Premium and Non-Premium Cigar Use Among a Nationally Representative Sample of Reproductive Age Women: Findings from the 2010-2019 National Survey on Drug Use and Health.

Premium and Non-Premium Cigar Use Among a Nationally Representative Sample of Reproductive Age Women: Findings from the 2010-2019 National Survey on Drug Use and Health.
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DOI:
10.1093/ntr/ntad020
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发表时间:
2023-07-28
影响因子:
4.7
通讯作者:
Stroud, Laura R.
Stroud, Laura R.
中科院分区:
医学2区
文献类型:
--
作者:
Sharma, Eva;Gautam, Prem;Jao, Nancy C.;Stroud, Laura R.

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关于育龄妇女使用雪茄的情况知之甚少,特别是与使用优质雪茄和非优质雪茄有关的潜在差异。使用2010-2019年全国药物使用和健康调查的数据,确定了育龄妇女(18-49; n = 5651)中优质和非优质雪茄使用的比率和趋势。加权的社会人口特征,物质共同使用,使用模式和健康指标进行了比较,妇女使用溢价与非溢价雪茄。在过去30天内抽雪茄的育龄女性中,4.9%的人报告使用高档雪茄品牌。最常用的高档品牌是罗密欧和朱丽叶、高希霸和马卡努多斯。使用高级雪茄和非高级雪茄的女性不太可能被认为是非西班牙裔黑人(16.5%对35.5%),家庭收入> 50 000美元的可能性更大(54.2%对26.6%),不太可能报告过去30天的大麻(28.7%对55.7%)或钝性使用(26.0%对53.9%; ps < .001)。使用优质雪茄的女性也报告了开始使用雪茄的年龄(24.1对20.3岁; p < .001),并且在过去30天内吸烟较少(9.8对2.3天; p < .001)。趋势分析显示,尽管过去30天的优质雪茄使用率从2010年(4.7%)到2019年(4.9%)保持一致,但流行率从2017年的6.6%下降到2018年的2.8%,然后在2019年增加到4.9%。了解育龄妇女(一个未充分研究的弱势群体)使用优质和非优质雪茄的情况,将为美国食品和药物管理局提供关键数据,为政策和监管决策提供信息。目前的研究显示,吸烟的育龄妇女中约有5%的人使用优质雪茄,并且有证据表明,随着时间的推移,女性使用优质雪茄的比例是一致的。使用高级雪茄与非高级雪茄的女性更有可能被认为是非西班牙裔白色,年龄较大,社会经济地位较高,健康状况更好,不太可能同时使用香烟和大麻,但更有可能同时使用酒精。在制定有关优质和非优质雪茄的法规时,有必要将育龄妇女和孕妇视为特别脆弱的人群。对雪茄(优质和非优质)的全面监管可能会对妇女的健康产生积极影响。
Little is known about cigar use among women of reproductive age, especially potential differences relating to the use of premium versus non-premium cigars. Using 2010–2019 data from the National Survey on Drug Use and Health, rates and trends in premium and non-premium cigar use were determined among women of reproductive age (18–49; n = 5651). Weighted sociodemographic characteristics, substance co-use, patterns of use, and health indicators were compared between women using premium versus non-premium cigars. Among reproductive-aged women who smoked cigars in the past 30 days, 4.9% reported use of premium cigar brands. The most commonly used premium brands were Romeo y Julieta, Cohiba, and Macanudos. Women who used premium versus non-premium cigars were less likely to identify as non-Hispanic black (16.5% vs. 35.5%), more likely to have household income >$50 000 (54.2% vs. 26.6%), and less likely to report past 30-day marijuana (28.7% vs. 55.7%) or blunt use (26.0% vs. 53.9%; ps < .001). Women who used premium cigars also reported later age of onset of cigar use (24.1 vs. 20.3 years; p < .001) and smoked fewer cigars in the last 30 days (9.8 vs. 2.3 days; p < .001). Trend analysis revealed that although rates of past 30-day premium cigar use remained consistent from 2010 (4.7%) to 2019 (4.9%), prevalence decreased from 6.6% in 2017 to 2.8% in 2018 before increasing to 4.9% in 2019. Understanding premium and non-premium cigar use among reproductive-age women, an understudied vulnerable population, will provide critical data to the Food and Drug Administration to inform policy and regulatory decisions. The current study revealed prevalence of ~5% premium cigar use among women of reproductive age who smoke cigars, and evidence for consistency in women’s rates of premium cigar use across time. Women who used premium versus non-premium cigars were more likely to identify as non-Hispanic white, older, and of higher socioeconomic status were in better health and less likely to co-use cigarettes and marijuana, but more likely to co-use alcohol. Consideration of reproductive age and pregnant women as uniquely vulnerable populations is warranted in the development of regulations regarding premium and non-premium cigars. Comprehensive regulation of cigars (both premium and non-premium) may offer the potential to positively impact women’s health.
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