期刊论文详细信息
BMC Public Health
Roll-your-own tobacco use among Canadian youth: is it a bigger problem than we think?
Robin Burkhalter2  Scott T Leatherdale1 
[1] School of Public Health and Health Systems, University of Waterloo, 200 University Avenue, Waterloo, ON, Canada, N2L 3G1;Propel Centre for Population Health Impact, Canadian Cancer Society, University of Waterloo, Waterloo, ON, Canada
关键词: Smoking;    Drug use;    Youth;    Disposable income;    Roll-your-own tobacco;   
Others  :  1163418
DOI  :  10.1186/1471-2458-12-557
 received in 2012-03-26, accepted in 2012-07-03,  发布年份 2012
PDF
【 摘 要 】

Background

Despite the apparent decline in the popularity of roll-your-own (RYO) cigarettes over the past few decades, RYO tobacco products are widely available and used by a substantial number of adult smokers. Considering research has yet to examine the prevalence of RYO tobacco use among youth populations, this manuscript examines the prevalence of RYO tobacco use and factors associated with RYO use in a nationally representative sample of youth smokers from Canada.

Methods

This study used data collected from 3,630 current smokers in grades 9 to 12 as part of the 2008-09 Canadian Youth Smoking Survey (YSS). Descriptive analyses of the sample demographic characteristics, smoking status, cigarettes per day, weekly spending money, and frequency of marijuana use were examined by RYO tobacco ever use and RYO tobacco current use. Two logistic regression models were used to examine factors associated with RYO tobacco ever use and RYO tobacco current use.

Results

We identified that 51.2% of current smokers were RYO ever users and 24.2% were RYO current users. The prevalence of RYO current users was highest in Atlantic Canada (40.1%) and lowest in Quebec (12.3%). RYO current users were more likely to be male (OR 1.27), to be daily smokers (OR 1.75), to use marijuana once a month or more (OR 2.74), and to smoke 11 or more cigarettes per day (OR 6.52). RYO current users were less likely to be in grade 11 (OR 0.65) or grade 12 (OR 0.40) and less likely to have between $20 to $100 (OR 0.44) or more than $100 (OR 0.45) of disposable income.

Conclusions

Developing a better understanding of RYO tobacco use among youth is important for advancing population-level tobacco control prevention strategies and cessation programs. We identified that RYO tobacco use is not a negligible problem among Canadian youth. Ongoing research is needed to continue monitoring the prevalence of RYO use among youth and the factors associated with its use, but to also monitor if this more affordable tobacco product is being targeted to price sensitive youth smokers.

【 授权许可】

   
1900 Leatherdale and Burkhalter; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413100914908.pdf 372KB PDF download
Figure 2. 51KB Image download
Figure 1. 52KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]Kaiserman MJ, Rogers B: Forty year trends in Canadian tobacco sales. Can J Pub Health 1992, 83:404-406.
  • [2]Young D, Borland R, Hammond D, Cummings KM, Devlin E, Yong HH, et al.: Prevalence and attributes of roll-your-own smokers in the International Tobacco Control (ITC) Four Country Survey. Tob Control 2006, 15(Suppl III):iii76-iii82.
  • [3]Li J, Grigg M, Weerasekera D, Yeh LC: Characteristics and quitting success of roll-your-own versus tailor-made cigarette smokers. New Z Med J 2010, 123:64-73.
  • [4]Young D, Wilson N, Borland R, Edwards R, Weerasekera D: 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 2010, 12:1089-1098.
  • [5]Leatherdale ST, Kaiserman M, Ahmed R: The roll-your-own cigarette market in Canada: a cross-sectional exploratory study. Tob Induc Dis 2009, 5:1-6. BioMed Central Full Text
  • [6]Engeland A, Haldorsen T, Andersen A, Tretli S: The impact of smoking habits on lung cancer risk. I: 28 years’ observation of 26,000 Norwegian men and women. Cancer Causes Control 1996, 7:366-376.
  • [7]Tuyns AJ, Esteve J: Pipe, commercial and hand-rolled cigarette smoking in oesophageal cancer. Int J Epidemiol 1983, 12:110-113.
  • [8]De Stefani E, Oreggia F, Rivero S, Fierro L: Hand-rolled cigarette smoking and risk of cancer of the mouth, pharynx and larynx. Cancer 1992, 70:679-682.
  • [9]Ross H, Chaloupka FJ: The effect of cigarette prices on youth smoking. Health Econ 2003, 12:217-230.
  • [10]Chaloupka FJ, Pacula RL: Sex and race differences in young people's responsiveness to price and tobacco control policies. Tob Control 1999, 8:373-377.
  • [11]Ontario Tobacco Research Unit. The Tobacco Control Environment: Ontario and Beyond. [Special Reports: Monitoring and Evaluation Series, 2007-2008 (Vol. 14, No. 1)]. Ontario Tobacco Research Unit, Toronto, ON; 2008.
  • [12]Leatherdale ST, Ahmed R, Barisic A, Murnaghan D, Manske S: Cigarette brand preference as a function of price among smoking youth in Canada: are they smoking premium, discount or native brands? Tob Control 2009, 18:466-473.
  • [13]Elton-Marshall T, Leatherdale ST, Manske SR, Wong K, Ahmed R, Burkhalter R: Research Methods of the Youth Smoking Survey (YSS). Chronic Dis Inj Can 2011, 32:47-54.
  • [14]Shahab L, West R, McNeill A: A comparison of exposure to carcinogens among roll-your-own and factory-made cigarette smokers. Addict Biol 2009, 14:315-320.
  • [15]Wilson N, Young D, Weerasekera D, Edwards R, Thomson G, Glover M: The importance of tobacco prices to roll-your-own (RYO) smokers (national survey data): higher taxes needed on RYO. New Z Med J 2009, 122:92-96.
  • [16]2008-09 Youth Smoking Survey. Minister of Supply and Services Canada, Ottawa; 2010. Available at: http://www.hc-sc.gc.ca/hc-ps/tobac-tabac/research-recherche/stat/_survey-sondage_2008-2009/result-eng.php webcite. Accessed July 25, 2010
  • [17]SAS Institute Inc: The SAS System for Windows: Version 9.2, 2002-2008. SAS Institute Inc, Cary; 2008.
  • [18]Licht AS, Hyland AJ, O’Connor RJ, Chaloupka FJ, Borland R, Fong GT, et al.: Socio-economic variation in price minimizing behaviors: findings from the International Tobacco Control (ITC) Four Country Survey. Int J Environ Res Public Health 2011, 8:234-252.
  • [19]Leatherdale ST, Burkhalter R: The substance use profile of Canadian youth: exploring the prevalence of alcohol, drug and tobacco use by gender and grade. Add Behav 2012, 37:318-322.
  • [20]Hall W, Solowij N: Adverse effects of cannabis. Lancet 1998, 352:1611-1616.
  文献评价指标  
  下载次数:35次 浏览次数:36次