TobaccoFree Research Institute Ireland (TFRI), Focas Research Institute, DIT Kevin Street, Camden Row, Dublin 2, Ireland.
BMC Public Health. 2018 Aug 8;18(1):991. doi: 10.1186/s12889-018-5921-8.
Smoking prevalence in Ireland is falling in all age groups, but the prevalence of roll-your-own (RYO) tobacco use is rising among young people. This qualitative study aims to explore and understand the factors associated with young people's use of RYO products.
Semi-structured individual and focus group interviews were conducted with young people aged 16-22 years. Participants were recruited from a higher education institution and youth organisations working with early school leavers across Dublin. In total, there were 62 participants in the study, consisting of 22 individual interviews and eight focus group interviews with 40 participants. Categoric and thematic data analysis was used to generate the findings.
We identified two broad themes, incentivising and disincentivising factors. The lower cost of RYO products compared to pre-manufactured cigarettes was the most important incentive for users. However, other product characteristics, such as the artisanal factors associated with RYO products were also found. Social and environmental influences were apparent, in which certain groups and environments facilitated and normalised RYO practices. Amenities and facilities often provided smokers with normalised spaces which could be dedicated to the enactment of rolling practices and to the creation and maintenance of social bonds with other users. Disincentives included negative features related to the product itself, adverse health effects, and the effects of tobacco denormalisation.
While the lower cost of RYO products is very important for young smokers, other product characteristics and influences also incentivise and disincentivise use. A more comprehensive understanding of the multi-dimensional appeal of these products will assist policymakers to target strategies to reduce the attractiveness to young smokers of these products.
爱尔兰所有年龄段的吸烟率都在下降，但年轻人中自卷烟草（RYO）的使用率正在上升。这项定性研究旨在探索和了解与年轻人使用 RYO 产品相关的因素。
对 16-22 岁的年轻人进行了半结构化的个人和焦点小组访谈。参与者是从都柏林的一所高等教育机构和与早期辍学者合作的青年组织招募的。共有 62 名参与者参与了这项研究，包括 22 名个人访谈和 8 名有 40 名参与者的焦点小组访谈。使用分类和主题数据分析生成了研究结果。
我们确定了两个广泛的主题，激励因素和抑制因素。与预包装香烟相比，RYO 产品的成本更低，这是用户的最重要激励因素。然而，也发现了其他产品特征，例如与 RYO 产品相关的手工因素。社会和环境影响是明显的，某些群体和环境促进和正常化了 RYO 实践。便利设施和设施经常为吸烟者提供正常化的空间，可以专门用于实施滚动实践，并与其他用户建立和维护社会联系。抑制因素包括与产品本身相关的负面特征、不良健康影响以及烟草去正常化的影响。
虽然 RYO 产品的成本较低对年轻吸烟者非常重要，但其他产品特征和影响也会激励和抑制使用。更全面地了解这些产品的多维吸引力将有助于政策制定者针对这些产品针对年轻吸烟者的吸引力制定策略。
