Cross-sectional patterns and longitudinal transitions of unflavored and flavored cigar use without and with cigarettes among United States adults.

Autor: Buszkiewicz JH; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA. Electronic address: buszkiew@umich.edu., Mok Y; Department of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, Canada., Mukerjee R; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA., Fleischer NL; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA., Meza R; Department of Integrative Oncology, BC Cancer Research Institute, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada., Jeon J; Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Jazyk: angličtina
Zdroj: Preventive medicine [Prev Med] 2024 Aug; Vol. 185, pp. 108027. Date of Electronic Publication: 2024 Jun 04.
DOI: 10.1016/j.ypmed.2024.108027
Abstrakt: Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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