Acute Effects of “Hyping” a Black&amp;Mild Cigarillo

Blank, Melissa D.; Cobb, Caroline O.; Eissenberg, Thomas; Nasim, Aashir

doi:10.1093/ntr/ntv063

Cited by 15 publications

(21 citation statements)

References 26 publications

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“…The increases in plasma nicotine concentrations we observed in exclusive small cigar and cigarillo smokers are similar to, or lower than, those previously reported for ad libitum use of cigarillos. 10,12,20 One study with ad libitum large cigar smoking also reported similar increases in plasma nicotine concentrations as reported here. 11 …”

Section: Discussionsupporting

confidence: 86%

“…Cigar smoking significantly reduced QSU-B and MNWS scores, as previously reported, 8,10,11 suggesting that cigar smoking confers some benefit for reducing the negative symptoms associated with withdrawal.…”

Section: Discussionsupporting

confidence: 83%

“…Although the measures of smoking topography included in the current study were somewhat limited compared to reports utilizing automated topography devices, 8,10 results still elucidate important group differences. As expected, we found significant differences in ad libitum smoking topography based on cigar type.…”

Section: Discussionmentioning

confidence: 81%

“…Although these scores were lower than those reported in prior studies of similarly-abstinent cigarette smokers, 31,32 similar symptoms have been reported in cigarillo smokers upon overnight abstinence. 10 In addition, a cross-sectional survey analysis revealed that cigar-only smokers exhibit some symptoms of nicotine dependence, including craving tobacco. 33 …”

Section: Discussionmentioning

confidence: 99%

“…First, former cigarette smoking may influence smoking behavior and inhalation; 15 cigarette smoking history also may impact nicotine exposure and physiological measurements. 10,16 Furthermore, although cigar smoke is more alkaline and, therefore, more aversive than cigarette smoke, 5,16,17 several studies have found at least mild inhalation in small cigar, cigarillo, and large cigar smokers by measuring serum thiocyanate or exhaled carbon monoxide (CO). 18–20 Additional research indicates that cigar smoke inhalation significantly influences nicotine absorption rate and plasma concentrations.…”

mentioning

confidence: 99%

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Use Behaviors, Dependence, and Nicotine Exposure Associated with Ad Libitum Cigar Smoking

et al. 2018

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Objectives To examine factors important to cigar smoking and subsequent nicotine exposure, we evaluated the impact of cigar type, cigarette smoking history, and inhalation behaviors on nicotine dependence, smoking topography, and biomarkers of exposure in current exclusive cigar smokers. Methods Adult, exclusive cigar smokers (N = 77) were recruited based on cigar type, cigarette smoking history, and self-reported inhalation behaviors. Participants smoked their own brand product ad libitum for up to one hour; dependence symptoms, smoking topography, and biomarkers of exposure were assessed. Results Cigar smokers showed low levels of dependence. Cigar smoking alleviated withdrawal and craving symptoms, increased plasma nicotine concentration, and increased exhaled CO. Multiple regression analyses indicate that inhalation behaviors were associated with increased dependence and greater reductions in withdrawal symptoms upon cigar smoking. Large cigar smokers smoked longer and smoked more tobacco than small cigar and cigarillo smokers. Furthermore, large cigar smokers and self-reported inhalers were exposed to more nicotine than small cigar smokers and non-inhalers. Conclusions Our study suggests that cigar type and smoking behaviors affect dependence and nicotine exposure upon cigar smoking. These findings provide additional insight into the substantial risks associated with cigar smoking.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Use Behaviors, Dependence, and Nicotine Exposure Associated with Ad Libitum Cigar Smoking

et al. 2018

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Do smokers’ harm perceptions of cigarillos differ by modified use of the tobacco product? Findings from waves 3 and 4 of the PATH study.

Timberlake¹,

Rhee²

2022

Psychology of Addictive Behaviors

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Objective: The harm perceptions of individuals who smoke either blunts or the Black & Mild (B&M) brand, which is often "freaked," have seldom been investigated. Since these practices could affect users' perceived health risks of the cigarillo, this study was intended to compare such risks among cigarillo users by modified use of the tobacco product. Method: Adult cigarillo and blunt smokers were selected from the Population Assessment of Tobacco and Health Study for cross-sectional (Wave 4; n = 3,331) and longitudinal (Waves 3-4; n = 1,898) analyses of predictors of general and relative harm perceptions of cigarillos. Ordinal and multinomial logistic regression methods were employed for testing whether adjusted odds of perceiving cigarillo harms were greater in blunt versus cigarillo smokers. In a separate model (n = 1,258), preference for B&M cigarillos was examined as a correlate of harm perception due to the perceived health benefits of removing the inner tobacco liner. Results: Cross-sectional estimates indicated that blunt smokers, mixed cigarillo/blunt smokers, and those who preferred B&M brand perceived significantly more risk than conventional cigarillo smokers. Longitudinal estimates indicated that among those who underwent a transition in use, former blunt and former cigarillo smokers had significantly greater odds of reporting an increase in perceived harm compared to new users. Conclusions: The change in blunt smokers' harm perceptions upon transitioning in blunt use suggests acknowledgment of the harm of using cigarillos in some form. Given their high perceived risk of cigarillos, blunt smokers might be receptive to replacing the tobacco product with a nontobacco wrap. Public Health Significance StatementThis study indicates that individuals who modify cigarillos for harm reduction and/or cannabis delivery perceive more harm from smoking cigarillos than those who use the product as intended. This finding has important implications for blunt smokers who may be receptive to switching to a nontobacco product.

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Answering questions about electronic cigarettes using a multidisciplinary model.

Breland¹,

Balster²,

Cobb³

et al. 2019

American Psychologist

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Electronic cigarettes (ECIGs) are a relatively new class of tobacco products and a subject of much debate for scientists and policymakers worldwide. Objective data that address the ECIG risk–benefit ratio for individual and public health are needed, and addressing this need requires a multidisciplinary approach that spans several areas of psychology as well as chemistry, toxicant inhalation, and physiology. This multidisciplinary approach would benefit from methods that are reliable, valid, and swift. For this reason, we formed a multidisciplinary team to develop methods that could answer questions about ECIGs and other potential modified risk tobacco products. Our team includes scientists with expertise in psychology (clinical, community, and experimental) and other disciplines, including aerosol research, analytical chemistry, biostatistics, engineering, internal medicine, and public health. The psychologists on our team keep other members focused on factors that influence individual behavior, and other team members keep the psychologists aware of other issues, such as product design. Critically, all team members are willing to extend their interests beyond the boundaries of their discipline to collaborate effectively with the shared goal of producing the rigorous science needed to inform empirically based tobacco policy. In addition, our trainees gain valuable knowledge from these collaborations and learn that other disciplines are accessible, exciting, and can enhance their own research. Multidisciplinary work presents challenges: learning other scientists’ languages and staying focused on our core mission. Overall, our multidisciplinary team has led to several major findings that inform the scientific, regulatory, and public health communities about ECIGs and their effects.

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Acute Effects of “Hyping” a Black&Mild Cigarillo

Cited by 15 publications

References 26 publications

Use Behaviors, Dependence, and Nicotine Exposure Associated with Ad Libitum Cigar Smoking

Use Behaviors, Dependence, and Nicotine Exposure Associated with Ad Libitum Cigar Smoking

Do smokers’ harm perceptions of cigarillos differ by modified use of the tobacco product? Findings from waves 3 and 4 of the PATH study.

Answering questions about electronic cigarettes using a multidisciplinary model.

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