'Cigarettes are priority': a qualitative study of how Australian socioeconomically disadvantaged smokers respond to rising cigarette prices
'Cigarettes are priority': a qualitative study of how Australian socioeconomically disadvantaged smokers respond to rising cigarette prices
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DOI：
10.1093/her/cyv026
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发表时间：
2015-08-01
影响因子：
2.4
通讯作者：
Paul, Christine
中科院分区：
文献类型：
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作者：
Guillaumier, Ashleigh;Bonevski, Billie;Paul, Christine
尽管有大量的模拟研究评估了卷烟税对各收入群体吸烟率的影响，但很少有研究探讨了对低收入吸烟者的更广泛的财务影响和意外后果。这项研究探讨了高收入国家的社会经济弱势吸烟者如何在有限的预算下管理吸烟成本。从澳大利亚新南威尔士州的一个福利组织招募了20名吸烟者，进行了半结构化的面对面访谈。与会者讨论了烟草成本对其基本家庭支出、吸烟行为和戒烟认知的影响。对访谈进行了录音、逐字记录和专题框架分析。据报告，吸烟导致的剥夺和经济压力，如不吃饭，替代食物选择和迟付账单以购买香烟，是司空见惯的经历。价格最小化策略和在社交网络内共享烟草资源有助于维持吸烟。与会者报告说，烟草价格上涨有利于防止吸烟，需要更大的价格上涨和补贴戒烟援助来帮助他们戒烟。处于社会经济不利地位的吸烟者不顾后果，从事加剧剥夺的行为，以维持吸烟。这些数据并不表明需要避免烟草税，而是需要考虑如何更好地帮助那些在社会经济上处于不利地位的吸烟者戒烟。
Despite substantial modelling research assessing the impact of cigarette taxes on smoking rates across income groups, few studies have examined the broader financial effects and unintended consequences on very low-income smokers. This study explored how socioeconomically disadvantaged smokers in a high-income country manage smoking costs on limited budgets. Semi-structured face-to-face interviews were conducted with 20 smokers recruited from a welfare organization in NSW, Australia. Participants discussed perceived impact of tobacco costs on their essential household expenditure, smoking behaviour and quit cognitions. Interviews were audio-taped, transcribed verbatim and analysed using thematic framework analysis. Instances of smoking-induced deprivation and financial stress, such as going without meals, substituting food choices and paying bills late in order to purchase cigarettes were reported as routine experiences. Price-minimization strategies and sharing tobacco resources within social networks helped to maintain smoking. Participants reported tobacco price increases were good for preventing uptake, and that larger price rises and subsidized cessation aids were needed to help them quit. Socioeconomically disadvantaged smokers engage in behaviours that exacerbate deprivation to maintain smoking, despite the consequences. These data do not suggest a need to avoid tobacco taxation, rather a need to consider how better to assist socioeconomically disadvantaged smokers who struggle to quit.