Toxicant exposure from smoking a little cigar: further support for product regulation

Pickworth, Wallace B.; Rosenberry, Zachary R.; Koszowski, Bartosz

doi:10.1136/tobaccocontrol-2015-052633

Cited by 33 publications

(60 citation statements)

References 50 publications

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“…Importantly, we found that exhaled CO levels significantly increased following cigar smoking in all groups. These findings confirm previous reports in dual cigar and cigarette smokers, 8–10,12,20,36 suggesting that many cigar smokers are exposed to significant levels of CO. Importantly, even self-reported non-inhalers had small, yet significant, increases in exhaled CO, perhaps indicative of mild smoke inhalation.…”

Section: Discussionsupporting

confidence: 92%

“…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: 83%

“…Some studies have examined the abuse potential of cigars by assessing craving and withdrawal symptoms, and have demonstrated that cigar smoking effectively alleviates many of these symptoms. 8–12 …”

mentioning

confidence: 99%

“…Several studies also have examined biomarkers of exposure in cigar smokers, and have noted that cigar smoking is associated with significant nicotine exposure. 8–14 …”

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: 92%

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 83%

mentioning

confidence: 99%

“…Several studies also have examined biomarkers of exposure in cigar smokers, and have noted that cigar smoking is associated with significant nicotine exposure. 8–14 …”

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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Molecular and health effects in the upper respiratory tract associated with tobacco smoking other than cigarettes

Szyfter

Napierała

Florek

et al. 2018

Intl Journal of Cancer

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The objective of the review was to compare molecular and health effects of tobacco smoking using cigars, cigarillos, pipe and water pipe in relation to the effects of cigarette smoking. In this review we will focus on the upper respiratory tract. Mechanisms of interaction of tobacco smoke constituents after products other than cigarettes are similar to these associated with cigarette smoking. Carcinogenic activity was demonstrated for any type of tobacco smoking, although the risk of developing head and neck squamous cell carcinoma (HNSCC) remains lower in users of cigars, traditional pipe and water pipe as compared to cigarette smoking. Nevertheless, there is no way of safe tobacco smoking.

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Patterns and correlates of the co-use of marijuana with any tobacco and individual tobacco products in young adults from Wave 2 of the PATH Study

Cohn

Abudayyeh

Perreras

et al. 2019

Addictive Behaviors

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Toxicant exposure from smoking a little cigar: further support for product regulation

Abstract: The results support the notion that regulation of little cigars is appropriate in light of public health considerations.

Cited by 33 publications

References 50 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

Molecular and health effects in the upper respiratory tract associated with tobacco smoking other than cigarettes

Patterns and correlates of the co-use of marijuana with any tobacco and individual tobacco products in young adults from Wave 2 of the PATH Study

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