Division of Intramural Research, National Institute on Minority Health and Health Disparities Bethesda, Maryland.
Information Management Services, Inc., Calverton, Maryland.
Am J Prev Med. 2022 Oct;63(4):624-629. doi: 10.1016/j.amepre.2022.04.004. Epub 2022 May 23.
Younger age of initiating cigar smoking is associated with greater nicotine dependence and current use. Age of initiating cigarette smoking has increased over time, whereas trends in age of initiating cigar smoking remain understudied. These trends were examined by race/ethnicity, by education, and at their intersection.
The analytic sample included U.S. Hispanic, Black, and White cigar-ever-smokers aged 24‒25 years (n=29,715) from the 2002‒2019 National Survey on Drug Use and Health. Participants reported their age, race/ethnicity, sex, education (≤high school; some college; ≥bachelor's degree), age of initiating cannabis use, and cigar smoking. Weighted multivariable linear regressions adjusted for sex and age of cannabis use initiation were used to examine trends in age of initiating cigar smoking by race/ethnicity, education, and education Χ year interactions within racial/ethnic groups. Age of initiating cigar smoking comparisons across race/ethnicity and education were examined using the most recent 2019 data.
During 2002‒2019, across education, White cigar-ever-smokers started smoking cigars at an older age, whereas it remained unchanged among Hispanic cigar-ever-smokers. Among Black cigar-ever-smokers, age of initiating cigar smoking did not change among those with ≤high school and some college, and was older among those with ≥bachelor's degree. In 2019, age of initiating cigar smoking did not vary by educational level among Hispanic and White cigar-ever-smokers. Black cigar-ever-smokers with ≥bachelor's degree initiated cigar smoking at older ages than their White counterparts.
Black individuals experienced widening education-related disparities, and Hispanic individuals had no progress in delaying age of initiating cigar smoking. Regulatory action banning cigar flavors may impact these trends.
较年轻的雪茄烟吸用起始年龄与更大的尼古丁依赖和当前使用相关。 起始吸烟年龄随时间推移而增加，而雪茄烟吸用起始年龄的趋势仍未得到充分研究。 本研究通过种族/民族、教育程度以及二者的交叉情况，对这些趋势进行了考察。
分析样本包括来自 2002-2019 年全国毒品使用和健康调查的 24-25 岁美国西班牙裔、非裔和白人雪茄烟曾用者（n=29715）。 参与者报告了他们的年龄、种族/民族、性别、教育程度（≤高中；部分大学；≥学士学位）、大麻使用起始年龄和雪茄烟吸用起始年龄。 采用加权多变量线性回归，调整了性别和大麻使用起始年龄，以考察种族/民族、教育程度以及种族/民族群体内教育程度 Χ 年份交互作用对雪茄烟吸用起始年龄的趋势。 使用 2019 年最新数据，考察了不同种族/民族和教育程度之间的雪茄烟吸用起始年龄差异。
在 2002-2019 年期间，在各教育程度中，白人雪茄烟曾用者的起始吸烟年龄较大，而西班牙裔雪茄烟曾用者的起始吸烟年龄保持不变。 在黑人雪茄烟曾用者中，≤高中和部分大学程度者的起始吸烟年龄没有变化，而具有学士学位及以上程度者的起始吸烟年龄较大。 在 2019 年，西班牙裔和白人雪茄烟曾用者的雪茄烟吸用起始年龄没有因教育程度而异。 具有学士学位及以上程度的黑人雪茄烟曾用者的起始吸烟年龄比其白人同龄人晚。
黑人个体经历了与教育程度相关的差距扩大，而西班牙裔个体在推迟雪茄烟吸用起始年龄方面没有取得进展。 禁止雪茄烟口味的监管行动可能会影响这些趋势。
