Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Department of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, Canada.
Prev Med. 2024 Aug;185:108027. doi: 10.1016/j.ypmed.2024.108027. Epub 2024 Jun 4.
Over half of US adults who smoke cigars use flavored cigars, illustrating their broad appeal; however, their long-term impact on cigar and cigarette use is unknown.
Using restricted data from Waves 1-5 (2013-2019) of the Population Assessment of Tobacco and Health Study, we investigated cross-sectional patterns and longitudinal transition rates of unflavored and flavored cigar use with and without cigarettes among a nationally representative sample of US adults.
Proportionally, more adults who used flavored cigars without or with cigarettes were younger and female. More adults with exclusive cigar use were non-Hispanic Black. More adults with dual use had lower educational attainment. The median number of cigars smoked daily and tobacco dependence was highest among adults who used flavored cigars with cigarettes. Only 14.6% of adults with exclusive flavored cigar use at Wave 1 continued their use to Wave 5, with most transitioning to non-current (46.4%) or exclusive cigarette use (22.9%). Likewise, 13.8% of adults with dual flavored cigar and cigarette use at Wave 1 continued their use to Wave 5, with 57.6% transitioning to exclusive cigarette use and 19.7% transitioning to non-current use. Comparatively, 72.9% of adults with exclusive cigarette use continued their use to Wave 5, while 23.6% transitioned to non-current use.
Adult cigar use was less stable than cigarette use, particularly among those who use flavored cigars. Future research should investigate whether these transition patterns between flavored and unflavored cigar and cigarette use vary across sociodemographic groups and their potential long-term health implications.
超过一半的美国成年雪茄烟民使用调味雪茄，这表明它们具有广泛的吸引力；然而，它们对雪茄和香烟使用的长期影响尚不清楚。
利用来自美国成人烟草调查（Population Assessment of Tobacco and Health Study）波次 1-5（2013-2019 年）的受限数据，我们调查了具有代表性的美国成年人中，不含有味和含有味雪茄与香烟一起使用以及单独使用的横断面模式和纵向转换率。
从比例上看，更多使用有或无香烟的调味雪茄的成年人更年轻且为女性。更多只使用雪茄的成年人是非西班牙裔黑人。更多双重使用者的教育程度较低。与只使用香烟的成年人相比，只使用有或无香烟的调味雪茄的成年人每天吸食的雪茄数量和烟草依赖程度更高。在第 1 波次只使用调味雪茄的成年人中，只有 14.6%继续使用至第 5 波次，其中大多数转向非当前（46.4%）或只使用香烟（22.9%）。同样，在第 1 波次同时使用调味雪茄和香烟的成年人中，有 13.8%继续使用至第 5 波次，其中 57.6%转向只使用香烟，19.7%转向非当前使用。相比之下，72.9%只使用香烟的成年人继续使用至第 5 波次，而 23.6%转向非当前使用。
成年雪茄烟民的使用情况不如成年香烟烟民稳定，尤其是那些使用调味雪茄的烟民。未来的研究应该调查这些有或无调味雪茄与香烟使用之间的转换模式是否因社会人口统计学群体而异，以及它们潜在的长期健康影响。
