Flavored Cigar Smoking Among US Adults: Findings From the 2009-2010 National Adult Tobacco Survey

Corresponding Author: Brian A. King, Ph.D., M.P.H., Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K-50, Atlanta, GA 30341, USA. Telephone: 770-488-5107
Nicotine & Tobacco Research (Impact Factor: 3.3). 08/2012; 15(2). DOI: 10.1093/ntr/nts178
Source: PubMed


Under its authority to regulate tobacco products, the U.S. Food and Drug Administration prohibited certain characterizing flavors in cigarettes in September 2009; however, flavored cigars are still permitted to be manufactured, distributed, and sold. This study assessed the prevalence and correlates of flavored cigar smoking among U.S. adults.

Data were obtained from the 2009-2010 National Adult Tobacco Survey, a national landline and cell phone survey of adults aged ≥ 18 years old residing in the 50 U.S. states and the District of Columbia. National and state estimates of flavored cigar use were calculated overall and among current cigar smokers; national estimates were calculated by sex, age, race/ethnicity, educational attainment, annual household income, U.S. Census Region, and sexual orientation.

The national prevalence of flavored cigar smoking was 2.8% (95% confidence interval [CI] = 2.6%-3.1%; state range: 0.6%-5.7%) and was greater among those who were male, younger in age, non-Hispanic Other race, less educated, less wealthy, and lesbian, gay, bisexual, or transgendered (LGBT). Nationally, the prevalence of flavored cigar use among cigar smokers was 42.9% (95% CI = 40.1%-45.7%; state range: 11.1%-71.6%) and was greater among those who were female, younger in age, Hispanic, non-Hispanic Other race, less educated, less wealthy, and LGBT.

More than two fifths of current cigar smokers report using flavored cigars. Disparities in flavored cigar use also exist across states and subpopulations. Efforts to curb flavored cigar smoking have the potential to reduce the prevalence of overall cigar smoking among U.S. adults, particularly among subpopulations with the greatest burden.

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    • "For example, a primary indicator of progress in the tobacco epidemic has been the prevalence of cigarette smoking and cigarette consumption. However, because of differences in taxation between cigarettes and other combustible products and lack of FDA authority to regulate flavoring and other product characteristics of cigars and pipe tobacco, consumption and prevalence of use of cigars and pipe tobacco (used in roll-your-own cigarettes) is increasing dramatically [8] [9]. An over-estimation of progress in tobacco control, particularly among youth and young adults, would result if we do not pay appropriate attention to increases in use of these other tobacco products. "

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