Objectives: The use of roll-your-own (RYO) cigarette has substantially increased in most high-income countries recently. This work aims to update Italian trends on loose tobacco sales and to describe the consumer profile of predominant RYO users.
Methods: Data from the Italian Agency of Customs and State Monopolies and from PASSI (Italian behavioral risk factor surveillance system) were used. Information on 16,858 interviews to current smokers aged 18-69 was analyzed.
Results: Sales of loose tobacco increased more than sevenfold between 2004 and 2017. In 2015-2016, 11.6% of smokers reported smoking predominantly RYO cigarettes, with higher percentages among the youngest where a significant association between use of RYO and education was observed, unlike what happened in older adults. The association between economic difficulties and use of RYO was observed only in older adults.
Conclusions: A growing trend in RYO cigarette sales was registered between 2004 and 2017. In young smokers, the greater use of RYO was observed among the most educated regardless of financial strain, while in older ones among those with economic difficulties.
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Article Synopsis
- Tobacco product excise taxes effectively reduce consumption, but consumers often respond to these taxes by engaging in price-minimizing behaviors (PMBs), such as buying cheaper brands or roll-your-own tobacco.
- A systematic review of 68 studies found that tax increases lead to a rise in PMBs, especially among low-income consumers with higher nicotine dependence, who are more likely to buy lower-priced options.
- Findings indicate that while PMBs are influenced by tax increases, the link between illicit purchases and overall smoking cessation is less clear, suggesting that PMBs vary significantly based on the regulatory environment.
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