ArticleTobacco control2015
Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys.
Article in Tobacco control, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Options for modifying UK alcohol and tobacco tax: A rapid scoping review of the evidence over the period 1997-2018.NIHR open research · 2023Pooled it
- Relative affordability of heated tobacco products and cigarettes: a cross-country comparative analysis of 55 countries.Harm reduction journal · 2026Article
- Widening the Price Gap: The Effect of The Netherlands' 2020 Tax Increase on Tobacco Prices.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Tobacco market trends in 97 countries between 2007 and 2021.Tobacco induced diseases · 2024Article
- [Use of Roll Your Own Tobacco in the Basque Country: magnitude, socio-economic inequalities and evolution in the period 2013-2018].Revista espanola de salud publica · 2023Article
- Price minimizing behaviours by smokers in Europe (2006-20): evidence from the International Tobacco Control Project.European journal of public health · 2022Article
- Reasons for Using Roll-Your-Own Tobacco and Perceptions of Health-Promoting Pack Inserts: A Focus Group Study with Roll-Your-Own Tobacco Smokers in Scotland.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Smoking prevalence following the announcement of tobacco tax increases in England between 2007 and 2019: an interrupted time-series analysis.Addiction (Abingdon, England) · 2022Article
- Trends in Attempts to Quit Smoking in England Since 2007: A Time Series Analysis of a Range of Population-Level Influences.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
- Transitions from and to roll-your-own tobacco, perceptions and health beliefs among smokers: findings from the EUREST-PLUS ITC Europe Surveys.European journal of public health · 2020Article
- Transitions in product use during the implementation of the European Tobacco Products Directive: cohort study findings from the EUREST-PLUS ITC Europe Surveys.European journal of public health · 2020Article
- Population-level predictors of changes in success rates of smoking quit attempts in England: a time series analysis.Addiction (Abingdon, England) · 2020Article
- Roll-your-own cigarette use in Italy: sales and consumer profile-data from PASSI surveillance, 2015-2016.International journal of public health · 2019Article
- Tobacco smoking and nicotine delivery alternatives: patterns of product use and perceptions in 13 countries.F1000Research · 2019Article
- Keeping smoking affordable in higher tax environments via smoking thinner roll-your-own cigarettes: Findings from the International Tobacco Control Four Country Survey 2006-15.Drug and alcohol dependence · 2018Article
- It's not all about price: factors associated with roll-your-own tobacco use among young people - a qualitative study.BMC public health · 2018Article
- Differences in nicotine dependence, smoke exposure and consumer characteristics between smokers of machine-injected roll-your-own cigarettes and factory-made cigarettes.Drug and alcohol dependence · 2018Article
- Association of Cigarette Price Differentials With Infant Mortality in 23 European Union Countries.JAMA pediatrics · 2017Article
- Tobacco industry strategies undermine government tax policy: evidence from commercial data.Tobacco control · 2017Article
- Prevalence of hardcore smoking in the Netherlands between 2001 and 2012: a test of the hardening hypothesis.BMC public health · 2016Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 5 countries.
Funding
Abstract
objectivesTo examine if exclusive Roll-Your-Own (RYO) tobacco use relative to factory-made (FM) cigarette use has been rising over time, to determine the extent to which economic motives and perceptions that RYO cigarettes are less harmful act as primary motivations for use, and to examine the association of income and education with the level of RYO tobacco use among smokers in four European countries.
methodsData were obtained from the International Tobacco Control (ITC) Europe Surveys, and a cohort sample of 7070 smokers from the Netherlands, Germany, France and UK were interviewed between June 2006 and December 2012. Generalised estimating equations (GEE) were used to assess trends in RYO use, and whether RYO consumption varied by socioeconomic variables.
resultsExclusive RYO use over the study period has increased significantly in the UK from 26.4% in 2007 to 32.7% in 2010 (p<0.001); France from 12.2% in 2006 to 19.1% in 2012 (p<0.001); and Germany from 12.7% in 2007 to 18.6% in 2011 (p=0.031), with increased borderline significantly in the Netherlands (31.7% to 34.3%, p=0.052), from 2008 to 2010. Over three-quarters of users in each of the study countries indicated that lower price was a reason why they smoked RYO. Just over a fourth of smokers in the UK, less than a fifth in France, and around a tenth in Germany and the Netherlands believed that RYO is healthier. Compared with exclusive FM users, exclusive RYO users were more likely to have lower incomes and lower education.
conclusionsEffective tobacco tax regulation is needed in the European Union and elsewhere to eliminate or reduce the price advantage of RYO tobacco. Additional health messages are also required to correct the misperception that RYO tobacco is healthier than FM cigarettes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.