Patterns of Premium and Nonpremium Cigar Use in the United States: Findings from Wave 6 (2021) of the Population Assessment of Tobacco and Health Study
Author:
Edwards Kathryn C1ORCID, Halenar Michael J1ORCID, Delnevo Cristine D2ORCID, Villanti Andrea C3ORCID, Bansal-Travers Maansi4ORCID, O’Connor Richard4, Del Valle-Pinero Arseima Y5, Creamer MeLisa R6, Donaldson Elisabeth A5, Hammad Hoda T5, Lagasse Lisa5, Anesetti-Rothermel Andrew5, Taylor Kristie A1, Kimmel Heather L6ORCID, Compton Wilson7ORCID, Cheng Yu-Ching5, Ambrose Bridget K5, Hyland Andrew4
Affiliation:
1. Behavioral Health and Health Policy, Westat , Rockville, MD , USA 2. Rutgers Center for Tobacco Studies, Rutgers University , New Brunswick, NJ , USA 3. Department of Health Behavior, Society and Policy, Rutgers University , New Brunswick, NJ , USA 4. Department of Health Behavior, Roswell Park Comprehensive Cancer Center , Buffalo, NY , USA 5. Center for Tobacco Products, Food and Drug Administration , Silver Spring, MD , USA 6. Division of Epidemiology, Services and Prevention, National Institute on Drug Abuse , Bethesda, MD , USA 7. National Institute on Drug Abuse , Bethesda, MD , USA
Abstract
Abstract
Introduction
Understanding the characteristics of premium cigar use patterns is essential for minimizing public health harms. Typically, premium cigars are handmade, larger, more expensive, and without the characterizing flavors that are present in other cigar types: Nonpremium traditional cigars, cigarillos, and filtered cigars.
Aims and Methods
Self-reported brand and price data were used from Wave 6 of the Population Assessment of Tobacco and Health (PATH) Study to define and estimate premium versus nonpremium cigar use among U.S. adults, as well as to explore cigar smoking patterns, purchasing behavior, and reasons for use by cigar type.
Results
In 2021, 0.9% (95% CI = 0.7–1.0) of adults were premium cigar users, compared to 0.4% of nonpremium traditional cigar users (95% CI = 0.3–0.5), 1.1% of cigarillo users (95% CI = 1.0–1.2), and 0.6% filtered cigar users (95% CI = 0.5–0.7). Premium cigar users were overwhelmingly male (97.7%), and 35.8% were aged ≥55 years. The average premium cigar price/stick was $8.67, $5.50–7.00 more than other cigar types. Compared to other cigar types, significantly fewer premium cigar users had a regular brand with a flavor other than tobacco (~15% vs. 38%–53%). Though flavors remained the top reason for premium cigar use, they were less likely to endorse flavors as a reason for use than other cigar users (~40% vs. 68–74%). Premium cigar users had a lower prevalence (aRR: 0.37, 95% CI = 0.25–0.55) of dual use of cigars and cigarettes.
Conclusions
Although <1% of U.S. adults use premium cigars, their use and purchasing characteristics continue to differ from other cigar types, highlighting the importance of capturing data specific to premium cigar use.
Implications
This manuscript extends previous research from the National Academies of Science, Engineering, and Medicine report, “Premium cigars: Patterns of use, marketing, and health effects” by utilizing the most recent PATH Study data (Wave 6) to examine patterns of cigar use, including purchasing behavior and reasons for use, by cigar type (eg, premium traditional cigars, nonpremium traditional cigars, cigarillos, and filtered cigars). The findings support continued research on patterns of premium cigar use, which differ from use patterns of other cigar types.
Funder
National Institute on Drug Abuse National Institutes of Health Center for Tobacco Products Food and Drug Administration Department of Health and Human Services
Publisher
Oxford University Press (OUP)
Subject
Public Health, Environmental and Occupational Health
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献
|
|