factory-made cigarettes. Drug Alcohol Depend 2018; 187:109-115. [PMID: 29655031 PMCID: PMC5959786 DOI: 10.1016/j.drugalcdep.2018.01.039] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Revised: 01/30/2018] [Accepted: 01/30/2018] [Indexed: 01/02/2023]
Abstract
BACKGROUND Consumption of machine-injected roll-your-own (RYO) filtered cigarettes made from pipe tobacco increased almost 7-fold from 2008 to 2011 in the United States. METHODS We used data from the Pennsylvania Adult Smoking Study to compare the differences in sociodemographic, smoking topography, nicotine dependence, and cotinine levels between 280 smokers using factory made (FM) cigarettes and 68 smokers using RYO cigarettes. RESULTS RYO smokers were older (41 vs. 37, P = 0.053), had significantly lower levels of income (P < 0.001) and education (P = 0.007), and were less likely to be fully employed (P = 0.009). RYO smokers consumed more cigarettes per day [CPD] (21 vs. 15, P < 0.001), and had a higher mean score on the Fagerström Test for Cigarette/Nicotine Dependence (5.2 vs. 4.1, P < 0.001). The main reasons for choosing RYO cigarettes were the lower cost (68%) and believed they are less harmful (12%). The average cost per pack of FM cigarettes was $5.74 vs. $1.13 for RYO. In multiple regression analyses, RYO smokers had significantly lower cotinine levels across all levels of CPD. Among smokers of king-size cigarettes, mean interpuff interval (P < 0.05) and total smoke duration (P < 0.01) per cigarette was significantly greater in RYO smokers. In laboratory measurements, RYO cigarettes contained more tobacco by weight than FM cigarettes, but weight varied by both tobacco and cigarette tube brands. CONCLUSIONS Machine-injected RYO cigarettes made from pipe tobacco are cheaper than FM cigarettes but may have higher abuse liability. Smokers who might otherwise reduce their cigarette consumption or quit altogether may continue to smoke RYO cigarettes due to their affordability.
Collapse
Affiliation(s)
- Sarah Joseph
- Department of Hematology/Oncology, Lehigh Valley Health Network, Lehigh Valley Hospital, P.O. Box 689, Allentown, PA 18103 USA
| | - Nicolle M. Krebs
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| | - Junjia Zhu
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| | - Yijin Wert
- Department of Internal Medicine, Pinnacle Health Hospitals, 205 S. Front St., Harrisburg, PA 17104 USA
| | - Reema Goel
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| | - Samantha M. Reilly
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| | - Dongxiao Sun
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| | - John P. Richie
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| | - Ivan Nikiforov
- Department of Internal Medicine, Pinnacle Health Hospitals, 205 S. Front St., Harrisburg, PA 17104 USA
| | - Pramil Cheriyath
- Department of Internal Medicine, Pinnacle Health Hospitals, 205 S. Front St., Harrisburg, PA 17104 USA,Department of Internal Medicine, University of Central Florida, College of Medicine. 6850 Lake Nona Blvd, Orlando, FL 32827 USA
| | - Joshua E. Muscat
- Department of Public Health Sciences, Penn State College of Medicine, 500 University Dr., Hershey, PA 17033 USA
| |
Collapse
|
8
|
Hoek J, Ferguson S, Court E, Gallopel-Morvan K. Qualitative exploration of young adult RYO smokers' practices. Tob Control 2016; 26:563-568. [PMID: 27625410 DOI: 10.1136/tobaccocontrol-2016-053168] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 08/24/2016] [Indexed: 01/31/2023]
Abstract
BACKGROUND Although roll-your-own (RYO) tobacco often elicits negative connotations of a lower class product, uptake and use by young adult smokers has grown because RYO is more cost-effective than tailor-made (TM) cigarettes. We explored the practices and beliefs young adults develop to distance themselves from unattractive stereotypes of RYO smokers. METHODS We conducted 20 in-depth interviews with New Zealand young adult RYO users aged between 18 and 30 years, and used thematic analysis to interpret the transcripts. RESULTS We identified three themes: establishing the superiority of RYO tobacco; creating and enacting usage rituals, and ritual disruption. Participants regarded RYO tobacco as more natural and better-tasting; they used it to control their tobacco use and facilitate interactions with others. Many described rolling rituals where they used specific artefacts and microbehaviours to construct cigarettes they saw as personal and artisanal. Several, though not all, disliked unattractively coloured papers as these disrupted the value their rituals created. CONCLUSIONS Young adults imbue RYO tobacco with positive attributes, many of which centre on rolling rituals or draw on widely held misperceptions of RYO tobacco as less harmful. Excise tax increases could counter perceptions of RYO as more cost-effective while mandating that dissuasively coloured paper could disrupt reduced-harm connotations. However, evidence that erroneous harm beliefs are widespread and entrenched may justify restricting or eliminating the key artefact-the product itself.
Collapse
Affiliation(s)
- Janet Hoek
- Department of Marketing, University of Otago, Dunedin, New Zealand
| | - Shelagh Ferguson
- Department of Marketing, University of Otago, Dunedin, New Zealand
| | - Erin Court
- Department of Marketing, University of Otago, Dunedin, New Zealand
| | | |
Collapse
|
9
|
Brown AK, Nagelhout GE, van den Putte B, Willemsen MC, Mons U, Guignard R, Thompson ME. Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys. Tob Control 2015; 24 Suppl 3:iii11-iii16. [PMID: 26101043 DOI: 10.1136/tobaccocontrol-2014-051986] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Accepted: 05/08/2015] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To examine if exclusive Roll-Your-Own (RYO) tobacco use relative to factory-made (FM) cigarette use has been rising over time, to determine the extent to which economic motives and perceptions that RYO cigarettes are less harmful act as primary motivations for use, and to examine the association of income and education with the level of RYO tobacco use among smokers in four European countries. METHODS Data were obtained from the International Tobacco Control (ITC) Europe Surveys, and a cohort sample of 7070 smokers from the Netherlands, Germany, France and UK were interviewed between June 2006 and December 2012. Generalised estimating equations (GEE) were used to assess trends in RYO use, and whether RYO consumption varied by socioeconomic variables. RESULTS Exclusive RYO use over the study period has increased significantly in the UK from 26.4% in 2007 to 32.7% in 2010 (p<0.001); France from 12.2% in 2006 to 19.1% in 2012 (p<0.001); and Germany from 12.7% in 2007 to 18.6% in 2011 (p=0.031), with increased borderline significantly in the Netherlands (31.7% to 34.3%, p=0.052), from 2008 to 2010. Over three-quarters of users in each of the study countries indicated that lower price was a reason why they smoked RYO. Just over a fourth of smokers in the UK, less than a fifth in France, and around a tenth in Germany and the Netherlands believed that RYO is healthier. Compared with exclusive FM users, exclusive RYO users were more likely to have lower incomes and lower education. CONCLUSIONS Effective tobacco tax regulation is needed in the European Union and elsewhere to eliminate or reduce the price advantage of RYO tobacco. Additional health messages are also required to correct the misperception that RYO tobacco is healthier than FM cigarettes.
Collapse
Affiliation(s)
- Abraham K Brown
- Division of Marketing, Nottingham Business School, Nottingham Trent University, Nottingham, UK
| | - Gera E Nagelhout
- Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, The Netherlands Dutch Alliance for a Smokefree Society, The Hague, The Netherlands
| | - Bas van den Putte
- Department of Communication, University of Amsterdam (ASCoR), Amsterdam, The Netherlands Trimbos Institute, Netherlands Institute for Mental Health and Addiction, Utrecht, The Netherlands
| | - Marc C Willemsen
- Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, The Netherlands Dutch Alliance for a Smokefree Society, The Hague, The Netherlands
| | - Ute Mons
- Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany Unit Cancer Prevention, German Cancer Research Center (DKFZ), Heidelberg, Germany
| | - Romain Guignard
- French Institute for Health Promotion and Health Education (INPES), Saint-Denis, France
| | - Mary E Thompson
- Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Canada
| |
Collapse
|
10
|
Gallus S, Lugo A, Ghislandi S, La Vecchia C, Gilmore AB. Roll-your-own cigarettes in Europe: use, weight and implications for fiscal policies. Eur J Cancer Prev 2015; 23:186-92. [PMID: 24500021 DOI: 10.1097/cej.0000000000000010] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Excise duties on roll-your-own (RYO) tobacco, which are generally based on RYO cigarettes containing 1 g of tobacco, are lower than duties on factory-made (FM) cigarettes. This provides a price incentive for smokers to switch to RYO, the use of which is increasing across Europe. To effectively approximate duties on the two types of products, accurate data on the weight of RYO cigarettes are required. We provide updated information on RYO use and RYO cigarette weight across Europe. From a representative face-to-face survey conducted in 2010 in 18 European countries (Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Poland, Portugal, Romania, Spain and Sweden), we considered data from 5158 current smokers aged 15 years or above, with available information on daily consumption of FM and RYO cigarettes separately. In Europe, 10.4% of current smokers (12.9% of men and 7.5% of women) were 'predominant' RYO users (i.e. >50% of cigarettes smoked). This proportion was highest in England (27.3%), France (16.5%) and Finland (13.6%). The median weight of one RYO cigarette is 0.75 g (based on 192 smokers consuming exclusively RYO cigarettes). The proportion of RYO smokers is substantial in several European countries. Our finding on the weight of RYO cigarettes is consistent with the scientific literature and industry documents showing that the weight of RYO cigarettes is substantially lower than that of FM ones. Basing excise duties on RYO on an average cigarette weight of 0.75 g rather than 1 g would help increase the excise levels to those on FM cigarettes.
Collapse
Affiliation(s)
- Silvano Gallus
- aDepartment of Epidemiology, IRCCS - Istituto di Ricerche Farmacologiche 'Mario Negri' bDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano cECONPUBBLICA, Department of Policy Analysis and Public Management, Bocconi University, Milan dCESAV, Center for Health Economics, IRCCS - Istituto di Ricerche Farmacologiche 'Mario Negri', Ranica, Italy eDepartment for Health, University of Bath, Bath, UK
| | | | | | | | | |
Collapse
|
11
|
Koszowski B, Rosenberry ZR, Strasser AA, Pickworth WB. Experimentally Switching from Factory Made to Self-Made Cigarettes: A Preliminary Study of Perceptions, Toxicant Exposure and Smoking Behavior. ACTA ACUST UNITED AC 2014; 5:179. [PMID: 25419477 DOI: 10.4172/2155-6105.1000179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
INTRODUCTION There is currently the potential for a great deal of transition and product switching among cigarette smokers. Studies on the transition when cigarette smokers switch from one type of nicotine delivery product to another are needed to understand subsequent toxicant exposure. METHODS A preliminary study was performed to determine the feasibility of experimentally replicating the transition from factory made (FM) to personal machine made (PMM) cigarette smoking. The adaptability and perceptions of the consumer and the consequent exposure to cigarette-delivered toxins were assessed. Six adults (4 men) were recruited for four laboratory visits (V1-V4) on study days 1, 5, 10 and 15, respectively. All of the participants agreed to switch from exclusive FM smoking to exclusive PMM cigarette smoking for the duration of the study. RESULTS Compliance was very high among these participants. Participants progressively accepted the PMM cigarettes and became efficient producers of PMMs as evidenced in the reduced time to make 5 PMMs in the laboratory. Participants reported a preference for FM at visit 2 (V2), but had stated no preference by the fourth visit. Compared to the FMs, the PMMs at V3 (p<0.05) and V4 (p<0.10) had lower CO boost (7.3 vs. 4.1 ppm; p<0.05). Over all conditions, nicotine plasma levels averaged 18.0±2.4 ng/ml before smoking (for both FM and PMM) and 34.0±5.3 ng/mL after smoking; there were no significant differences in the plasma nicotine boost (average 17.7 and 15.4ng/ml after FM and PMM smoking, respectively). Although there were differences between individual subjects' filter butt levels of deposited solanesol the within-subject levels were remarkably similar. Puff topography measures did not vary across visits or cigarette type. CONCLUSIONS Although interpretation of study results must be conservative because of the small sample size, this study demonstrates that experimentally-induced transition from FM to PMM smoking is feasible for laboratory study and the subsequent toxicant exposure is comparable for FM and PMM cigarettes.
Collapse
Affiliation(s)
- Bartosz Koszowski
- Battelle Memorial Institute Human Exposure Assessment Laboratory (HEAL) Baltimore, MD
| | - Zachary R Rosenberry
- Battelle Memorial Institute Human Exposure Assessment Laboratory (HEAL) Baltimore, MD
| | - Andrew A Strasser
- Center for Interdisciplinary Research on Nicotine Addiction Perelman School of Medicine University of Pennsylvania Philadelphia PA
| | - Wallace B Pickworth
- Battelle Memorial Institute Human Exposure Assessment Laboratory (HEAL) Baltimore, MD
| |
Collapse
|
12
|
Koszowski B, Rosenberry ZR, Viray LC, Potts JL, Pickworth WB. Make your own cigarettes: toxicant exposure, smoking topography, and subjective effects. Cancer Epidemiol Biomarkers Prev 2014; 23:1793-803. [PMID: 24925675 DOI: 10.1158/1055-9965.epi-14-0280] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Despite considerable use of make your own (MYO) cigarettes worldwide and increasing use in the United States, relatively little is known about how these cigarettes are smoked and the resultant toxicant exposure. METHODS In a laboratory study, we compared two types of MYO cigarettes-roll your own (RYO) and personal machine made (PMM)-with factory-made (FM) cigarettes in three groups of smokers who exclusively used RYO (n = 34), PMM (n = 23), or FM (n = 20). Within each group, cigarettes were smoked in three conditions: (i) after confirmed overnight tobacco abstinence; (ii) in an intense smoking paradigm; and (iii) without restrictions. All cigarettes were smoked ad lib through a smoking topography unit. RESULTS Plasma nicotine significantly increased after cigarettes in all conditions except PMM in the intense smoking paradigm. Puff volume, puff duration, total puff volume, and puff velocity did not differ between cigarette types but the puffs per cigarette and time to smoke were significantly smaller for RYO compared with PMM and FM. Regardless of the cigarette, participants consumed the first three puffs more vigorously than the last three puffs. CONCLUSIONS Despite the belief of many of their consumers, smoking MYO cigarettes is not a safe alternative to FM cigarettes. Like FM, MYO cigarettes expose their users to harmful constituents of tobacco smoke. Despite differences in size and design their puffing profiles are remarkably similar. IMPACT These data are relevant to health and regulatory considerations on the MYO cigarettes.
Collapse
Affiliation(s)
- Bartosz Koszowski
- Battelle Memorial Institute, Human Exposure Assessment Laboratory (HEAL), Baltimore, Maryland.
| | - Zachary R Rosenberry
- Battelle Memorial Institute, Human Exposure Assessment Laboratory (HEAL), Baltimore, Maryland
| | - Lauren C Viray
- Battelle Memorial Institute, Human Exposure Assessment Laboratory (HEAL), Baltimore, Maryland
| | - Jennifer L Potts
- Battelle Memorial Institute, Human Exposure Assessment Laboratory (HEAL), Baltimore, Maryland
| | - Wallace B Pickworth
- Battelle Memorial Institute, Human Exposure Assessment Laboratory (HEAL), Baltimore, Maryland
| |
Collapse
|
13
|
Marcilla A, Beltran MI, Gómez-Siurana A, Berenguer D, Martínez-Castellanos I. Comparison between the mainstream smoke of eleven RYO tobacco brands and the reference tobacco 3R4F. Toxicol Rep 2014; 1:122-136. [PMID: 28962233 PMCID: PMC5598218 DOI: 10.1016/j.toxrep.2014.05.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2014] [Revised: 05/14/2014] [Accepted: 05/14/2014] [Indexed: 11/05/2022] Open
Abstract
In this study 11 commercial roll-your-own (RYO) tobacco brands sold in Spain and the reference tobacco 3R4F have been smoked and several components of the mainstream tobacco smoke have been analyzed. Cigarettes were prepared using commercial tubes, and were smoked under smoking conditions based on the ISO 3308. The gaseous and condensed fractions of the smoke from RYO brands and 3R4F have been analyzed and compared. RYO tobaccos, as opposed to 3R4F, present lower amounts of condensed products in the traps than in the filters. In general, RYO tobaccos also provide lower yields of most of the compounds detected in the gas fraction. The yield of CO is between 15.4 and 20.4 mg/cigarette. In most of the cases studied, RYO tobaccos deliver higher amounts of nicotine than the 3R4F tobacco. On average, the yield of the different chemical families of compounds appearing in the particulate matter retained in the cigarette filters tends to be around three times higher than those obtained from 3R4F, whereas similar values have been obtained in the particulate matter retained in the traps located after the filters. It can be concluded that RYO tobaccos are not less hazardous than the reference tobacco, which may be contrary to popular belief.
Collapse
Affiliation(s)
- A Marcilla
- Departamento Ingeniería Química, Universidad de Alicante, Apdo. 99, 03080 Alicante, Spain
| | - M I Beltran
- Departamento Ingeniería Química, Universidad de Alicante, Apdo. 99, 03080 Alicante, Spain
| | - A Gómez-Siurana
- Departamento Ingeniería Química, Universidad de Alicante, Apdo. 99, 03080 Alicante, Spain
| | - D Berenguer
- Departamento Ingeniería Química, Universidad de Alicante, Apdo. 99, 03080 Alicante, Spain
| | - I Martínez-Castellanos
- Departamento Ingeniería Química, Universidad de Alicante, Apdo. 99, 03080 Alicante, Spain
| |
Collapse
|