24 January 2007 . NZ SmokeLess e-News 2:1         For a printable version www.endsmoking.org.nz/enewsRYO24Jan07.pdf  

Smokers buy pouch tobacco instead of quitting

Hand-rolled cigarettes rolled thin were currently cheaper than nicotine gum, a ridiculous situation," according to Dr Murray Laugesen, chair of SmokeLess New Zealand. Until this was fixed, the chances of reducing smoking in 2007 were bleak, he said. 

Hand rolled cigarette smoking probably killed 1800 New Zealanders a year. Smoke for smoke, they were just as dangerous as factory made cigarettes, which killed another 2700.  Whether hand-rolled or factory made, cigarettes eventually killed over one in two smokers.  

 

Only one in six Australians and Americans smoke daily, but RYOs had to be dealt to here before we could catch up with these countries. 

Hand rolled cigarettes (RYOs) are the most popular cigarette for Maori, for men, and for smokers under 40, and now rival factory-made cigarettes in popularity, according to a recent Ministry of Health survey. 

The 2006 Census  shows no change in the proportion of adults (22% )who were ex-smokers from 1996 to 2006. The proportion smoking daily reduced (24% to 21%) only due to fewer young people taking up smoking. Continued smoking among adults is now the problem, according to Dr Murray Laugesen, chair of SmokeLess New Zealand.

RYOs cost smokers less than $4 per day, compared with $8.00 for factory-made cigarettes. 

RYOs cost 25 cents a smoke, and at 2 cents a puff, it was the cheapest drug available. 

Many smokers are quitting, but are churning between quitting and relapsing, with no permanent improvement.   Smokers were switching to hand-rolled instead of giving up smoking. 

With over half the public in support, we need to ask how do we want this to end, said Dr Laugesen. Lung cancer was a man-made epidemic, which would end within 15 years of stopping cigarette sales, he said. With tobacco no longer grown, and mostly imported, New Zealand could plan for a law change to phase out cigarette sales within ten years.

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For more information, contact Dr Laugesen ph 03  388688  0274 884 375

 

Backgrounder: Smokers buy pouch tobacco instead of quitting

www.smokeless.org.nz  info@smokeless.org.nz  ph 0274 884 375

RYOs cost less than $4 per day, compared with $8.00 for factory-made (FM) cigarettes, (at 17 cigs/day.8)

Smoking is reducing very slowly. The proportion of  all smokers who had quit has stayed the same (22%) from 1996 to 2006. Current smokers decreased (24% to 21%)- due to fewer young people having taken up smoking.3

Popularity

·         Maori prefer hand-rolled (RYOs): 66% of Maori smokers used RYOs, 47% exclusively in 2002.1

·         Teenagers prefer RYOs: 73% of 15-19 year old smokers use RYOs, 56% exclusively.2

·         Any RYO use (48%) now exceeds any FM use (47% of smokers). RYO dominates in under-40 age groups, in males (49%) and in Maori (60% of smokers).2

·         RYOs are smoked by 370,000, and exclusively by 270,000 out of 654,000 adult NZ smokers.2.4

·         Of smokers, 66% use RYOs and 41% use them exclusively,2 (UK 29%, 12%) 5

·        RYO cigarettes constitute a slowly increasing 31% of all tobacco smoked in New Zealand6, higher than any other OECD country except Norway.

·        Assuming each RYO contains 0.5 g tobacco, and a manufactured cigarette 0.73 g,6 then RYOs account for 40% of all cigarettes smoked.

Health consequences

·         RYO deaths As risk depends on smoke inhaled, and if RYO and FM smokers inhale the same smoke volumes then RYOs may account for 1800 out of 4500 premature cigarette deaths annually in NZ.

·        Maori RYO deaths A third of Maori deaths have been attributed to smoking,6 and RYOs may account for one- sixth or more of all Maori deaths.

·         RYO addiction RYOs are smoked more intensively per gram of tobacco, as the addiction score is the same for RYO and FMs.8

Research and Policy

Lack of research. RYOs  have received surprisingly little research or policy attention, even though RYOs are often smoked unfiltered and their design and the paper used is different2 US Library of Congress database lists only 37 abstracts for “hand-rolled cigarettes”, 8 for “roll-your own cigarettes”, 2 for “hand-rolling cigarettes”.

Lack of research on relative harm RYO smokers in US, Australia Canada and UK are twice as likely to believe RYOs pose less risk compared with FMs5 – perhaps because they contain less tobacco. Rather the question is, “Do RYO smokers inhale any less smoke?” Research information is lacking.

Lack of research on tax effects given cheap RYOs. Tax on RYOs needs to double before any overall tax increase can reduce overall smoking.

 

References

1 AC Nielsen national smoking survey data calendar year 2002.

See www.endsmoking.org.nz/ryosalesban.htm at Table 1.

2.Tobacco Trends Wellington: MoH 2006. www.moh.govt.nz

3  Laugesen M. Duncanson M, Fraser T et al. Hand-rolling cigarette paper as the reference point for regulating cigarette fire safety. Tobacco Control 2003; 12: 406-10

4 Laugesen M. Census: Smoking prevalence down; fewer taking it up. SmokeLess NZ e-News 14 Dec 2006 . Media release. www.endsmoking.org.nz/enews14Dec06.pdf at Table 2.

5 D Young, R Borland, D Hammond, K M Cummings, E Devlin, H-H Yong, R J O’Connnor for the ITC Collaboration Prevalence and attributes of roll-your-own smokers in the International Tobacco Control (ITC) Four Country Survey Tob. Control, Jun 2006; 15: iii76 - iii82.

6 Laugesen M. Analysis of Tobacco manufacturers returns to the Ministry of Health for 2005. www.ndp.govt.nz at Table E1.

http://www.ndp.govt.nz/tobacco/tobaccoreturns/2005/tobacco-returns-2005-analysis-tables.xls

7 Laugesen M Clements M Cigarette Smoking Mortality among Māori 1954-2028. 1998. Wellington: Te Puni Kōkiri. 1998. TPK.

8 Fraser T, McRobbie H et al. Evaluation of Smokestop an internet based smoking cessation programme. Auckland . www.endsmoking.org.nz/ryotax.htm

What to tell smokers: RYOs may be cheaper, but Smoking Kills. Nicotine is safe. Smokers should quit and use nicotine to reduce cravings for cigarettes. Ph 0800 778 778 the Quitline, for advice on low- cost nicotine.

 

 Dr Murray Laugesen QSO chair; Prof Ross McCormick, Sir John Scott KBE, Dr Tom Marshall OBE, Trish Fraser MPH, Trustees.

Making it easier to quit smoking for good © 2009 End Smoking NZ