Acosta-Deprez Veronica, Jou Judy, London Marisa, Ai Mike, Chu Carolyn, Cermak Nhi, Kozlovich Shannon
Department of Health Science, California State University, Long Beach, CA 90802, USA.
OUT Against Big Tobacco Program, Equality California, Los Angeles, CA 90010, USA.
Int J Environ Res Public Health. 2021 May 22;18(11):5546. doi: 10.3390/ijerph18115546.
Tobacco companies use price discounts, including coupons and rebates, to market their products. Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities are targeted by these marketing strategies, contributing to inequitably high tobacco use. Some localities have adopted policies restricting tobacco price discounts; for successful implementation, community buy-in is crucial. From July-October 2018, Equality California staff conducted semi-structured interviews with seven participants in Los Angeles, CA. Themes included familiarity with tobacco price discounts, their perceived impact on tobacco use in LGBTQ+ communities, and attitudes toward potential policy restrictions. Interview notes were analyzed using a deductive approach to qualitative analysis. Awareness of tobacco price discounts varied; some interviewees were familiar, while others expressed surprise at their ubiquity. Price discounts were seen to disproportionately impact LGBTQ+ individuals, especially those who additionally identify with other vulnerable groups, including young people and communities of color. Support for policy restrictions was unanimous; however, interviewees expressed concern over political opposition and emphasized a need for culturally competent outreach to LGBTQ+ communities. Community organizations are essential in mobilizing support for policy reform. Understanding the perceptions and recommendations of community leaders provides tools for policy action, likely improving outcomes to reduce LGBTQ+ tobacco use through restricting tobacco price discounts.
烟草公司利用价格折扣，包括优惠券和回扣，来推销他们的产品。女同性恋、男同性恋、双性恋、跨性别者和酷儿（LGBTQ+）群体成为这些营销策略的目标对象，导致烟草使用量高得不公平。一些地方已经采取政策限制烟草价格折扣；为了成功实施，社区的支持至关重要。2018年7月至10月，加利福尼亚平等组织的工作人员对加利福尼亚州洛杉矶的七名参与者进行了半结构化访谈。主题包括对烟草价格折扣的熟悉程度、他们认为其对LGBTQ+群体烟草使用的影响，以及对潜在政策限制的态度。访谈记录采用演绎定性分析方法进行分析。对烟草价格折扣的认知各不相同；一些受访者很熟悉，而另一些人对其普遍存在表示惊讶。人们认为价格折扣对LGBTQ+个体的影响尤为严重，尤其是那些还认同其他弱势群体的人，包括年轻人和有色人种社区。对政策限制的支持是一致的；然而，受访者对政治反对表示担忧，并强调需要对LGBTQ+群体进行有文化能力的宣传。社区组织对于动员对政策改革的支持至关重要。了解社区领袖的看法和建议为政策行动提供了工具，通过限制烟草价格折扣，可能会改善减少LGBTQ+群体烟草使用的成果。
