Gomajee Ramchandar, Torregrossa Hugo, Bolze Camille, Melchior Maria, El-Khoury Lesueur Fabienne
INSERM U1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Université, Paris, France
INSERM U1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Université, Paris, France.
Tob Control. 2020 Aug 3. doi: 10.1136/tobaccocontrol-2019-055540.
Recently, France has intensified tobacco control policies which included gradual increase in tobacco product price and the introduction of plain packaging. However, there has been suggestion that cross-border tobacco purchases from neighbouring countries, with lower tobacco prices, will increase. We examine trends in cross-border tobacco purchases among smokers concurrent with the implementation of tobacco control measures between 2016 and 2017.
Description des Perceptions, Images, et Comportements liés au Tabagisme is a two-wave cross-sectional national telephone survey of French adults aged 18-64 years, which recruited a total of 2167 smokers (2016: n=1238; 2017: n=929). Data were weighted to be representative of the French adult population. The association between study wave and cross-country tobacco purchases was examined across study waves using a multivariable logistic regression model (adjusted ORs: OR (95% CI)).
Less than half (38.5%) of smokers declared cross-border tobacco purchases in the last year, which were mostly done on occasional basis: 22.6% purchased tobacco cross-border once or twice yearly. In 2017, as compared with 2016, cross-border tobacco purchases by French smokers decreased (OR=0.81, 95% CI 0.68 to 0.98). Other factors associated with cross-border tobacco purchases included sex, and driving distance to a border.
In France, the increase in tobacco product price and the introduction of plain packaging did not contribute to increasing rates of out-of-country purchases of tobacco products, probably due to the overall decrease in smoking levels. However, a harmonisation of tobacco product prices and plain packaging policies across Europe might further improve tobacco control throughout the continent.
最近，法国加强了烟草控制政策，包括逐步提高烟草产品价格和引入平装包装。然而，有人认为从烟草价格较低的邻国进行跨境烟草购买将会增加。我们研究了2016年至2017年烟草控制措施实施期间吸烟者跨境烟草购买的趋势。
《烟草相关认知、形象及行为描述》是一项针对18 - 64岁法国成年人的两阶段全国性横断面电话调查，共招募了2167名吸烟者（2016年：n = 1238；2017年：n = 929）。数据经过加权以代表法国成年人口。使用多变量逻辑回归模型（调整后的比值比：OR(95%CI)）在各研究阶段检验研究阶段与跨境烟草购买之间的关联。
不到一半（38.5%）的吸烟者表示在过去一年中有跨境烟草购买行为，且大多是偶尔购买：22.6%的人每年跨境购买烟草一到两次。与2016年相比，2017年法国吸烟者的跨境烟草购买量有所下降（OR = 0.81，95%CI为0.68至0.98）。与跨境烟草购买相关的其他因素包括性别以及到边境的驾车距离。
在法国，烟草产品价格的上涨和平装包装的引入并未导致境外烟草产品购买率上升，这可能是由于吸烟水平总体下降所致。然而，欧洲各国烟草产品价格和平装包装政策的协调统一可能会进一步改善整个欧洲大陆的烟草控制状况。
