OBJECTIVES:To examine the behaviour and attitudes related to smoking and contraband tobacco products among smokers in two socially deprived areas. DESIGN:Cross sectional study with qualitative semistructured interviews, augmented by smokers' day grid. SETTING:Two areas of socioeconomic deprivation in Edinburgh. PARTICIPANTS:50 male and 50 female smokers aged 25-40 years randomly selected from general practitioners' lists from two health centres, each located in an area of deprivation. RESULTS:Most smokers wanted to quit but felt unable to because of the importance of smoking in their daily routine and their addiction to nicotine. Strategies for maintaining consumption levels in the face of increasing cigarette prices and low income included purchasing contraband cigarettes and tobacco. Vendors were contacted through social networks, family, and friends as well as common knowledge of people and places, particularly pubs where contraband was available. Most users of contraband considered that smugglers were providing a valuable service. Purchasing contraband tobacco was viewed as rational in the face of material hardship. Many smokers criticised the government for its high tobacco taxation and the lack of local services to help them to stop smoking. CONCLUSIONS:Smokers in deprived areas perceive a lack of support to help them to stop smoking. Cigarette and tobacco smuggling is therefore viewed positively by low income smokers as a way of dealing with the increasing cost of cigarettes. Smokers in areas of deprivation may thus show little support for tackling smuggling until more action is taken to deal with the material and personal factors that make it difficult for them to quit.

译文

目的:研究两个社会贫困地区吸烟者与吸烟和违禁烟草制品有关的行为和态度。
设计:采用定性半结构化访谈的横断面研究,并以吸烟者日网格为补充。
地点:爱丁堡的两个社会经济匮乏地区。
参与者:年龄在25至40岁之间的50位男性和50位女性吸烟者,是从两个医疗中心(分别位于贫困地区)的全科医生名单中随机选择的。
结果:大多数吸烟者都想戒烟,但由于在日常工作中吸烟的重要性以及对尼古丁的依赖而感到无法戒烟。在卷烟价格上涨和低收入的情况下维持消费水平的策略包括购买违禁卷烟和烟草。通过社交网络,家人和朋友,以及人们和地方的常识,特别是可以使用违禁品的酒吧,与供应商进行了联系。多数违禁品使用者认为走私者正在提供有价值的服务。面对物质困难,购买违禁烟草被认为是合理的。许多吸烟者批评政府对烟草征收高额税款,并且缺乏当地服务来帮助他们戒烟。
结论:贫困地区的吸烟者感到缺乏帮助他们戒烟的支持。因此,低收入吸烟者积极地将香烟和烟草走私视为应对卷烟成本上涨的一种方式。因此,在采取更多措施处理使他们难以戒烟的物质和个人因素之前,贫困地区的吸烟者可能很少表现出对付走私的支持。

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