1. Cigar-Smoking Patterns by Race/Ethnicity and Cigar Type: A Nationally Representative Survey Among U.S. Adults
- Author
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Shyanika W. Rose, Kelvin Choi, Cristine D. Delnevo, Daisy Le, Amanda J. Quisenberry, Julia Cen Chen-Sankey, and Erin L. Mead-Morse
- Subjects
Adult ,Cigar Smoking ,Race ethnicity ,Tobacco use ,Adolescent ,Epidemiology ,Population ,Psychological intervention ,Ethnic group ,Article ,Tobacco Use ,03 medical and health sciences ,0302 clinical medicine ,Blunt ,030225 pediatrics ,Ethnicity ,Humans ,Medicine ,030212 general & internal medicine ,education ,education.field_of_study ,business.industry ,Smoking ,Public Health, Environmental and Occupational Health ,Cigarillo ,Tobacco Products ,United States ,business ,Demography - Abstract
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.
- Published
- 2021
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