Department of Planning, Policy and Design, School of Social Ecology, University of California, Irvine, CA, USA.
J Public Health Policy. 2012 May;33(2):188-201. doi: 10.1057/jphp.2012.9. Epub 2012 Mar 1.
Existing survey data indicate that most smokers are not receptive to harm reduction incentives of switching to smokeless tobacco (SLT). Little is known about the underlying reasons for these views. To explore smokers' perceptions of SLT, we conducted a focus group (eight in total) study of daily smokers between 2009 and 2010 at the University of California, Irvine. We transcribed each 2-hour focus group verbatim and analyzed it using domain analysis. The discussions revealed several reasons why smokers are not receptive to SLT. First, smokers associated new spit-less SLT (that is, Snus) with historic images of chewing tobacco. Second, smokers viewed smoking as an incentive to take a break from their daily routine. Third, smokers expressed lack of control over nicotine delivery when using SLT, relative to cigarettes. These findings challenge tobacco manufacturers' strategies to market a smokeless alternative as a growing number of smoke-free policies are introduced.
现有调查数据表明，大多数吸烟者对转向无烟烟草（SLT）以减少危害的激励措施并不接受。对于这些观点的根本原因知之甚少。为了探讨吸烟者对 SLT 的看法，我们于 2009 年至 2010 年在加利福尼亚大学欧文分校对每日吸烟者进行了八次焦点小组研究。我们逐字转录了每次 2 小时的焦点小组讨论，并使用领域分析对其进行了分析。讨论揭示了吸烟者不接受 SLT 的几个原因。首先，吸烟者将新型无唾液 SLT（即鼻烟）与咀嚼烟草的历史形象联系在一起。其次，吸烟者认为吸烟是从日常生活中休息的一种激励。第三，与香烟相比，吸烟者表示在使用 SLT 时对尼古丁的输送缺乏控制。这些发现挑战了烟草制造商将无烟替代品作为越来越多的无烟政策引入市场的营销策略。
