Rait Michelle A, Prochaska Judith J, Rubinstein Mark L
Division of Adolescent Medicine, University of California, San Francisco, San Francisco, CA, United States.
Stanford Prevention Research Center in the Department of Medicine at Stanford University, Stanford, CA, United States.
Addict Behav. 2016 Feb;53:206-9. doi: 10.1016/j.addbeh.2015.06.035. Epub 2015 Jun 23.
With the changing landscape of tobacco products, the divide between cigarettes and cigars is obscured, so understanding adolescent reporting of cigar use is needed to improve best practices for surveillance, screening, and prevention/intervention. This study examined adolescents' reported cigar use and correlates of use.
Participants (N=186) were 13-17year old tobacco users participating in a prospective study of adolescent smoking behaviors. Measurement occurred at baseline and 24-months, and included demographics, nicotine dependence, tobacco use, and quit attempts. Cigar use was assessed as, "have you smoked a cigar in the last 30days" and by brand specific use in the past 30days.
Cigar use was reported by 51 adolescents (27%), and increased to 76 (41%) when identifying by brand name. African Americans (32%) were more likely to smoke cigars than whites (10%, p<.01), Asian/Pacific Islanders (3%, p=.04), and multiracial participants (24%, p=.05). Cigarette-only users smoked more per day (p=.04) and had higher cotinine levels (p=.05) than cigar users. Number of prior quit attempts (p=.84) did not differ by group. Group differences in addiction were found between cigar users and cigarette only users (p<.01). At 24months, more baseline cigar users were tobacco abstinent than cigarette only users (16% versus 7%, p<0.01, respectively).
Assessment of brand-specific cigars nearly doubled the reporting among adolescent users. Cigar users differed from cigarette-only users in consumption and likelihood of abstinence at 24-months. For more accurate surveillance and to inform treatment considerations, surveys of adolescent tobacco use should include cigars, including brand names, in the assessment strategy.
随着烟草产品格局的变化，香烟和雪茄之间的界限变得模糊，因此需要了解青少年对雪茄使用情况的报告，以改进监测、筛查及预防/干预的最佳实践。本研究调查了青少年报告的雪茄使用情况及其相关因素。
参与者（N = 186）为13至17岁的烟草使用者，参与一项青少年吸烟行为的前瞻性研究。在基线和24个月时进行测量，包括人口统计学特征、尼古丁依赖、烟草使用及戒烟尝试情况。雪茄使用情况通过“在过去30天内你是否吸过雪茄”以及过去30天内特定品牌的使用情况进行评估。
51名青少年（27%）报告使用过雪茄，按品牌名称识别时增加到76人（41%）。非裔美国人（32%）比白人（10%，p <.01）、亚裔/太平洋岛民（3%，p =.04）和多种族参与者（24%，p =.05）更有可能吸食雪茄。仅吸香烟的使用者每天吸烟量更多（p =.04），且可替宁水平高于雪茄使用者（p =.05）。既往戒烟尝试次数在不同组间无差异（p =.84）。雪茄使用者和仅吸香烟的使用者在成瘾方面存在组间差异（p <.01）。在24个月时，基线时吸雪茄的使用者中戒烟的人数比仅吸香烟的使用者更多（分别为16%和7%，p < 0.01）。
对特定品牌雪茄的评估使青少年使用者中的报告率几乎翻倍。雪茄使用者与仅吸香烟的使用者在消费情况和24个月时的戒烟可能性方面存在差异。为了进行更准确的监测并为治疗考量提供信息，青少年烟草使用调查应在评估策略中纳入雪茄，包括品牌名称。
