Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, United States of America; Rutgers School of Public Health, Rutgers University, Piscataway, NJ, United States of America.
Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, United States of America.
Prev Med. 2022 Dec;165(Pt B):107128. doi: 10.1016/j.ypmed.2022.107128. Epub 2022 Jul 1.
Flavored cigar sales restrictions (FCSRs) may reduce cigar smoking and protect public health. This study examined the correlates of behavior change intents in response to a hypothetical FCSR. Data were from a nationally representative sample of adult flavored cigar smokers (ages ≥21; n = 343) collected through an online survey in 2021. Respondents selected their behavior change intents in response to a hypothetical FCSR, including (1) quitting cigars altogether; (2) smoking plain or non-flavored cigars; (3) smoking other flavored tobacco products; (4) smoking cannabis; and (5) other options. Weighted logistic regressions were used to examine the associations of socio-demographic backgrounds, tobacco use history, and tobacco dependence with behavioral change intents. In response to an FCSR, 15.1% of respondents would quit smoking cigars altogether, 41.6% would smoke plain cigars without flavors, 33.4% would substitute flavored cigars with other flavored tobacco products, and 29.2% would substitute flavored cigars with cannabis. Large cigar smokers and blunt smokers were less likely to quit cigars altogether than non-smokers of those products; females and racial/ethnic minorities were more likely to substitute flavored cigars with other flavored tobacco and cannabis products, respectively, than males and non-Hispanic White respondents. Results suggest that FCSRs may reduce cigar smoking among a portion of U.S. flavored cigar smokers while leaving more continuing to smoke plain cigars or transitioning to use other flavored tobacco products or cannabis. Implementing FCSRs should be accompanied by comprehensive flavored tobacco sales restrictions, cessation programs, and educational messages aimed at reducing the use of cigars and other substances.
调味雪茄销售限制（FCSR）可能会减少雪茄烟的消费并保护公众健康。本研究调查了对假设的 FCSR 做出行为改变意向的相关因素。数据来自 2021 年通过在线调查收集的全国代表性成年调味雪茄烟民（年龄≥21 岁；n=343）。受访者根据假设的 FCSR 选择他们的行为改变意向，包括（1）完全戒烟；（2）吸食原味或非调味雪茄；（3）吸食其他调味烟草制品；（4）吸食大麻；和（5）其他选择。使用加权逻辑回归来检验社会人口背景、烟草使用史和烟草依赖与行为改变意向的关联。在 FCSR 的影响下，15.1%的受访者将完全戒烟，41.6%的人将吸食无香料的原味雪茄，33.4%的人将用其他调味烟草制品替代调味雪茄，29.2%的人将用大麻替代调味雪茄。大尺寸雪茄烟和布隆特烟烟民比不吸食这些产品的人更不可能完全戒烟；女性和种族/民族少数群体比男性和非西班牙裔白人受访者更有可能分别用其他调味烟草和大麻制品替代调味雪茄。结果表明，FCSR 可能会减少一部分美国调味雪茄烟民的雪茄烟消费，同时让更多人继续吸食原味雪茄或转向使用其他调味烟草制品或大麻。实施 FCSR 应同时伴随全面的调味烟草销售限制、戒烟计划和教育信息，以减少雪茄烟和其他物质的使用。
