Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
NORC at the University of Chicago, Chicago, IL, USA.
Nicotine Tob Res. 2022 Mar 1;24(4):606-611. doi: 10.1093/ntr/ntab238.
Cigar smoking has increased in recent decades as the cigar product landscape has diversified. This study assessed trends in US cigar sales during 2016-2020.
Unit sales and average unit price for cigars were assessed during January 3, 2016-June 13, 2020, overall and by product and flavor type, for the 48 contiguous US states and D.C. Assessed cigar types were large cigars, little cigars, and cigarillos; assessed flavor types were tobacco/unflavored, candy/sweets, fruit, menthol, alcohol, coffee, other flavors, and no flavor stated. A joinpoint regression model was used to assess the magnitude and significance of sales trends.
During January 3, 2016-June 13, 2020, unit sales of cigarillos increased (average monthly percentage change [AMPC] = 0.7%, p < .001), while unit sales of large cigars (AMPC = -0.8%, p < .001) and little cigars decreased (AMPC = -0.2%, p < .001). The average price of cigarillos gradually decreased since mid-August 2017 (AMPC = -0.1%, p < .001), and the average price of little cigars decreased from mid-June 2016 to mid-June 2019 (AMPC = -0.3%, p < .001). In contrast, the average price of large cigars increased during the entire study period (AMPC = 0.6%, p < .001). Irrespective of cigar type, tobacco-flavored/unflavored products were the most commonly sold cigars during the assessed period; however, sales of other flavors varied by cigar type.
Cigar sales and price vary by type over time in the United States, including sales of cigarillos (94.2% of unit sales) increasing as their prices have decreased in recent years. Public health strategies are warranted to address the full scope of cigar types being used in the United States.
Surveillance of cigar sales data, including product characteristics, can provide a timely complement to self-reported survey data of cigar use. This study assessed trends in US cigar sales during 2016-2020, including by product and flavor type. The findings indicate that sales of cigarillos, which comprise most cigar sales in the United States during the assessed period, increased as their prices decreased. Sales of certain flavors, such as candy/sweet cigarillos and coffee large cigars, increased significantly. These findings reinforce the importance of evidence-based strategies, including increasing price and restricting flavors, to reduce the affordability and consumption of cigars in the United States.
近几十年来，随着雪茄产品种类的多样化，雪茄烟的消费有所增加。本研究评估了 2016 年至 2020 年期间美国雪茄销售的趋势。
在 2016 年 1 月 3 日至 2020 年 6 月 13 日期间，评估了 48 个州和哥伦比亚特区的雪茄单位销售量和平均单位价格，按产品和风味类型进行了评估。评估的雪茄类型包括大雪茄、小雪茄和小雪茄；评估的风味类型包括烟草/无味、糖果/甜食、水果、薄荷醇、酒精、咖啡、其他风味和无风味说明。使用连接点回归模型评估销售趋势的幅度和显著性。
在 2016 年 1 月 3 日至 2020 年 6 月 13 日期间，小雪茄的销售量增加（平均每月百分比变化[AMPC]=0.7%，p<.001），而大雪茄（AMPC=-0.8%，p<.001）和小雪茄的销售量减少（AMPC=-0.2%，p<.001）。自 2017 年 8 月中旬以来，小雪茄的平均价格逐渐下降（AMPC=-0.1%，p<.001），而小雪茄的平均价格从 2016 年 6 月中旬下降到 2019 年 6 月中旬（AMPC=-0.3%，p<.001）。相比之下，大雪茄的平均价格在整个研究期间都在增加（AMPC=0.6%，p<.001）。无论雪茄类型如何，烟草味/无味产品在评估期间都是最畅销的雪茄；然而，其他口味的销售情况因雪茄类型而异。
在美国，随着时间的推移，雪茄的销售和价格因类型而异，包括近年来价格下降的小雪茄销量增加。有必要制定公共卫生策略来解决在美国使用的各种雪茄类型的问题。
监测雪茄销售数据，包括产品特征，可以为雪茄使用的自我报告调查数据提供及时的补充。本研究评估了 2016 年至 2020 年期间美国雪茄销售的趋势，包括按产品和风味类型进行评估。研究结果表明，在美国评估期间，占雪茄销售量大部分的小雪茄销售量增加，而其价格下降。某些口味的雪茄，如糖果/甜味小雪茄和咖啡大雪茄，销量显著增加。这些发现强调了基于证据的策略的重要性，包括提高价格和限制口味，以降低美国雪茄的可负担性和消费。
