Cohn Amy, Cobb Caroline O, Niaura Raymond S, Richardson Amanda
Schroeder Institute for Tobacco Research and Policy Studies, Legacy, Washington, DC;
Schroeder Institute for Tobacco Research and Policy Studies, Legacy, Washington, DC; Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Oncology, Georgetown University Medical Center/Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Washington, DC;
Nicotine Tob Res. 2015 Dec;17(12):1473-81. doi: 10.1093/ntr/ntv022. Epub 2015 Jan 29.
Despite the increasing consumption of little cigars and cigarillos (LCCs), few studies have examined unique predictors and correlates of LCC use among adult cigarette smokers. This study explored differences between cigarette smokers with and without a history of LCC use on harm perceptions, use of other tobacco products (chewing tobacco, snus, e-cigarettes, and dissolvables), cigarette smoking/cessation-related behaviors/cognitions, and mental health and substance use disorder symptoms.
A geographically diverse sample of current cigarette smokers were included in analyses (n = 1270). Frequencies of LCC use, awareness, purchase, and harm perceptions were examined and logistic regression models investigated differences between LCC ever and never users on a variety of factors, controlling for demographics.
Bivariate analyses showed that LCC users were more likely to be male, younger, have lower income, have tried other tobacco products, perceive LCCs as less harmful than cigarettes, and endorse lifetime substance disorder symptoms. Menthol and other tobacco product use were the only significant correlates of LCC use in logistic regression models. Post-hoc analyses showed that other tobacco product use partially mediated an association between substance use disorder symptoms and LCC use.
A third of the sample had tried LCCs, and LCC users were more likely to have experimented with other tobacco products and used menthol. The high degree of co-use of cigarette smoking and LCCs with other tobacco products and the association of LCC use to substance use suggests that these users have unique risk factors and deserve specific targeting in public health campaigns.
尽管小雪茄和小烟（LCCs）的消费量不断增加，但很少有研究探讨成年吸烟者中LCC使用的独特预测因素和相关因素。本研究探讨了有和没有LCC使用史的吸烟者在危害认知、其他烟草产品（嚼烟、口含烟、电子烟和可溶解烟草）的使用、吸烟/戒烟相关行为/认知以及心理健康和物质使用障碍症状方面的差异。
分析纳入了来自不同地理位置的当前吸烟者样本（n = 1270）。研究了LCC使用、知晓、购买和危害认知的频率，并使用逻辑回归模型研究了LCC曾经使用者和从未使用者在各种因素上的差异，同时控制了人口统计学因素。
双变量分析表明，LCC使用者更可能为男性、更年轻、收入更低、尝试过其他烟草产品、认为LCC比香烟危害小，并认可终生物质使用障碍症状。在逻辑回归模型中，薄荷醇和其他烟草产品的使用是LCC使用的唯一显著相关因素。事后分析表明，其他烟草产品的使用部分介导了物质使用障碍症状与LCC使用之间的关联。
三分之一的样本尝试过LCC，LCC使用者更可能尝试过其他烟草产品并使用过薄荷醇。吸烟和LCC与其他烟草产品的高度共同使用以及LCC使用与物质使用之间的关联表明，这些使用者有独特的风险因素，在公共卫生运动中值得特别关注。
