Reporting of cigar use among adolescent tobacco smokers |
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| Institution: | 1. Division of Adolescent Medicine, University of California, San Francisco, San Francisco, CA, United States;2. Stanford Prevention Research Center in the Department of Medicine at Stanford University, Stanford, CA, United States;1. Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS, USA;2. College of Education, Department of Educational Psychology, University of Houston, Houston, TX, USA;3. Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA;4. Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA;5. Department of Health Behavior & Health Education, University of Michigan, School of Public Health, Ann Arbor, MI, USA;6. Department of Medicine and Center for Health Equity, University of Minnesota Medical School, Minneapolis, MN, USA;1. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA;2. Midwest Alcoholism Research Center, Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA;3. George Warren Brown School of Social Work, Washington University, St. Louis, MO, USA;4. University of Missouri-St. Louis College of Nursing, St. Louis, MO, USA;1. Durham Veterans Affairs Medical Center, Durham, NC 27705, USA;2. Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC 27705, USA;3. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA;4. Health Services Research and Development, Durham VA Medical Center, Durham, NC 27705, USA;5. Department of Psychology & Neuroscience, Duke University, Durham, NC 27705, USA;6. Duke Global Health Institute, Duke University, Durham, NC 27705, USA;1. Department of Clinical Psychology, University of Houston, Houston, TX, USA;2. Department of Educational Psychology, College of Education, University of Houston, Houston, TX, USA;3. Department of Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS, USA;4. Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA;5. Center for Health Equity and Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA |
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| Abstract: | IntroductionWith the changing landscape of tobacco products, the divide between cigarettes and cigars is obscured, so understanding adolescent reporting of cigar use is needed to improve best practices for surveillance, screening, and prevention/intervention. This study examined adolescents' reported cigar use and correlates of use.MethodsParticipants (N = 186) were 13–17 year old tobacco users participating in a prospective study of adolescent smoking behaviors. Measurement occurred at baseline and 24-months, and included demographics, nicotine dependence, tobacco use, and quit attempts. Cigar use was assessed as, “have you smoked a cigar in the last 30 days” and by brand specific use in the past 30 days.FindingsCigar use was reported by 51 adolescents (27%), and increased to 76 (41%) when identifying by brand name. African Americans (32%) were more likely to smoke cigars than whites (10%, p < .01), Asian/Pacific Islanders (3%, p = .04), and multiracial participants (24%, p = .05). Cigarette-only users smoked more per day (p = .04) and had higher cotinine levels (p = .05) than cigar users. Number of prior quit attempts (p = .84) did not differ by group. Group differences in addiction were found between cigar users and cigarette only users (p < .01). At 24 months, more baseline cigar users were tobacco abstinent than cigarette only users (16% versus 7%, p < 0.01, respectively).ConclusionsAssessment of brand-specific cigars nearly doubled the reporting among adolescent users. Cigar users differed from cigarette-only users in consumption and likelihood of abstinence at 24-months. For more accurate surveillance and to inform treatment considerations, surveys of adolescent tobacco use should include cigars, including brand names, in the assessment strategy. |
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