Quisenberry Amanda J, Osborn Catherine C, Moore Stephanie Pike, Schneller Liane, John Lovina, Klein Elizabeth G, Trapl Erika
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
CFLASH, Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH, USA.
Nicotine Tob Res. 2025 Feb 24;27(3):494-501. doi: 10.1093/ntr/ntae197.
Cigarillos are the second most used tobacco product among younger populations. The highest prevalence of the use of cigars is among sexual and gender minority (SGM) women. Policy interventions like flavor bans and the availability of alternative tobacco products may have a disparate effect.
The current study utilized an online store analog, The experimental tobacco marketplace, to investigate the effects of cigarillo and electronic nicotine delivery devices (ENDS) flavor bans on tobacco product purchasing. SGM (n = 72) and cisgender heterosexual (CisHet; n = 46) women viewed conditions in which cigarillo flavors were available or unavailable and ENDS flavors available or unavailable and the interaction between the two. Mixed models were conducted on each dependent variable with condition, price, and SGM identity as predictors and nicotine dependence, annual income, and race/ethnicity as covariates. Simple linear regressions were performed to determine the substitution profile for each tobacco product. Condition showed no effect.
We found a main effect of price on cigarillo purchasing and a main effect of SGM identity in which SGM women purchased more ENDS than CisHet women. A complementary association between cigarillos and ENDS in which ENDS purchasing decreased as cigarillo purchasing decreased was found. This association was irrespective of flavor ban conditions and among SGM women only.
These results suggest that flavor availability of cigarillos and ENDS may not influence women who use cigarillos to move to another tobacco product and that women SGM cigarillo users are not likely to substitute their cigarillo smoking behavior with ENDS.
The results of this study suggest that SGM women are not likely to quit using cigarillos if flavors are removed from the market and instead will use unflavored products. Substituting their cigarillo use with ENDS does not appear likely given the complementary relation found between cigarillos and ENDS. The substitution patterns found for cigarettes and ENDS are not found for cigarillos and ENDS among young adult women who use cigarillos, further demonstrating the need for research on the conditions in which people who use cigarillos will decrease consumption or switch to a potentially less harmful product.
小雪茄是年轻人群中第二常用的烟草制品。使用雪茄的最高患病率出现在性少数和性别少数（SGM）女性中。诸如口味禁令和替代烟草制品的可得性等政策干预可能会产生不同的影响。
本研究利用一个在线商店模拟平台，即实验性烟草市场，来调查小雪茄和电子尼古丁传送装置（ENDS）口味禁令对烟草制品购买的影响。SGM女性（n = 72）和顺性别异性恋（CisHet）女性（n = 46）查看了小雪茄口味可得或不可得以及ENDS口味可得或不可得的情况，以及两者之间的相互作用。对每个因变量进行混合模型分析，将情况、价格和SGM身份作为预测因素，尼古丁依赖、年收入和种族/族裔作为协变量。进行简单线性回归以确定每种烟草制品的替代情况。情况未显示出影响。
我们发现价格对小雪茄购买有主效应，SGM身份有主效应，即SGM女性比CisHet女性购买更多的ENDS。发现小雪茄和ENDS之间存在互补关联，即随着小雪茄购买量的减少，ENDS购买量也减少。这种关联与口味禁令情况无关，且仅在SGM女性中存在。
这些结果表明，小雪茄和ENDS的口味可得性可能不会影响使用小雪茄的女性转向另一种烟草制品，并且SGM小雪茄使用者女性不太可能用ENDS替代她们的小雪茄吸烟行为。
本研究结果表明，如果从市场上移除口味，SGM女性不太可能停止使用小雪茄，而是会使用无味产品。鉴于在小雪茄和ENDS之间发现的互补关系，用ENDS替代她们对小雪茄的使用似乎不太可能。在使用小雪茄的年轻成年女性中，未发现香烟和ENDS之间存在的替代模式，这进一步证明有必要研究在哪些情况下使用小雪茄的人会减少消费或转向潜在危害较小的产品。
