Youth Acquisition and Situational Use of Cigars, Cigarillos, and Little Cigars:

Trapl, Erika S.; O’Rourke-Suchoff, Danielle; Yoder, Laura D.; Cofie, Leslie E.; Frank, Jean L.; Fryer, Craig S.

doi:10.1016/j.amepre.2016.08.011

Cited by 16 publications

(15 citation statements)

References 48 publications

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“…Like others,16 18 we found sharing to be common among cigarillo users. The conventional method yielded higher estimates of daily cigarillo consumption than the detailed method for those who always share products.…”

Section: Discussionsupporting

confidence: 79%

“…Although there is no gold standard, a widely used conventional measure of tobacco consumption relies on two global questions to assess smoking days and number of tobacco products smoked on smoking days 10 11. A growing body of evidence suggests that measurement of cigarillo use may be complicated by several issues, such as variations in product terminology,12 13 manipulation of cigarillos to include marijuana14 15 and sharing of cigarillos in a group setting 16–18. While recent research has addressed some of these issues, such as using brand-specific examples and assessing subtypes of cigar products,13 19 20 to date, none have incorporated cigarillo use patterns into a measurement strategy.…”

Section: Introductionmentioning

confidence: 99%

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A comparison of methods to measure daily cigarillo consumption among adolescents and young adults

et al. 2019

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ObjectiveCigarillo use is widespread among young people. Accurate assessment of cigarillo consumption is necessary to inform and evaluate tobacco research, but is complicated by product sharing and irregular use. This study compares a conventional approach with a detailed approach for measuring cigarillo consumption.MethodsData are drawn from a cross-sectional, web-based survey of 1089 young (aged 15–28 years) cigarillo smokers. The conventional measure of cigarillo consumption employs two common tobacco use items—the number of days a product was smoked in the past month and the average number of products smoked per day. The detailed measure uses a time line follow-back procedure to assess product use on each of the past 7 days, both in a group and alone. Paired t-tests compare daily cigarillo use estimates from the two methods overall, and are stratified by sample characteristics and behaviours; associations with multiple factors are examined simultaneously using linear regression.ResultsCompared with the conventional measure, the detailed measure yields significantly higher daily consumption estimates for moderate and high-level users and for non-daily tobacco users, and significantly lower estimates for those who always share products and daily tobacco users. Differences remain after controlling for demographics and product use behaviours. There are no differences by gender, age, race or multiple product use.ConclusionsThe two measurement methods yield significantly different consumption estimates based on sharing behaviour, regularity of use and use level. Improving accuracy in the measurement of tobacco product consumption is important and timely for tobacco control research and policy.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

A comparison of methods to measure daily cigarillo consumption among adolescents and young adults

et al. 2019

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“…This finding is consistent with the findings from Ohio showing that 64% of underage adolescent cigar users have purchased cigars. 55 Moreover, our participants reported that bypassing underage restrictions was easier for cigars than it was for cigarettes, suggesting that stronger enforcement of underage tobacco laws is needed.…”

Section: Discussionmentioning

confidence: 89%

Blunt Use among Adolescents and Young Adults: Informing Cigar Regulations

et al. 2018

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Objectives: We used focus groups to understand cigar product features that increase the appeal of blunts (hollowed out cigars filled with marijuana) among adolescents and young adults. Methods: With a standardized focus group guide, we assessed cigar use behaviors and perceptions among lifetime cigar users (N = 47; 8 focus groups separated by sex and age group [adolescents, young adults]) in 2016. We analyzed data related to blunts. Results: Overall, 85.5% of the participants had smoked a blunt in the past 30 days (38% used daily). Participants perceived that cheap cigar brands were used primarily for blunts. Cigar product features that made them useful for blunts included wide availability, easy accessibility (easy to bypass underage purchasing restrictions), attractive flavors, inexpensive cost, perforated wrappers that make cigars easy to open, and ability to remove the inner wrapper (also referred to as “cancer paper”) to reduce the risk of harm. Conclusions: Various product features of cigars make it easy for adolescents and young adults to manipulate them to create blunts. Tobacco regulations that include restrictions on product characteristics, as well as enforcement of prohibition of sales of cigars to underage minors are needed. Youth also need to be educated about harms of blunt use.

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“…Another study found high popularity of social cigar smoking among African American youth. 20 The tendency for cigars to be smoked socially might partially explain why cigarettes and cigars were smoked additively during dual use periods.…”

Section: Discussionmentioning

confidence: 99%

“…A study with youth found that, compared with Whites, African Americans were less likely to smoke cigars in a social situation and more likely to smoke alone. 20 …”

Section: Introductionmentioning

confidence: 99%

An Ecological Momentary Assessment of Cigarette and Cigar Dual Use Among African American Young Adults

Mead

Chen

Kirchner

et al. 2018

Nicotine &Amp; Tobacco Research

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IntroductionThe dual use of cigarettes and cigars among African American young adults is a significant public health issue. Patterns of and reasons for dual use are difficult to capture using traditional self-report methods. This study used ecological momentary assessment (EMA) to characterize patterns of dual smoking and examine the personal and environmental predictors of cigarette and cigar smoking among African American young adult dual users (ages 18–29) in real-time.MethodsFor 14 days, 64 participants smoked ad libitum and were prompted four times daily to record their smoking, craving, emotions, social smoking, and environment via text message on their mobile phones. The odds of single product and dual use were examined using adjusted generalized estimating equations.ResultsParticipants smoked an average of 7.9 cigarettes and 4.2 cigars per day. Cigarettes and cigars were smoked as frequently during periods of dual use as they were during periods of single product use. Cigarette craving was positively associated with cigarette-only smoking (OR: 1.07), whereas cigar craving was positively associated with cigar-only smoking (OR: 1.43) and dual use (OR: 1.08). Cigars had the greatest odds of dual use when with others (OR: 4.69) and in others’ homes (OR: 4.33). Cigarettes had the greatest odds of being smoked while alone (OR: 1.57).ConclusionsEMA was useful for capturing variable smoking patterns and predictors. In this study population, cigarettes and cigars appeared to be smoked additively, and cigars smoked socially. These findings can inform future interventions addressing dual use in this high priority population.ImplicationsThis is the first study to use EMA to examine naturalistic patterns and predictors of multiple tobacco use in real-time. African American young adults smoked cigarettes and cigars during periods of dual use as frequently as during periods of single product use. This suggests that most use was additive (one product smoked in addition to another) and less often as substitution (one product smoked instead of another). Social smoking and craving were strongly associated with cigar smoking in single and dual use periods. This study suggests the need for cessation messaging specifically targeted to reduce dual use in this population.

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Youth Acquisition and Situational Use of Cigars, Cigarillos, and Little Cigars:

Cited by 16 publications

References 48 publications

A comparison of methods to measure daily cigarillo consumption among adolescents and young adults

A comparison of methods to measure daily cigarillo consumption among adolescents and young adults

Blunt Use among Adolescents and Young Adults: Informing Cigar Regulations

An Ecological Momentary Assessment of Cigarette and Cigar Dual Use Among African American Young Adults

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