Premium Cigars Patterns of Use, Marketing, and Health Effects (2022) / Chapter Skim
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3 Patterns of Use and Prevalence of Cigars
3 Patterns of Use and Prevalence of Cigars
Pages 103-134
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From page 103... ...
2 Note that when the terms "cigar(s) " or "cigars in general" are used in this report, they refer to all cigar types (filtered cigars, little cigars, cigarillos, and large/traditional cigars [which include premium cigars]
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From page 104... ...
, which increased taxes on cigarettes and little cigars. This increase caused the consumption of little cigars to decline 95 percent from 2008 to 2020, however, the consumption of large cigars increased almost 129 percent.3 This increase is almost exclusively due to little cigar manufacturers "converting" their products into heavier filtered cigars to take advantage of the lower federal excise tax on large cigars (Delnevo et al., 2017b; Wang et al., 2016)
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From page 105... ...
and large cigars weigh more than 1.36 grams each. FDA = Food and Drug Administration; LC = little cigar; S-CHIP = State Children's Health Insurance Program; SGR = Surgeon General's Report.
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From page 106... ...
As shown in Figure 3-2, data abstracted from the 1996, 2003, and 2012 Maxwell Reports highlight the increase in premium cigar consumption in the early 1990s, which peaked in 1997, but the reports'5 data suggest that premium cigars have made up a small percentage of the total cigar market since then. The last year of production of the Maxwell Report was 2017, with the last report released in early 2018.
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From page 107... ...
Figure 3-1 and Table 3-1 also show the dominance of large cigars over much of the past two decades. As illustrated in Chapter 2, the term "large cigars" is a misnomer, as it includes filtered cigars, most of which resemble cigarettes; mid-size cigarillos, with or without a plastic or wood tip; and larger traditional cigars.
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From page 108... ...
means that it needs to be assessed indirectly through self-reported brand data. Given the limited literature on premium cigars, the committee commissioned two analyses of premium cigar and overall cigar patterns of use to characterize recent trends and use patterns -- pooled analyses of NSDUH 2010–2019 data (age 12+)
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From page 109... ...
Filtered cigar users are also older and have lower levels of education or income. Lastly, nearly half of current cigarette users are female, and the majority of them are older and have lower levels of education and income.
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From page 110... ...
SOURCE: Bover Manderski et al., 2022.
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From page 111... ...
or large cigar smoking (for Azagba et el., 2021) and may include premium and nonpremium cigars.
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From page 112... ...
Those data in both commissioned papers further reinforce that premium cigar users are older than users of other cigar types; only 0.6 percent of those FIGURE 3-4 Tobacco use by sex, PATH Wave 5. NOTE: PATH = Population Assessment of Tobacco and Health.
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From page 113... ...
in NSDUH identified as lesbian, gay, or bisexual -- in contrast, 9.7 percent of nonpremium cigar users did so. This is consistent with NATS data showing that the prevalence of premium cigars as a usual cigar was greater among heterosexual than among lesbian, gay, and bisexual adults (Corey et al., 2014)
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From page 114... ...
. For comparison, the median number of days smoked for cigarettes was 30.12 The median number of cigars smoked per day was 0.1 for premium cigars and nonpremium traditional cigars, 0.2 for cigarillos, and 1.7 for filtered cigars.
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From page 115... ...
Flavored tobacco products are generally known to appeal to young people, but flavored cigars are especially popular among youth (ChenSankey et al., 2019; Corey et al., 2015; Delnevo and Hrywna, 2015; HHS, 13 Menthol makes up a small percentage of the cigar market and is exclusively limited to little or filtered cigars. 14 Adjusted for inflation to 2015 dollars.
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From page 116... ...
Analysis of NATS found that premium cigars were more commonly used in the Northeast than little filtered cigars among cigar users, in contrast to other census regions, where premium cigars were 15 Vargees, C., Stroup, A M., Niznik, T., Dunn, D., Wyatt, R., Hoetger, C., Ben Taleb, Z., Cohn, A
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From page 117... ...
. CO-USE OF PREMIUM CIGARS WITH OTHER TOBACCO PRODUCTS OR SUBSTANCES Co-Use with Other Cigar Types No previous study examined prevalence of co-use of premium cigars with other cigar types.
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From page 118... ...
Premium cigar users were defined as those reporting that their usual cigar did not have a filter or tip and their usual brand was hand rolled or described by the manufacturer or merchant as containing high-grade tobaccos in the filler, binder, or wrapper. Current cigarette smoking among those who usually smoked premium cigars (35.1 percent)
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From page 119... ...
The NSDUH analysis compared those who typically smoke premium and nonpremium cigars (Bover Manderski et al., 2022)
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Premium Nonpremium Overall U.S. Cigars Cigars Cigarillos Filtered Cigars Cigarettes Adult Population Current established cigarette smoking Wave 1 28.5 (22.9–34.7)
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. It appears that, except for alcohol dependence, substance dependence was higher among premium cigar users than nontobacco users but lower than among nonpremium cigar and cigarette users.
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. Another study analyzed the age at initiation of cigarillos, filtered cigars, and/or traditional cigars among a longitudinal sample from PATH study youth (aged 12–17)
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a Other than cannabis. SOURCE: Bover Manderski et al., 2022.
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From page 124... ...
Factors negatively associated with a cigar quit attempt were having a Bachelor's degree or more education, higher income, and daily cigar use. Stability and Transitions in Use of Premium Cigars Across Time In the commissioned analysis of PATH adults across the five waves (2013–2019)
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From page 125... ...
, the approximately 75 percent of exclusive premium cigar users who continued to smoke them 1 year later included 69.2 percent who remained exclusive premium cigar users, 2.5 percent and 2.8 percent who became dual users with other cigar types and cigarettes, respectively, and 0.5 percent who became poly-tobacco users of premium cigars, other cigars, and cigarettes. For the 59.0 percent who smoked exclusively other (nonpremium)
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From page 127... ...
, exclusive current established cigarette use (Excl.Cigarette) , dual current established use of premium cigars and other cigar types (PrCigar.OthCigar)
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From page 128... ...
. Dual premium cigar use with other combustible tobacco products is relatively transient; only 44.5 percent of less frequent and 15.8 percent of more frequent premium cigar users remained dual users.
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From page 129... ...
The prevalence of cigarette smoking among adults in 2018–2019 was 16.4 percent com pared to 0.7 percent for premium cigars, 0.5 percent for nonpremium cigars, 1.4 percent for cigarillos, and 0.8 percent for filtered cigars. Finding 3-5: The majority of premium cigar users are male, white, with higher income and education levels compared to those who smoke cigarillos, little filtered cigars, or cigarettes.
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From page 130... ...
Only about 5 percent of premium cigar users smoke these daily, whereas 22 percent of nonpremium cigar users, 19 percent of cigarillo users, 40 percent of filtered cigar users, and 76 percent of cigarette users smoke those products daily. The median number of cigars or cigarettes smoked per day is about 0.1 for premium cigars, 0.2 for nonpremium cigars, 0.3 for cigarillos, 1.0 for filtered cigars, and 10 for cigarettes.17 Finding 3-7: Premium cigar users are less likely to smoke cigarettes or other cigar types concurrently than other cigar type users.
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by Wave 5. Additionally, exclusive premium cigar users who smoked infre quently (i.e., less than 6 days in the past 30 days)
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2019. Flavored cigar smoking among African American young adult dual users: An ecologi cal momentary assessment.
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Paper commissioned by the Committee on Patterns of Use and Health Effects of "Premium Cigars" and Priority Research (Appendix D)
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2019. Use of other combustible tobacco products among priority populations of smokers: Implications for U.S.
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