TY - JOUR
T1 - Transitions from and to roll-your-own tobacco, perceptions and health beliefs among smokers
T2 - findings from the EUREST-PLUS ITC Europe Surveys
AU - Filippidis, Filippos T.
AU - Driezen, Pete
AU - Kyriakos, Christina N.
AU - Katsaounou, Paraskevi
AU - Petroulia, Ioanna
AU - Girvalaki, Charis
AU - Fu, Marcela
AU - Fernández, Esteve
AU - Mons, Ute
AU - Trofor, Antigona C.
AU - Demjén, Tibor
AU - Przewozniak, Krzysztof
AU - Zatonski, Witold A.
AU - Fong, Geoffrey T.
AU - Tountas, Yannis
AU - Vardavas, Constantine I.
AU - Glahn, Andrea
AU - Nguyen, Dominick
AU - Nikitara, Katerina
AU - Radu-Loghin, Cornel
AU - Starchenko, Polina
AU - Tsatsakis, Aristidis
AU - Igoumenaki, Chryssi
AU - Papadakis, Sophia
AU - Papathanasaki, Aikaterini
AU - Tzatzarakis, Manolis
AU - Vardavas, Alexander I.
AU - Bécuwe, Nicolas
AU - Deaconu, Lavinia
AU - Goudet, Sophie
AU - Hanley, Christopher
AU - Rivière, Oscar
AU - Kiss, Judit
AU - Kovacs, Anna Piroska
AU - Castellano, Yolanda
AU - Nogueira, Sarah O.
AU - Tigova, Olena
AU - McNeill, Ann
AU - East, Katherine
AU - Hitchman, Sara C.
AU - Kahnert, Sarah
AU - Behrakis, Panagiotis
AU - Gratziou, Christina
AU - Peleki, Theodosia
AU - Tzavara, Chara
AU - Eremia, Marius
AU - Willemsen, Marc
AU - De Vries, Hein
AU - Hummel, Karin
AU - Nagelhout, Gera E.
AU - EUREST-PLUS consortium
N1 - Funding Information:
The EUREST-PLUS project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 681109 (C.I.V.) and the University of Waterloo (G.T.F.). Additional support was provided to the University of Waterloo by a foundation grant from the Canadian Institutes of Health Research (FDN-148477). G.T.F. was supported by a Senior Investigator Grant from the Ontario Institute for Cancer Research. E.F. and M.F. are partly supported by Ministry of Universities and Research, Government of Catalonia (2017SGR319) and by the Instituto Carlos III and co-funded by the European Regional Development Fund (FEDER) (INT16/00211 and INT17/00103), Government of Spain. E.F. and M.F. thank CERCA Programme Generalitat de Catalunya for the institutional support to IDIBELL.
Publisher Copyright:
© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association.
PY - 2020/7/1
Y1 - 2020/7/1
N2 - 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 ¼ 6011 smokers) and in 2018 (n ¼ 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.
AB - 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 ¼ 6011 smokers) and in 2018 (n ¼ 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.
U2 - 10.1093/eurpub/ckz214
DO - 10.1093/eurpub/ckz214
M3 - Article
SN - 1101-1262
VL - 30
SP - III18-III25
JO - European Journal of Public Health
JF - European Journal of Public Health
IS - 3
ER -