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Correlates of Cigar Use by Type and Flavor among US Young Adults: 2011-2015

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Objective: The objective of this study was to examine prevalence and correlates of cigar use by type (large cigar and little cigars/cigarillos – LCCs and flavor/no flavor) and frequency of cigar use among young adults (YAs) ages 18-34 in the United States from 2011-2015. Methods: This study used data from Waves 2 through 8 of the Truth Initiative Young Adult Cohort Study. Unadjusted and adjusted multinomial logistic regression analyses identified sociodemographic correlates of cigar type use and flavored cigar use. Results: Nearly half (46.8%) of past 30-day cigar users used flavored products, and almost twice as many LCC users (26.4%) used flavored products compared with large cigar users (15.6%). Significant correlates of LCC use included younger age and being black, non-Hispanic race/ethnicity; large cigar use was associated with being male and Hispanic ethnicity. Flavored LCC use was most common among younger adults, women, and those with less education. On average, large cigar users reported less past month use (5.5 days) compared with LCC users (7.8 days) (p < .0001). Conclusions: Different patterns of use exist for different cigar types and by use of flavored cigar products. Banning characterizing flavors in cigar products may help to reduce tobacco use in YAs.
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Document Type: Research Article

Publication date: April 1, 2017

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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