A qualitative analysis of low income smokers' responses to tobacco excise tax increases
A qualitative analysis of low income smokers' responses to tobacco excise tax increases
复制标题
DOI：
10.1016/j.drugpo.2016.08.010
复制
发表时间：
2016-11-01
影响因子：
4.4
通讯作者：
Smith, Katie
中科院分区：
文献类型：
--
作者：
Hoek, Janet;Smith, Katie
背景资料：虽然增加烟草产品的消费税会减少消费和吸烟率，但也可能给不戒烟的吸烟者带来困难。我们探讨了低收入的吸烟者如何应对不断增加的烟草消费税。方法：使用社会正义的观点，我们探讨了27名生活在贫困线以下的成年吸烟者的样本，收入低于新西兰收入中位数的60%）。面对面的访谈是在新西兰的达尼丁进行的，这是一个收入差距很大的城市，在烟草消费税进一步提高后不久进行的。访谈指南探讨了参与者的吸烟习惯，他们的看法消费税作为一种战略，以减少吸烟率，和他们用来管理他们的烟草needs.Results的战略：我们确定了三个关键主题：剥夺穷人，烟草作为一种珍贵的商品，和绝望。虽然许多参与者将吸烟描述为一种快乐或应对机制，但他们也将其视为他们努力管理的负担。尽管试图戒烟，但大多数人都未能成为无烟人，并感到自己成为惩罚性政策制度的受害者，该制度强制变革而不支持变革。他们通过减少烟草消费来管理财务压力，但也采取了越来越绝望的措施，包括回收废烟草;参与者报告说，他们认为这些措施是唯一的选择，因此感到受到了侮辱。结论：为低收入吸烟者提供密集的戒烟支持可以避免进一步疏远已经处于相当不利地位的群体。(C)2016爱思唯尔B. V.保留所有权利。
Background: While increasing the excise tax applied to tobacco products reduces consumption and smoking prevalence, it may also cause hardship among smokers who do not quit. We explored how smokers living on a low income respond to increasing tobacco excise taxes.Methods: Using a social justice perspective, we explored the increasing costs of tobacco with a sample of 27 adult smokers who live below the poverty line (i.e., with an income less than 60% of the median New Zealand income). Face-to-face interviews were conducted in Dunedin, New Zealand, a city with marked income differences, and were undertaken shortly after a further tobacco excise tax increase. The interview guide explored participants' smoking practices, their perceptions of excise tax as a strategy to reduce smoking prevalence, and the strategies they used to manage their tobacco needs.Results: We identified three key themes: depriving the poor; tobacco as a precious commodity, and desperation. While many participants described smoking as a pleasure or coping mechanism, they also saw it as a burden that they struggled to manage. Despite trying to quit, most had failed to become smokefree and felt victimised by a punitive policy system that coerced change without supporting it. They managed financial pressure by reducing their tobacco consumption but also used increasingly desperate measures, including recycling waste tobacco; participants reported feeling demeaned by measures they saw as their only option.Conclusion: Providing intensive cessation support for lower income smokers could avoid further alienating a group already experiencing considerable disadvantage. (C) 2016 Elsevier B.V. All rights reserved.