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Benjamin J. Apelberg - One of the best experts on this subject based on the ideXlab platform.
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systematic review of Cigar Smoking and all cause and Smoking related mortality
BMC Public Health, 2015Co-Authors: Cindy M Chang, Catherine G. Corey, Brian L. Rostron, Benjamin J. ApelbergAbstract:Background Cigars are a growing public health concern, given the changes in Cigar use patterns in the US and elsewhere since the 1960s. We conducted a systematic review of published studies on current Cigar Smoking and all-cause and cause-specific mortality risks to inform potential regulatory approaches and future research that would strengthen the body of evidence.
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systematic review of Cigar Smoking and all cause and Smoking related mortality
BMC Public Health, 2015Co-Authors: Cindy M Chang, Catherine G. Corey, Brian L. Rostron, Benjamin J. ApelbergAbstract:Cigars are a growing public health concern, given the changes in Cigar use patterns in the US and elsewhere since the 1960s. We conducted a systematic review of published studies on current Cigar Smoking and all-cause and cause-specific mortality risks to inform potential regulatory approaches and future research that would strengthen the body of evidence. Using 3 different databases and handsearching, we identified epidemiological studies published prior to June 2014 that examined the association between Cigar Smoking and all-cause mortality and Smoking-related mortality. Detailed study characteristics as well as association-level characteristics, including effect estimates and 95% confidence intervals, were abstracted or calculated from each selected study. A total of 22 studies from 16 different prospective cohorts were identified. Primary Cigar Smoking (current, exclusive Cigar Smoking with no history of previous Cigarette or pipe Smoking) was associated with all cause-mortality, oral cancer, esophageal cancer, pancreatic cancer, laryngeal cancer, lung cancer, coronary heart disease (CHD), and aortic aneurysm. Strong dose trends by Cigars per day and inhalation level for primary Cigar Smoking were observed for oral, esophageal, laryngeal, and lung cancers. Among primary Cigar smokers reporting no inhalation, relative mortality risk was still highly elevated for oral, esophageal, and laryngeal cancers. In summary, Cigar Smoking carries many of the same health risks as Cigarette Smoking. Mortality risks from Cigar Smoking vary by level of exposure as measured by Cigars per day and inhalation level and can be as high as or exceed those of Cigarette Smoking. The body of evidence would be strengthened by future studies that focus on the health effects of primary Cigar Smoking and incorporate more contemporary and diverse study populations to better reflect the current patterns of Cigar use in the US. Ideally, these studies would also collect detailed information on Cigar type, exposure level, and biomarkers of exposure and potential harm.
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mortality and economic costs from regular Cigar use in the united states 2010
American Journal of Public Health, 2014Co-Authors: James M Nonnemaker, Brian L. Rostron, Patricia Hall, Anna J Macmonegle, Benjamin J. ApelbergAbstract:Objectives. We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular Cigar Smoking among US adults aged 35 years or older.Methods. We estimated Cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention’s Smoking-Attributable Mortality, Morbidity, and Economic Costs methodology for Smoking-related causes of death. We obtained Cigar prevalence from the National Adult Tobacco Survey, relative risks from the Cancer Prevention Studies I and II, and annual US deaths from the National Vital Statistics System. We also estimated the economic cost of this premature mortality using the value of a statistical life-year.Results. Regular Cigar Smoking was responsible for approximately 9000 premature deaths and more than 140 000 years of potential life lost among US adults aged 35 years or older in 2010. These years of life had an economic value of approximately $23 billion.Conclusions. The health and economic...
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Little filtered Cigar, Cigarillo, and premium Cigar Smoking among adults--United States, 2012-2013.
MMWR. Morbidity and mortality weekly report, 2014Co-Authors: Catherine G. Corey, Cristine D. Delnevo, Brian A. King, Blair N. Coleman, Corinne G. Husten, Bridget K. Ambrose, Benjamin J. ApelbergAbstract:The burden of death and disease from tobacco use in the United States has been caused overwhelmingly by Cigarettes and other smoked tobacco products. In the United States, Cigarette consumption declined during 2000-2011; however, consumption of Cigars more than doubled during the same period. The Cigar market includes diverse product types manufactured with a variety of shapes and sizes, filters, tips, flavors, and prices. Although national estimates of Cigar consumption have been reported previously, data characterizing who smokes different Cigar types are limited. A recent analysis from the 2012-2013 National Adult Tobacco Survey (NATS) found that more than one in 20 U.S. adults smoke Cigars "every day," "someday," or "rarely". This report expands upon those findings, using data from the 2012-2013 NATS to further characterize Cigar smokers by the usual type of Cigar smoked using the following categories: little filtered Cigars (LFCs), Cigarillos/other mass market Cigars (Cigarillos/MMCs), and premium Cigars. The findings indicate that among U.S. adults who smoke Cigars, 61.8% usually smoke Cigarillos/MMCs, 19.9% usually smoke premium Cigars, and the remainder, 18.4%, usually smoke LFCs. These data can help to inform public health interventions to reduce the burden of adverse health effects caused by Cigar Smoking in the United States, including regulation.
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Cigar Smoking among u s students reported use after adding brands to survey items
American Journal of Preventive Medicine, 2014Co-Authors: Catherine G. Corey, Brian A. King, Bridget K. Ambrose, Benjamin J. Apelberg, Shanta R Dube, Corinne G. HustenAbstract:Background Among U.S. youth overall, Cigars are the most commonly used tobacco product after Cigarettes. However, youth who identify their products by brand names, not general terms like "Cigar," may underreport use. Purpose To examine changes in reported Cigar (Cigar, Cigarillo, or little Cigar) Smoking among students following inclusion of Cigar brand examples on the National Youth Tobacco Survey (NYTS). Methods Data from the 2011 and 2012 NYTS and National Survey on Drug Use and Health (NSDUH) were analyzed in 2013 to estimate ever and current Cigar Smoking, overall and by race/ethnicity. The 2012 NYTS included Cigar brand examples (Black and Mild, Swisher Sweets, Dutch Masters, White Owl, Phillies Blunt) in the survey instructions and ever use question, but the 2011 NYTS and 2011 and 2012 NSDUH did not. Results NYTS ever Cigar Smoking was higher in 2012 (27.8%) than 2011 (19.5%) among black students overall. Current Cigar Smoking was 60%–70% higher among black females and students aged ≥17 years, in 2012 than 2011. For black females, current Cigar Smoking (11.5%) was two times greater than that of white females (4.3%) in 2012, whereas the prevalence among these subgroups was comparable in 2011. Similar changes were not observed among these subgroups in the 2011–2012 NSDUH. Conclusions This study highlights the high burden of Cigar use among U.S. youth and suggests that NYTS ascertainment of Cigar Smoking may have improved by including brands. Disparities in Cigar Smoking need to be addressed to prevent and reduce all youth tobacco use.
Brian L. Rostron - One of the best experts on this subject based on the ideXlab platform.
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characteristics of past 30 day Cigar Smoking u s adolescents 2020
American Journal of Preventive Medicine, 2021Co-Authors: Tiffany A Parms, Brian L. Rostron, Sara K Head, Michael D Sawdey, Karen A CullenAbstract:Introduction Data from the 2019 National Youth Tobacco Survey indicated that Cigars were the most commonly used combustible tobacco product in the past 30 days among youth. This study uses 2020 National Youth Tobacco Survey data to report the prevalence estimates and characteristics of current Cigar use, overall and by Cigar type, among middle- and high-school students in the U.S. Methods Weighted prevalence estimates and 95% CIs were calculated in 2020 for overall Cigar use and by Cigar type. Results In 2020, current Cigar Smoking was reported by 3.5% of students (1.5% middle school and 5.0% high school). Cigarillos (44.1%) were the most reported Cigar type smoked, followed by regular (33.1%) and little (22.6%) Cigars; 21.8% did not know the Cigar type. Most Cigar smokers were in high school (81.2%) and were male (52.4%), and 42.3% were non-Hispanic White. More than half of Cigar smokers reported Smoking flavored Cigars (58.3%), with fruit (61.5%), candy/desserts/other sweets (34.0%), and mint (30.4%) as the most frequently reported flavor categories. Approximately 1 in 5 current Cigar smokers (18.4%) smoked on ≥20 days in the past 30 days, and 78.8% reported multiple tobacco product use. Conclusions Cigar Smoking was highest among non-Hispanic Black and Hispanic youth. More than half of youth Cigar smokers reported using flavored Cigars, and most were also currently using other tobacco products. Cigarillos were the most reported Cigar type used by youth, followed by regular Cigars. These findings highlight the continued importance of youth tobacco use reduction strategies and can inform policy development.
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Cigar Smoking prevalence and morbidity among us adults 2000 2015
Preventive medicine reports, 2019Co-Authors: Brian L. Rostron, Catherine G. Corey, Renee M. GindiAbstract:Abstract Cigar Smoking causes many of the same health conditions as Cigarettes, but less information is available on prevalence of use trends and the disease burden of Cigar Smoking in the US. To examine these issues, we analyzed Cigar use and health condition data from the National Health Interview Survey from 2000, 2005, 2010, and 2015, estimating prevalence of use by year and over time. We also estimated the number of, and adjusted disease prevalence ratios for, US adults aged ≥35 years with self-reported history of heart disease, stroke, or cancer attributable to Cigar Smoking. We found that prevalence of current Cigar Smoking has remained generally stable at around 2.3% among US adults aged ≥18 years between 2000 and 2015 but has increased among female and non-Hispanic black adults. Former exclusive Cigar smokers were more likely to report having had heart conditions (aPR = 1.33, 95% CI = 1.03–1.72), stroke (aPR = 2.42, 95% CI = 1.57–3.75), and cancer (aPR = 1.44, 95% CI = 1.09–1.88) than never Cigar smokers. It is estimated that nearly 200,000 cardiovascular conditions and cancer cases among US adults are attributable to former exclusive Cigar Smoking. This analysis shows that prevalence of current Cigar Smoking has remained stable among US adults but has increased among certain demographic groups. Former exclusive Cigar use is associated with increased prevalence of heart disease, stroke, and cancer, which may result in part from Smoking cessation following disease onset.
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Cigar Smoking prevalence and morbidity among US adults, 2000–2015
Elsevier, 2019Co-Authors: Brian L. Rostron, Catherine G. Corey, Renee M. GindiAbstract:Cigar Smoking causes many of the same health conditions as Cigarettes, but less information is available on prevalence of use trends and the disease burden of Cigar Smoking in the US. To examine these issues, we analyzed Cigar use and health condition data from the National Health Interview Survey from 2000, 2005, 2010, and 2015, estimating prevalence of use by year and over time. We also estimated the number of, and adjusted disease prevalence ratios for, US adults aged ≥35 years with self-reported history of heart disease, stroke, or cancer attributable to Cigar Smoking. We found that prevalence of current Cigar Smoking has remained generally stable at around 2.3% among US adults aged ≥18 years between 2000 and 2015 but has increased among female and non-Hispanic black adults. Former exclusive Cigar smokers were more likely to report having had heart conditions (aPR = 1.33, 95% CI = 1.03–1.72), stroke (aPR = 2.42, 95% CI = 1.57–3.75), and cancer (aPR = 1.44, 95% CI = 1.09–1.88) than never Cigar smokers. It is estimated that nearly 200,000 cardiovascular conditions and cancer cases among US adults are attributable to former exclusive Cigar Smoking. This analysis shows that prevalence of current Cigar Smoking has remained stable among US adults but has increased among certain demographic groups. Former exclusive Cigar use is associated with increased prevalence of heart disease, stroke, and cancer, which may result in part from Smoking cessation following disease onset. Keywords: Cigar, Tobacco, Cardiovascular, Stroke, Cance
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US Adult Cigar Smoking Patterns, Purchasing Behaviors, and Reasons for Use According to Cigar Type: Findings From the Population Assessment of Tobacco and Health (PATH) Study, 2013–2014
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2017Co-Authors: Catherine G. Corey, Enver Holder-hayes, Anh B. Nguyen, Cristine D. Delnevo, Brian L. Rostron, Maansi Bansal-travers, Heather L. Kimmel, Amber Koblitz, Elizabeth Lambert, Jennifer L. PearsonAbstract:Introduction The US Cigar market is diverse, yet until recently most research studies and tobacco surveillance systems have not reported behavioral and related outcomes by Cigar type. Methods The 2013-2014 Population Assessment of Tobacco and Health Study collected data separately for filtered Cigars (FCs), Cigarillos, and traditional Cigars, which were further distinguished as premium or nonpremium. Descriptive statistics for adult established current smokers of each Cigar type and Cigarettes were calculated for demographic characteristics, tobacco use patterns, purchasing behaviors and reasons for use. Adjusted prevalence ratios (APRs) using a marginal predictions approach with logistic regression assessed correlates of dual Cigar and Cigarette Smoking. Results Age, sex, race/ethnicity, education level, and poverty status of smokers varied according to Cigar type. Daily Cigar Smoking prevalence and number of Cigars smoked per day were higher for FCs (37.3%; median: 1.6 Cigars/day, respectively), than all other Cigar types (6.7%-25.3%, all p < .01; 0.1-0.4 Cigars/day, all p < .01, respectively); daily Smoking and Cigars per day were similar for nonpremium Cigars and Cigarillos (p = .11; p = .33, respectively). Cigarette Smoking was twice as common among smokers of nonpremium Cigars, Cigarillos, and FCs (58.0%-66.0%) than among premium Cigars (29.9%). Among current Cigar smokers, FC smokers (APR = 1.23, 95% confidence interval [CI] = 1.09-1.39), other tobacco product users (APR = 1.27, 95% CI = 1.15-1.41), and those with a GED/high school diploma or less (APR = 1.20, 95% CI = 1.09-1.33) were more likely to also smoke Cigarettes. Conclusion User characteristics, Cigar Smoking patterns, and dual Smoking with Cigarettes varied by Cigar type highlighting the importance of adequately describing the Cigar type studied and, where appropriate, differentiating results by Cigar type. Implications Despite the diversity of the Cigar market place, historically many research studies and tobacco surveillance systems have treated Cigars as a single product type. This study describes similarities and differences in the user characteristics, tobacco use patterns, and purchasing behaviors of premium, nonpremium, Cigarillo, and filtered Cigar smokers. To enhance tobacco regulatory science, sufficient descriptions of the Cigar type(s) studied and, where appropriate, differentiation of the particular Cigar type(s) studied should be undertaken to improve the interpretation of study findings, understanding of Cigar use patterns and related behaviors and future approaches to reducing Cigar-attributable morbidity and mortality.
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systematic review of Cigar Smoking and all cause and Smoking related mortality
BMC Public Health, 2015Co-Authors: Cindy M Chang, Catherine G. Corey, Brian L. Rostron, Benjamin J. ApelbergAbstract:Background Cigars are a growing public health concern, given the changes in Cigar use patterns in the US and elsewhere since the 1960s. We conducted a systematic review of published studies on current Cigar Smoking and all-cause and cause-specific mortality risks to inform potential regulatory approaches and future research that would strengthen the body of evidence.
Catherine G. Corey - One of the best experts on this subject based on the ideXlab platform.
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Cigar Smoking prevalence and morbidity among us adults 2000 2015
Preventive medicine reports, 2019Co-Authors: Brian L. Rostron, Catherine G. Corey, Renee M. GindiAbstract:Abstract Cigar Smoking causes many of the same health conditions as Cigarettes, but less information is available on prevalence of use trends and the disease burden of Cigar Smoking in the US. To examine these issues, we analyzed Cigar use and health condition data from the National Health Interview Survey from 2000, 2005, 2010, and 2015, estimating prevalence of use by year and over time. We also estimated the number of, and adjusted disease prevalence ratios for, US adults aged ≥35 years with self-reported history of heart disease, stroke, or cancer attributable to Cigar Smoking. We found that prevalence of current Cigar Smoking has remained generally stable at around 2.3% among US adults aged ≥18 years between 2000 and 2015 but has increased among female and non-Hispanic black adults. Former exclusive Cigar smokers were more likely to report having had heart conditions (aPR = 1.33, 95% CI = 1.03–1.72), stroke (aPR = 2.42, 95% CI = 1.57–3.75), and cancer (aPR = 1.44, 95% CI = 1.09–1.88) than never Cigar smokers. It is estimated that nearly 200,000 cardiovascular conditions and cancer cases among US adults are attributable to former exclusive Cigar Smoking. This analysis shows that prevalence of current Cigar Smoking has remained stable among US adults but has increased among certain demographic groups. Former exclusive Cigar use is associated with increased prevalence of heart disease, stroke, and cancer, which may result in part from Smoking cessation following disease onset.
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Cigar Smoking prevalence and morbidity among US adults, 2000–2015
Elsevier, 2019Co-Authors: Brian L. Rostron, Catherine G. Corey, Renee M. GindiAbstract:Cigar Smoking causes many of the same health conditions as Cigarettes, but less information is available on prevalence of use trends and the disease burden of Cigar Smoking in the US. To examine these issues, we analyzed Cigar use and health condition data from the National Health Interview Survey from 2000, 2005, 2010, and 2015, estimating prevalence of use by year and over time. We also estimated the number of, and adjusted disease prevalence ratios for, US adults aged ≥35 years with self-reported history of heart disease, stroke, or cancer attributable to Cigar Smoking. We found that prevalence of current Cigar Smoking has remained generally stable at around 2.3% among US adults aged ≥18 years between 2000 and 2015 but has increased among female and non-Hispanic black adults. Former exclusive Cigar smokers were more likely to report having had heart conditions (aPR = 1.33, 95% CI = 1.03–1.72), stroke (aPR = 2.42, 95% CI = 1.57–3.75), and cancer (aPR = 1.44, 95% CI = 1.09–1.88) than never Cigar smokers. It is estimated that nearly 200,000 cardiovascular conditions and cancer cases among US adults are attributable to former exclusive Cigar Smoking. This analysis shows that prevalence of current Cigar Smoking has remained stable among US adults but has increased among certain demographic groups. Former exclusive Cigar use is associated with increased prevalence of heart disease, stroke, and cancer, which may result in part from Smoking cessation following disease onset. Keywords: Cigar, Tobacco, Cardiovascular, Stroke, Cance
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US Adult Cigar Smoking Patterns, Purchasing Behaviors, and Reasons for Use According to Cigar Type: Findings From the Population Assessment of Tobacco and Health (PATH) Study, 2013–2014
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2017Co-Authors: Catherine G. Corey, Enver Holder-hayes, Anh B. Nguyen, Cristine D. Delnevo, Brian L. Rostron, Maansi Bansal-travers, Heather L. Kimmel, Amber Koblitz, Elizabeth Lambert, Jennifer L. PearsonAbstract:Introduction The US Cigar market is diverse, yet until recently most research studies and tobacco surveillance systems have not reported behavioral and related outcomes by Cigar type. Methods The 2013-2014 Population Assessment of Tobacco and Health Study collected data separately for filtered Cigars (FCs), Cigarillos, and traditional Cigars, which were further distinguished as premium or nonpremium. Descriptive statistics for adult established current smokers of each Cigar type and Cigarettes were calculated for demographic characteristics, tobacco use patterns, purchasing behaviors and reasons for use. Adjusted prevalence ratios (APRs) using a marginal predictions approach with logistic regression assessed correlates of dual Cigar and Cigarette Smoking. Results Age, sex, race/ethnicity, education level, and poverty status of smokers varied according to Cigar type. Daily Cigar Smoking prevalence and number of Cigars smoked per day were higher for FCs (37.3%; median: 1.6 Cigars/day, respectively), than all other Cigar types (6.7%-25.3%, all p < .01; 0.1-0.4 Cigars/day, all p < .01, respectively); daily Smoking and Cigars per day were similar for nonpremium Cigars and Cigarillos (p = .11; p = .33, respectively). Cigarette Smoking was twice as common among smokers of nonpremium Cigars, Cigarillos, and FCs (58.0%-66.0%) than among premium Cigars (29.9%). Among current Cigar smokers, FC smokers (APR = 1.23, 95% confidence interval [CI] = 1.09-1.39), other tobacco product users (APR = 1.27, 95% CI = 1.15-1.41), and those with a GED/high school diploma or less (APR = 1.20, 95% CI = 1.09-1.33) were more likely to also smoke Cigarettes. Conclusion User characteristics, Cigar Smoking patterns, and dual Smoking with Cigarettes varied by Cigar type highlighting the importance of adequately describing the Cigar type studied and, where appropriate, differentiating results by Cigar type. Implications Despite the diversity of the Cigar market place, historically many research studies and tobacco surveillance systems have treated Cigars as a single product type. This study describes similarities and differences in the user characteristics, tobacco use patterns, and purchasing behaviors of premium, nonpremium, Cigarillo, and filtered Cigar smokers. To enhance tobacco regulatory science, sufficient descriptions of the Cigar type(s) studied and, where appropriate, differentiation of the particular Cigar type(s) studied should be undertaken to improve the interpretation of study findings, understanding of Cigar use patterns and related behaviors and future approaches to reducing Cigar-attributable morbidity and mortality.
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systematic review of Cigar Smoking and all cause and Smoking related mortality
BMC Public Health, 2015Co-Authors: Cindy M Chang, Catherine G. Corey, Brian L. Rostron, Benjamin J. ApelbergAbstract:Background Cigars are a growing public health concern, given the changes in Cigar use patterns in the US and elsewhere since the 1960s. We conducted a systematic review of published studies on current Cigar Smoking and all-cause and cause-specific mortality risks to inform potential regulatory approaches and future research that would strengthen the body of evidence.
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systematic review of Cigar Smoking and all cause and Smoking related mortality
BMC Public Health, 2015Co-Authors: Cindy M Chang, Catherine G. Corey, Brian L. Rostron, Benjamin J. ApelbergAbstract:Cigars are a growing public health concern, given the changes in Cigar use patterns in the US and elsewhere since the 1960s. We conducted a systematic review of published studies on current Cigar Smoking and all-cause and cause-specific mortality risks to inform potential regulatory approaches and future research that would strengthen the body of evidence. Using 3 different databases and handsearching, we identified epidemiological studies published prior to June 2014 that examined the association between Cigar Smoking and all-cause mortality and Smoking-related mortality. Detailed study characteristics as well as association-level characteristics, including effect estimates and 95% confidence intervals, were abstracted or calculated from each selected study. A total of 22 studies from 16 different prospective cohorts were identified. Primary Cigar Smoking (current, exclusive Cigar Smoking with no history of previous Cigarette or pipe Smoking) was associated with all cause-mortality, oral cancer, esophageal cancer, pancreatic cancer, laryngeal cancer, lung cancer, coronary heart disease (CHD), and aortic aneurysm. Strong dose trends by Cigars per day and inhalation level for primary Cigar Smoking were observed for oral, esophageal, laryngeal, and lung cancers. Among primary Cigar smokers reporting no inhalation, relative mortality risk was still highly elevated for oral, esophageal, and laryngeal cancers. In summary, Cigar Smoking carries many of the same health risks as Cigarette Smoking. Mortality risks from Cigar Smoking vary by level of exposure as measured by Cigars per day and inhalation level and can be as high as or exceed those of Cigarette Smoking. The body of evidence would be strengthened by future studies that focus on the health effects of primary Cigar Smoking and incorporate more contemporary and diverse study populations to better reflect the current patterns of Cigar use in the US. Ideally, these studies would also collect detailed information on Cigar type, exposure level, and biomarkers of exposure and potential harm.
Kelvin Choi - One of the best experts on this subject based on the ideXlab platform.
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prevalence of current large Cigar versus little Cigar Cigarillo Smoking among u s adults 2018 2019
Preventive medicine reports, 2021Co-Authors: Lilianna Phan, Timothy S Mcneel, Kelvin ChoiAbstract:Abstract Cigar Smoking is increasing among non-Hispanic Black adults in the U.S. However, the prevalence of large and little Cigar/Cigarillo (LCC) Smoking varying jointly by age and race/ethnicity has not been reported. We analyzed data from the 2018–2019 Tobacco Use Supplement to the Current Population Survey (n = 134,900) to fill this knowledge gap. Participants reported the type of Cigar they used most often in the past 30 days (either large Cigars, little Cigars, or Cigarillos). We estimated the prevalence of current large Cigar and LCC Smoking by sociodemographic characteristics. We then examined sociodemographic correlates of large Cigar and LCC Smoking in comparison to non-Cigar Smoking using a multivariable multinomial logistic regression model, and sociodemographic correlates of LCC Smoking compared to large Cigar Smoking using a multivariable logistic regression model. Age*race/ethnicity interaction on Cigar Smoking was tested. Age-stratified multivariable multinomial logistic regression and logistic regression models were used to examine associations between race/ethnicity and large Cigar and LCC Smoking by age, adjusting for other sociodemographic variables. Overall, 1.1% and 0.8% of U.S. adults currently smoked large Cigars and LCCs, with younger adults more likely to smoke both types of Cigars and non-Hispanic Black adults more likely than non-Hispanic White adults to smoke LCCs. Prevalence of currently Smoking LCCs varied greatly by age and race/ethnicity, with the highest prevalence of current LCC Smoking being among 18–30 year-old non-Hispanic Black adults. Cigar Smoking prevention and cessation efforts should prioritize non-Hispanic Black young adults who are most at risk for Cigar Smoking health effects.
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Cigar Smoking cessation interest and experience among black young adults a semi structured in depth interview investigation
International Journal of Environmental Research and Public Health, 2021Co-Authors: Aniruddh Ajith, Kelvin Choi, Aaron Broun, Danielle A Duarte, Bambi Jewett, Lilianna Phan, Erin L Meadmorse, Mignonne C Guy, Julia Cen ChensankeyAbstract:Although Black/African American populations have high Cigar-Smoking prevalence, little is known about Cigar-Smoking cessation among this group. This study explored the perceptions and experiences of Cigar-Smoking cessation and assistance received from healthcare providers among forty Black young-adult Cigar smokers (ages 21–29). Semi-structured in-depth phone interviews were transcribed and coded. Qualitative data were analyzed by using thematic analysis. Participants mostly smoked Cigarillos, large Cigars, and blunts. Overall, many regular Cigarillo smokers reported interest in quitting eventually, while large-Cigar and blunt smokers shared less interest in quitting because they perceived low harm from Smoking these products. The reasons for Cigar-Smoking cessation were health concerns and financial constraints. Most of the participants who attempted to quit Cigars did not use any cessation aids. The reasons for relapse included nicotine withdrawal, stress, and easy access. Additionally, most participants reported their healthcare providers did not ask whether they smoked Cigars, and even when they knew, little assistance for Cigar-Smoking cessation was provided. Informing Black Cigar smokers of the harm of Cigar Smoking and encouraging healthcare providers to screen for and assist with Cigar-Smoking cessation may alleviate the health burden of Cigar Smoking in this population.
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Cigar Smoking patterns by race ethnicity and Cigar type a nationally representative survey among u s adults
American Journal of Preventive Medicine, 2021Co-Authors: Julia Cen Chensankey, Cristine D. Delnevo, Erin L Meadmorse, Shyanika W Rose, Amanda J Quisenberry, Kelvin ChoiAbstract:Introduction Racial/ethnic minorities have a higher prevalence of past 30–day Cigar Smoking than White, non-Hispanics. Little is known, however, about racial/ethnic differences in advanced Cigar-Smoking patterns by Cigar types. This research explores whether Cigar-Smoking patterns differ by race/ethnicity and Cigar types. Methods This study used a nationally representative sample of adults (aged ≥18 years; N=28,148) from the Wave 3 survey (2015–2016) of the Population Assessment of Tobacco and Health Study for analysis. Cigar-Smoking patterns included past 30–day use, daily use, established use, past 12–month blunt use, use within 30 minutes of waking, and the number of Cigars used per day. Weighted multivariable regressions were conducted in 2019 to examine the associations between race/ethnicity and Cigar-Smoking patterns by Cigar types (traditional Cigars, Cigarillos, and filtered Cigars), controlling for covariates. Results Compared with White, non-Hispanics, Black, non-Hispanics were more likely to smoke Cigars in the past 30 days (AOR=2.27, 95% CI=2.03, 2.54) and daily (AOR=2.65, 95% CI=1.89, 3.70), have established Cigar Smoking (AOR=1.95, 95% CI=1.66, 2.29), and smoke blunts in the past 12 months (AOR=2.30, 95% CI=1.84, 2.88). This pattern was generally consistent across Cigar types and was especially pronounced for Cigarillos. Compared with White, non-Hispanics, Hispanics were more likely to smoke Cigars within 30 minutes of waking (AOR=1.50, 95% CI=1.10, 2.06). Conclusions This study finds that Black, non-Hispanics and Hispanics have more advanced patterns of Cigar Smoking than White, non-Hispanics. Interventions and policies for minimizing Cigar Smoking may differentially benefit these populations and reduce disparities.
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exploring changes in Cigar Smoking patterns and motivations to quit Cigars among black young adults in the time of covid 19
Addictive Behaviors Reports, 2020Co-Authors: Julia Cen Chensankey, Aniruddh Ajith, Aaron Broun, Danielle A Duarte, Bambi Jewett, Erin L Meadmorse, Mignonne C Guy, Sabrina L Smiley, Kelvin ChoiAbstract:Introduction: The COVID-19 pandemic has disproportionately impacted the Black/African American communities in the U S The objective of this study is to understand the change in Cigar Smoking patterns and motivations to quit Cigars during the COVID-19 pandemic among Black young adult Cigar smokers Methods: During May-June 2020, in-depth telephone interviews were conducted to investigate Cigar (i e , large Cigars, Cigarillos, filtered Cigars, and blunts) Smoking behaviors during the pandemic among self-identified, non-Hispanic Black/African American young adult Cigar smokers (n = 40;ages 21-29) Interviews were audio-recorded, transcribed verbatim, and coded separately by three coders Thematic analysis was used to assess thematic patterns arising from the interviews Results: Most participants reported Smoking Cigarillos and blunts in higher frequency and quantity to cope with COVID-19-induced stress, anxiety, loneliness, and boredom due to economic losses and physical isolation Some also reported contextual changes in Cigarillo and blunt Smoking, including Smoking around the clock, Smoking immediately after waking up, and Smoking an entire Cigarillo or blunt in one setting Very few participants reported motivations to quit Cigars during the pandemic Perceiving higher risks of progressed COVID-19 outcomes did not prompt participants' increased motivations for quitting Cigars Conclusions: Black young adults in this study increasingly smoked Cigarillos and blunts during the COVID-19 pandemic, mainly attributed to daily life stressors Participants did not have increased motivations for quitting Cigars to reduce COVID-19-related risks Promoting contextually appropriate healthy coping and Cigar Smoking cessation may minimize COVID-19-related health consequences of Cigar Smoking and reduce health disparities among Black young adults (PsycInfo Database Record (c) 2021 APA, all rights reserved)
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Cigar package quantity and Smoking behavior.
BMC public health, 2019Co-Authors: Alexander Persoskie, Jennifer L. Pearson, Erin Keely O’brien, Elisabeth A. Donaldson, Kelvin Choi, Annette R. Kaufman, Cassandra A. Stanton, Cristine D. DelnevoAbstract:Several jurisdictions in the US and abroad limit the minimum number of Cigars that can be sold per package. Research has not evaluated whether small packages might result in Cigar use initiation, or whether adding Cigars to packages might result in purchasers Smoking more Cigars. Using nationally representative US adult data from Waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) Study, we assessed links between Cigar package quantity (number of Cigars in the package a person usually buys) and (1) price, and (2) Cigar and Cigarette use over time, for three Cigar types: filtered Cigars, Cigarillos, and large Cigars. Smaller quantity packages (i.e., packages with fewer Cigars) were cheaper per-pack than larger quantity packages but more expensive per-stick for all three Cigar types. For filtered Cigars, past-year starters tended to buy smaller quantity packages compared to longer-term users (geometric mean = 6.31 vs. 11.75, respectively; b = −.18, 95%CI: −.32, −.04). Also, those who bought smaller quantity packages of filtered Cigars tended to smoke fewer Cigars over time compared to those who bought larger quantity packages (b = 1.16, 95%CI: 0.45, 1.87). Neither of these associations was observed for Cigarillos or large Cigars. We also found little evidence that buying larger quantity packages predicted continuing to use Cigars or using Cigarettes. Although we found consistent associations between package quantity and price, we found few associations between package quantity and changes in Cigar Smoking behaviors over time, particularly for Cigarillos and large Cigars. Key limitations include our adult-only analyses and inability to determine the package quantity that Cigar users initiated with. Future studies could examine whether package quantity plays a causal role in filtered Cigar use initiation or consumption rates.
Wendy Max - One of the best experts on this subject based on the ideXlab platform.
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health care utilization and expenditures attributable to Cigar Smoking among us adults 2000 2015
Public Health Reports, 2018Co-Authors: Yingning Wang, Haiyen Sung, Tingting Yao, James Lightwood, Wendy MaxAbstract:Objectives:Cigar use in the United States is a growing public health concern because of its increasing popularity. We estimated health care utilization and expenditures attributable to Cigar Smoking among US adults aged ≥35.Methods:We analyzed data on 84 178 adults using the 2000, 2005, 2010, and 2015 National Health Interview Surveys. We estimated zero-inflated Poisson (ZIP) regression models on hospital nights, emergency department (ED) visits, physician visits, and home-care visits as a function of tobacco use status—current sole Cigar smokers (ie, smoke Cigars only), current poly Cigar smokers (smoke Cigars and smoke Cigarettes or use smokeless tobacco), former sole Cigar smokers (used to smoke Cigars only), former poly Cigar smokers (used to smoke Cigars and smoke Cigarettes or use smokeless tobacco), other tobacco users (ever smoked Cigarettes and used smokeless tobacco but not Cigars), and never tobacco users (never smoked Cigars, smoked Cigarettes, or used smokeless tobacco)—and other covariates. ...
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health care utilization and expenditures attributable to Cigar Smoking among us adults 2000 2015
Public Health Reports, 2018Co-Authors: Yingning Wang, Haiyen Sung, Tingting Yao, James Lightwood, Wendy MaxAbstract:Objectives:Cigar use in the United States is a growing public health concern because of its increasing popularity. We estimated health care utilization and expenditures attributable to Cigar smokin...