Abstract
Objectives
The use of roll-your-own (RYO) cigarette has substantially increased in most high-income countries recently. This work aims to update Italian trends on loose tobacco sales and to describe the consumer profile of predominant RYO users.
Methods
Data from the Italian Agency of Customs and State Monopolies and from PASSI (Italian behavioral risk factor surveillance system) were used. Information on 16,858 interviews to current smokers aged 18–69 was analyzed.
Results
Sales of loose tobacco increased more than sevenfold between 2004 and 2017. In 2015–2016, 11.6% of smokers reported smoking predominantly RYO cigarettes, with higher percentages among the youngest where a significant association between use of RYO and education was observed, unlike what happened in older adults. The association between economic difficulties and use of RYO was observed only in older adults.
Conclusions
A growing trend in RYO cigarette sales was registered between 2004 and 2017. In young smokers, the greater use of RYO was observed among the most educated regardless of financial strain, while in older ones among those with economic difficulties.
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References
AAPOR (2001) The American Association for Public Opinion Research. In: Standard definitions: final dispositions of case codes and outcome rates for surveys, 7th ed., AAPOR, Oakbrook Terrace, IL, USA
Baldissera S, Campostrini S, Binkin N et al (2011) Features and initial assessment of the Italian Behavioral Risk Factor Surveillance System (PASSI), 2007–2008. Prev Chronic Dis 8:A24
Barros AJ, Hirakata VN (2003) Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol 3:21. https://doi.org/10.1186/1471-2288-3-21
Bayly M, Scollo MM, Wakefield MA (2018) Who uses rollies? Trends in product offerings, price and use of roll-your-own tobacco in Australia. Tob Control. https://doi.org/10.1136/tobaccocontrol-2018-054334
Brown AK, Nagelhout GE, van den Putte B et al (2015) Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys. Tob Control 24(Suppl 3):iii11–iii16. https://doi.org/10.1136/tobaccocontrol-2014-051986
Curti D, Shang C, Ridgeway W et al (2015) The use of legal, illegal and roll-your-own cigarettes to increasing tobacco excise taxes and comprehensive tobacco control policies: findings from the ITC Uruguay Survey. Tob Control 24(Suppl 3):iii17–iii24. https://doi.org/10.1136/tobaccocontrol-2014-051890
D’Argenio P, Gallus S, Ghislandi S et al (2014) [In Italy, prevalence of smokers and manufactured cigarettes sales are decreasing, but social differences and sales of fine-cut tobacco are increasing]. Epidemiol Prev 38:273
Darrall KG, Figgins JA (1998) Roll-your-own smoke yields: theoretical and practical aspects. Tob Control 7:168–175
Di Quirico R (2010) Italy and the global economic crisis. Bull Ital Polit 2:3–19
Edwards R (2014) Roll your own cigarettes are less natural and at least as harmful as factory rolled tobacco. BMJ 348:f7616. https://doi.org/10.1136/bmj.f7616
Gallus S, Spizzichino L, Lugo A et al (2013) Sales of different tobacco products in Italy, 2004-2012. Prev Med 56:422–423. https://doi.org/10.1016/j.ypmed.2013.02.016
Gallus S, Lugo A, Ghislandi S et al (2014) Roll-your-own cigarettes in Europe: use, weight and implications for fiscal policies. Eur J Cancer Prev 23:186–192. https://doi.org/10.1097/cej.0000000000000010
Ghoshray A, Ordóñez J, Sala H (2016) Euro, crisis and unemployment: youth patterns, youth policies? Econ Model 58:442–453
Gilmore AB, Tavakoly B, Hiscock R, Taylor G (2015) Smoking patterns in Great Britain: the rise of cheap cigarette brands and roll your own (RYO) tobacco. J Public Heal 37:78–88. https://doi.org/10.1093/pubmed/fdu048
Healey B, Edwards R, Hoek J (2016) Youth preferences for roll-your-own versus factory-made cigarettes: trends and associations in repeated National Surveys (2006–2013) and Implications for Policy. Nicotine Tob Res 18:959–965. https://doi.org/10.1093/ntr/ntv135
Hoek J, Ferguson S, Court E, Gallopel-Morvan K (2016) Qualitative exploration of young adult RYO smokers’ practices. Tob Control 26:563–568. https://doi.org/10.1136/tobaccocontrol-2016-053168
IARC (2011) International Agency for Cancer Research. Effectiveness of tax and price policies for tobacco control (IARC Handbooks of Cancer Prevention: Tobacco Control. Volume 14). Lyon, International Agency for Research on Cancer
IARC (2014) International Agency for Cancer Research. Pricing policy and control of tobacco in Europe. Policy recommendations for tobacco taxation in the European Union. Integrated Research Findings from PPACTE project
Koszowski B, Rosenberry ZR, Viray LC et al (2014) Make your own cigarettes: toxicant exposure, smoking topography, and subjective effects. Cancer Epidemiol Biomarkers Prev 23(9):1793–1803. https://doi.org/10.1158/1055-9965
Laugesen M, Epton M, Frampton CM et al (2009) Hand-rolled cigarette smoking patterns compared with factory-made cigarette smoking in New Zealand men. BMC Public Health 9:194. https://doi.org/10.1186/1471-2458-9-194
Lidon-Moyano C, Fu M, Ballbe M et al (2017) Impact of the Spanish smoking laws on tobacco consumption and secondhand smoke exposure: a longitudinal population study. Addict Behav 75:30–35. https://doi.org/10.1016/j.addbeh.2017.06.016
Lugo A, Asciutto R, Pacifici R et al (2015) Smoking in Italy 2013-2014, with a focus on the young. Tumori 101:529–534. https://doi.org/10.5301/tj.5000311
Lugo A, Zuccaro P, Pacifici R et al (2017) Smoking in Italy in 2015-2016: prevalence, trends, roll-your-own cigarettes, and attitudes towards incoming regulations. Tumori 103:353–359. https://doi.org/10.5301/tj.5000644
O’Connor RJ, McNeill A, Borland R et al (2007) Smokers’ beliefs about the relative safety of other tobacco products: findings from the ITC collaboration. Nicotine Tob Res 9:1033–1042. https://doi.org/10.1080/14622200701591583
Partos TR, Gilmore AB, Hitchman SC et al (2018) Availability and use of cheap tobacco in the United Kingdom 2002-2014: findings from the International Tobacco Control Project. Nicotine Tob Res 20:714–724. https://doi.org/10.1093/ntr/ntx108
Shahab L, West R, McNeill A (2009) A comparison of exposure to carcinogens among roll-your-own and factory-made cigarette smokers. Addict Biol 14:315–320. https://doi.org/10.1111/j.1369-1600.2009.00157.x
Sureda X, Fu M, Martinez-Sanchez JM et al (2017) Manufactured and roll-your-own cigarettes: a changing pattern of smoking in Barcelona, Spain. Env Res 155:167–174. https://doi.org/10.1016/j.envres.2017.02.012
Tarrazo M, Perez-Rios M, Santiago-Perez MI et al (2017) Changes in tobacco consumption: boom of roll-your-own cigarettes and emergence of e-cigarettes. Gac Sanit 31:204–209. https://doi.org/10.1016/j.gaceta.2016.06.002
WHO (2018) World Health Organization. Price and tax policies (in relation to Article 6 of the Convention): technical report by WHO’s Tobacco Free Initiative. Report to the fourth session of the COP, Punta del Este, Uruguay, 2010 (document FCTC/COP/4/11). http://www.who.int/fctc/publications/en/
WHO U-N and (2016) U.S. National Cancer Institute and World Health Organization. The Economics of Tobacco and Tobacco Control. National Cancer Institute Tobacco Control Monograph 21. NIH Publication No. 16-CA-8029A. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute; and Geneva, CH: World Health Organization
World Bank (1999) Curbing the epidemic—governments and the economics of tobacco control. Development in practice. Washington DC; World Bank. http://documents.worldbank.org/curated/en/914041468176678949/Curbing-the-epidemic-governments-and-the-economics-of-tobacco-contro
Young D, Borland R, Hammond D et al (2006) Prevalence and attributes of roll-your-own smokers in the International Tobacco Control (ITC) Four Country Survey. Tob Control 15(3):iii76–iii82. https://doi.org/10.1136/tc.2005.013268
Young D, Wilson N, Borland R et al (2010) Prevalence, correlates of, and reasons for using roll-your-own tobacco in a high RYO use country: findings from the ITC New Zealand survey. Nicotine Tob Res 12(11):1089–1098. https://doi.org/10.1093/ntr/ntq155
Young D, Yong HH, Borland R et al (2012) Trends in roll-your-own smoking: findings from the ITC Four-Country Survey (2002–2008). J Env Public Heal 2012:406283. https://doi.org/10.1155/2012/406283
Acknowledgements
The authors thank the many PASSI regional referents and the regional and local coordinators who contributed to the data collection. A special thank goes to the health care workers in the public health departments in the LHUs, who conducted the interviews, and to Nancy Binkin for her precious support and editorial assistance.
Funding
This work was supported by the Italian Ministry of Health/National Centre for Disease Prevention and Control (CCM 2016 PROGRAMME—EXECUTIVE PROJECT TITLE: Support to the regions for maintenance and implementation of PASSI surveillance on behavioral risk factors related to the health of the Italian adult population). The work of Silvano Gallus was partially supported by the Italian League Against Cancer (Milan).
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PD had the original idea of the work. VM performed the statistical analyses. SG, GF and MM wrote the manuscript. All authors contributed to critical review, editing and revision of manuscript draft and approval of the final version.
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Paolo D’Argenio is former member of the PASSI coordinating group.
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Minardi, V., Ferrante, G., D’Argenio, P. et al. Roll-your-own cigarette use in Italy: sales and consumer profile—data from PASSI surveillance, 2015–2016. Int J Public Health 64, 423–430 (2019). https://doi.org/10.1007/s00038-019-01204-5
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DOI: https://doi.org/10.1007/s00038-019-01204-5