Division of Population Health Sciences, Office of Science, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, MD, USA.
Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Nicotine Tob Res. 2024 Nov 22;26(12):1737-1743. doi: 10.1093/ntr/ntae037.
Disproportionate rates of cigar smoking across demographic groups can contribute to tobacco-related health disparities in the United States. We assessed overall and demographic-specific cigar cessation rates from 2010 to 2019.
To characterize cessation prevalence among selected demographic groups over time, we analyzed data from the 2010-2011, 2014-2015, and 2018-2019 Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Individuals who reported either (1) current cigar smoking for at least 2 years or (2) quitting cigar smoking within the past 12 months were included in the study (n = 5262 in 2010-2011; n = 4741 in 2014-2015; n = 3741 in 2018-2019). Among this group, individuals who reported not smoking a cigar within the past 6 months were considered cigar quitters. Chi-square tests were used to test differences in cessation prevalence between the two survey waves within demographic groups as well as between different groups within survey waves.
The prevalence of cigar cessation decreased from 2010-2011 to 2018-2019 for non-Hispanic (NH) White individuals, Hispanic individuals, and both males and females. (p < .05 for all groups). NH White individuals had significantly higher cessation prevalence than individuals who identified as NH Black (33.8% vs. 25.0%, respectively, in 2010-2011; 33.4% vs. 20.4% in 2014-2015; 31.1% vs. 22.3% in 2018-2019; p < .05 for all differences).
Overall cigar cessation prevalence significantly decreased from 2010-2011 to 2018-2019. Findings from the study could provide an opportunity to implement strategies that promote cessation strategies targeting certain subpopulations.
Cigar cessation patterns are starkly different across different demographic groups, which leads to a disproportionate burden of health-related effects of continued use of these products. These results can inform policy actions around cigar cessation efforts. Future research to close this disparity should be focused on populations that have lower cessation prevalence.
在美国，不同人群吸烟雪茄的比例不均可能导致与烟草相关的健康差距。我们评估了 2010 年至 2019 年期间的总体和特定人口雪茄戒烟率。
为了随时间描述特定人群的戒烟流行率，我们分析了 2010-2011 年、2014-2015 年和 2018-2019 年烟草使用情况补充调查（TUS-CPS）的当前人口调查数据。报告以下两种情况的个人被纳入研究：（1）至少连续两年目前吸食雪茄或（2）在过去 12 个月内戒掉雪茄的个人（2010-2011 年有 5262 人；2014-2015 年有 4741 人；2018-2019 年有 3741 人）。在该组中，在过去 6 个月内未吸食雪茄的个人被视为雪茄戒烟者。卡方检验用于检验在不同人口群体内两次调查波之间以及在不同调查波内不同群体之间的戒烟流行率差异。
2010-2011 年至 2018-2019 年，非西班牙裔（NH）白人、西班牙裔人和男性和女性的雪茄戒烟率下降。（所有群体的 p<0.05）。NH 白人的戒烟率明显高于非 NH 黑人（分别为 2010-2011 年的 33.8%比 25.0%，2014-2015 年的 33.4%比 20.4%，2018-2019 年的 31.1%比 22.3%；所有差异均 p<0.05）。
总体上，雪茄戒烟率从 2010-2011 年到 2018-2019 年显著下降。研究结果为实施针对特定亚人群的戒烟策略提供了机会。
不同人口群体的雪茄戒烟模式差异巨大，这导致了这些产品继续使用对健康的影响不成比例。这些结果可以为围绕雪茄戒烟工作的政策行动提供信息。未来应针对戒烟率较低的人群开展缩小这一差距的研究。
