Cigar-Smoking Patterns by Race/Ethnicity and Cigar Type: A Nationally Representative Survey Among U.
Tuesday, January 19, 2021
Posted by: Natalia Gromov
Chen-Sankey
JC, Mead-Morse EL, Le D, Rose SW, Quisenberry AJ, Delnevo CD, Choi K.
Cigar-Smoking Patterns by
Race/Ethnicity and Cigar Type: A Nationally Representative Survey Among U.S.
Adults.
Am J Prev Med. 2021 Jan;60(1):87-94. doi: 10.1016/j.amepre.2020.07.005. PMID:
33341182; PMCID: PMC7755027.
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.
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