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
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
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DOI：
10.1093/ntr/ntx209
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发表时间：
2018-12-01
影响因子：
4.7
通讯作者：
Borek, Nicolette
中科院分区：
文献类型：
--
作者：
Corey, Catherine G.;Holder-Hayes, Enver;Borek, Nicolette
简介：美国雪茄市场是多样化的，但直到最近，大多数研究和烟草监测系统还没有报告行为和相关结果的雪茄type.Methods：2013-2014年人口评估烟草与健康研究分别收集数据过滤雪茄（FCs），小雪茄和传统雪茄，这是进一步区分为溢价或非溢价。计算了每种雪茄类型和香烟的成年吸烟者的人口统计学特征、烟草使用模式、购买行为和使用原因的描述性统计量。调整后的患病率（APRs）使用的边际预测方法与logistic回归评估相关的双重雪茄和香烟smoking.Results：年龄，性别，种族/民族，教育水平，和贫困状况的吸烟者根据雪茄类型。功能界别的每日吸烟率及每日吸烟的雪茄数目较高（37.3%;中位数：1.6支雪茄/天），高于所有其他雪茄类型（6.7%-25.3%，所有p <0.01; 0.1-0.4支雪茄/天，所有p <0.01）;非优质雪茄和小雪茄的每日吸烟量和每日雪茄量相似（分别为p = .11; p = .33）。吸烟者中，非优质雪茄、小雪茄和FC（58.0%-66.0%）的吸烟率是优质雪茄（29.9%）的两倍。在目前的雪茄吸烟者中，FC吸烟者（APR = 1.23，95%置信区间[CI] = 1.09-1.39），其他烟草制品使用者（APR = 1.27，95% CI = 1.15-1.41），以及GED/高中文凭或以下的人（APR = 1.20，95%CI = 1.09-1.33）更有可能同时吸烟。使用者特征、雪茄吸烟模式和不同雪茄类型的香烟的双重吸烟，强调充分描述研究的雪茄类型的重要性，并在适当时，根据雪茄类型区分结果。
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.