Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ 08901, USA.
National Institute on Minority Health and Health Disparities, Division of Intramural Research, Bethesda, MD 20814, USA.
Int J Environ Res Public Health. 2022 May 30;19(11):6680. doi: 10.3390/ijerph19116680.
Black young adults have the highest prevalence of cigar smoking in the U.S. Little is known about how this population perceives addiction to cigar smoking, which may influence long-term smoking and cessation outcomes. This study used semi-structured in-depth interviews to understand cravings, triggers, and perceived addiction from cigar smoking among a purposive sample of Black young adult cigar smokers ( 40; 21-29 years). An iterative process was used to develop the codebook, and thematic analysis was used to capture findings based on the products predominantly used: cigarillos, large cigars, or blunts. Results suggest that while participants may share similar types of cravings and triggers (e.g., stress) across the use of these products, predominant blunt smokers reported more unique triggers related to relieving physical discomforts. While most participants reported cigars could be addictive to people in general, only a few perceived that they themselves were addicted. Participants who predominantly smoked cigarillos reported high perceived addiction to cigars, while those who predominantly smoked blunts reported low addiction. Education messages are needed to inform young Black adult cigar smokers about the risks and health symptoms of cigar addiction. These efforts may help increase cigar cessation seeking and reduce cigar addiction-related health consequences and disparities among Black populations.
美国的黑人群体中，年轻成年人雪茄烟的吸烟率最高。人们对于这一群体如何看待雪茄烟成瘾知之甚少，而这可能会影响长期吸烟和戒烟的结果。本研究采用半结构式深入访谈，对有目的选择的黑人群体年轻成年雪茄烟使用者（40 人；21-29 岁）进行了调查，以了解他们对雪茄烟成瘾的渴望、诱因和感知。研究使用迭代过程开发出编码簿，并根据主要使用的产品（小雪茄、大雪茄或水烟）进行主题分析，以捕获研究结果。结果表明，尽管参与者在使用这些产品时可能会有相似类型的渴望和诱因（例如压力），但主要吸食水烟的参与者报告了更多与缓解身体不适有关的独特诱因。虽然大多数参与者表示雪茄烟可能对一般人有瘾，但只有少数人认为自己上瘾了。主要吸食小雪茄的参与者报告对雪茄烟有较高的成瘾感知，而主要吸食水烟的参与者则报告成瘾程度较低。需要向年轻的黑人群体雪茄烟使用者宣传关于雪茄烟成瘾的风险和健康症状的教育信息。这些努力可能有助于增加雪茄烟戒烟的寻求，并减少与黑人群体相关的雪茄烟成瘾相关的健康后果和差异。
