Transitions from and to roll-your-own tobacco, perceptions and health beliefs among smokers: findings from the EUREST-PLUS ITC Europe Surveys
Author:
Filippidis Filippos T12ORCID, Driezen Pete3, Kyriakos Christina N45, Katsaounou Paraskevi26, Petroulia Ioanna2, Girvalaki Charis5, Fu Marcela78910, Fernández Esteve78910, Mons Ute11, Trofor Antigona C1213, Demjén Tibor14, Przewoźniak Krzysztof151617, Zatoński Witold A1518, Fong Geoffrey T319, Tountas Yannis2, Vardavas Constantine I45, Vardavas Constantine I, Glahn Andrea, Kyriakos Christina N, Nguyen Dominick, Nikitara Katerina, Radu-Loghin Cornel, Starchenko Polina, Tsatsakis Aristidis, Girvalaki Charis, Igoumenaki Chryssi, Papadakis Sophia, Papathanasaki Aikaterini, Tzatzarakis Manolis, Vardavas Alexander I, Bécuwe Nicolas, Deaconu Lavinia, Goudet Sophie, Hanley Christopher, Rivière Oscar, Demjén Tibor, Kiss Judit, Kovacs Anna Piroska, Fernández, Esteve, Castellano Yolanda, Fu Marcela, Nogueira Sarah O, Tigova Olena, McNeill Ann, East Katherine, Hitchman Sara C, Mons Ute, Kahnert Sarah, Tountas Yannis, Behrakis Panagiotis, Filippidis Filippos T, Gratziou Christina, Katsaounou Paraskevi, Peleki Theodosia, Petroulia Ioanna, Tzavara Chara, Trofor Antigona Carmen, Eremia Marius, Lotrean Lucia, Mihaltan Florin, Rohde Gernot, Asano Tamaki, Cichon Claudia, Far Amy, Genton Céline, Jessner Melanie, Hedman Linnea, Janson Christer, Lindberg Ann, Maguire Beth, Ravara Sofia, Vaccaro Valérie, Ward Brian, Willemsen Marc, de Vries Hein, Hummel Karin, Nagelhout Gera E, Zatoński Witold A, Herbeć Aleksandra, Janik-Koncewicz Kinga, Przewoźniak Krzysztof, Zatoński Mateusz, Fong Geoffrey T, Agar Thomas K, Driezen Pete, Gravely Shannon, Quah Anne C K, Thompson Mary E,
Affiliation:
1. Department of Primary Care and Public Health, School of Public Health, Imperial College, London, UK 2. Center for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece 3. Department of Psychology and School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada 4. European Network for Smoking and Tobacco Prevention, Brussels, Belgium 5. Laboratory of Toxicology, School of Medicine, University of Crete, Heraklion, Greece 6. First ICU Evaggelismos Hospital Athens, National and Kapodistrian University of Athens, Athens, Greece 7. Tobacco Control Unit, Catalan Institute of Oncology (ICO), L’Hospitalet de Llobregat (Barcelona), Catalonia 8. Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L’Hospitalet de Llobregat, Catalonia 9. School of Medicine and Health Sciences, Bellvitge Campus, Universitat de Barcelona, L’Hospitalet de Llobregat, Catalonia 10. Consortium for Biomedical Research in Respiratory Diseases (CIBER of Respiratory Diseases, CIBERES), Madrid, Spain 11. Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany 12. University of Medicine and Pharmacy ‘Grigore T. Popa’ Iasi, Iasi, Romania 13. Aer Pur Romania, Bucharest, Romania 14. Smoking or Health Hungarian Foundation, Budapest, Hungary 15. Health Promotion Foundation, Warsaw, Poland 16. Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland 17. Collegium Civitas, Warsaw, Poland 18. European Observatory of Health Inequalities, President Stanisław Wojciechowski State University of Applied Sciences, Kalisz, Poland 19. Ontario Institute for Cancer Research, Toronto, Canada
Abstract
Abstract
Background
The prevalence of roll-your-own tobacco (RYO) in Europe has been increasing. The aim of this study was to investigate transitions between factory-made (FM) cigarettes and RYO in a longitudinal sample of European smokers, and their perceptions of relative harmfulness and knowledge of health effects.
Methods
We used data collected from the EUREST-PLUS ITC 6 European Country (6E) Surveys in 2016 (n = 6011 smokers) and in 2018 (n = 6027) in Germany, Greece, Hungary, Poland, Romania and Spain. A total of 3195 cohort respondents were interviewed in both years. Use of RYO and FM, knowledge of health effects of smoking as well as perceptions about RYO were assessed. We used logistic regression models to explore sociodemographic correlates of transitions from one product to the other, of perceptions and knowledge related to smoking health effects.
Results
Approximately 7.4% of exclusive FM smokers transitioned to RYO and 29.5% of exclusive RYO smokers transitioned to FM cigarettes from 2016 to 2018. RYO use in 2018 was more frequent among smokers of low education and income, but none of these factors were associated with transitions. Most RYO smokers perceived RYO as cheaper than FM and 21.7% of them considered RYO to be less harmful than FM. Knowledge of the health effects of smoking was not associated with type of product smoked.
Conclusions
RYO is popular among European smokers; its lower cost seems to be a major factor for RYO users; reasons for transitions to and from RYO are less clear and need to be further investigated.
Funder
European Union’s Horizon 2020 University of Waterloo Canadian Institutes of Health Research Senior Investigator Grant Ontario Institute for Cancer Research Ministry of Universities and Research, Government of Catalonia Instituto Carlos III European Regional Development Fund FEDER
Publisher
Oxford University Press (OUP)
Subject
Public Health, Environmental and Occupational Health
Cited by
4 articles.
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