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Appendix C: Cross-Sectional Patterns of Cigar Use by Type in the National Survey on Drug Use and Health
Pages 379-412

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From page 379...
... premium and nonpremium cigar use with 10 years of data from the National Survey on Drug Use and Health (NSDUH; 2010–2019)
From page 380...
... Coding of Cigar Type In NSDUH, all past 30-day cigar users were asked to report the brand that they used most often in the past 30 days. NSDUH does not distinguish between premium versus nonpremium cigar types or brands, so all brands were manually coded.
From page 381...
... These brands were consistent with premium cigars outside of their use of characterizing flavors. The group decided to treat these brands as nonpremium but conducted a sensitivity analysis treating them as premium.
From page 382...
... . Sexual identity In 2015, NSDUH began asking adults about sexual identity.
From page 383...
... were computed and reported for all point estimates, which were considered significantly different if the CIs did not overlap. Demographic characteristics of premium and nonpremium cigar smokers (Table C-1)
From page 384...
... Age The age distribution of premium cigar smokers trended older relative to nonpremium cigar smokers; an estimated 14.1 percent of premium cigar smokers were under age 25 compared to about 38.5 percent of nonpremium cigar smokers. Additionally, more than one-third (34.5 percent)
From page 385...
... Sexual identity A greater proportion of premium than nonpremium cigar smokers identified as heterosexual or straight (97.5 versus 89.6 percent) ; 3.1 percent and 6.6 percent of nonpremium cigar smokers identified as lesbian/gay or bisexual, respectively, compared to just 0.9 percent and 1.6 percent of premium cigar smokers, respectively.
From page 386...
... Current premium cigar smoking was reported by 1.7 percent of male and 0.1 percent of female smokers. Current nonpremium cigar smoking was reported by 4.6 percent of male and 1.5 percent of female smokers.
From page 387...
... Current premium cigar smoking was reported by 0.1 percent of male and 0.0 percent of female smokers. Current nonpremium cigar smoking was reported by 2.6 percent of male and 1.2 percent of female smokers.
From page 388...
... Current premium cigar smoking was reported by 1.9 percent of male and 0.1 percent of female smokers. Current nonpremium cigar smoking was reported by 4.8 percent of male and 1.5 percent of female smokers.
From page 389...
... . Tobacco and Substance Use Characteristics of Premium and Nonpremium Cigar Smokers Table C-3 presents tobacco use characteristics and alcohol and cannabis use history among civilian noninstitutionalized people aged 12+ living in the United States from 2010 to 2019 who currently smoke cigars.
From page 390...
... . Recency of established cigarette smoking Cigarette smoking was much more common among nonpremium cigar smokers.
From page 391...
... . Health Characteristics of Adult Premium and Nonpremium Cigar Smokers, Cigarette Smokers, and Nontobacco Users Table C-4 presents prevalence of medical, mental health, and substance dependence conditions among premium and nonpremium cigar smokers, current and former established cigarette smokers, and nontobacco users.
From page 392...
... SPD Past-month SPD was significantly more prevalent among current nonpremium cigar smokers (14.5 percent) than among any other group, including current cigarette smokers (11.3 percent)
From page 393...
... Premium versus nonpremium cigar smoking Relative to nonpremium cigar smoking, premium cigar smoking was significantly associated with 83 percent increased odds of having cancer, but this was the only positive association. Premium cigar smokers had significantly lower odds of COPD (odds ratio [OR]
From page 394...
... People who smoke premium cigars tend to do so infrequently and initiate later in life, relative to people who smoke nonpremium cigars. Premium cigar smokers are also less likely to also be established cigarette smokers or cannabis users.
From page 395...
... 2021. Ad hoc com mittee announcement: Health effects and patterns of use of premium cigars.
From page 396...
... 10.8 (9.1 , 12.6) Gender Male 78.7 (78.0 , 79.3)
From page 397...
... 68.7 (66.4 , 71.0) a Estimates for sexual identity categories were calculated using data from adult (ages 18+)
From page 398...
... 0.5 (0.4 , 0.6) Gender Male 7.6 (7.4 , 7.8)
From page 399...
... 0.8 (0.8 , 0.9) aEstimates for sexual identity categories were calculated using data from adult (ages 18+)
From page 400...
... 0.3 (0.3 , 0.3) Gender Male 2.9 (2.8 , 3.1)
From page 401...
... 0.3 (0.3 , 0.4) NOTES: Data on sexual identity is not available for youth under age 18, because questions about sexual identity were added to NSDUH in 2015 and asked of adult respondents only.
From page 402...
... 0.5 (0.4 , 0.6) Gender Male 8.1 (7.9 , 8.3)
From page 403...
... 0.9 (0.8 , 0.9) aEstimates for sexual identity categories were calculated using data from years 2015 through 2019 because questions about sexual identity were added to NSDUH in 2015.
From page 404...
... 10.7 (9.0 , 12.6) Recency of established cigarette smokinga Past 30 days 42.9 (41.9 , 43.8)
From page 405...
... 27.6 (25.4 , 30.0) a Established cigarette smoking defined as having smoked at least 100 cigarettes.
From page 406...
... 11.0 (9.3 , 13.0) Recency of established cigarette smokinga Past 30 days 43.4 (42.4 , 44.4)
From page 407...
... 27.7 (25.4 , 30.1) a Established cigarette smoking defined as having smoked at least 100 cigarettes.
From page 408...
... b Males and females respondents not aged 12 to 44 years. NOTE: CI = confidence interval; COPD = chronic obstructive pulmonary disease; NSDUH = National Survey on Drug Use and Health.
From page 409...
... Current/Former Nonpremium Cigar Adjusted for Established Smoking vs. Never Established Cigarette Smoking Smoking Statusb Tobacco Use Smoking aOR (95% CI)
From page 410...
... 410 FIGURE C-1  Prevalence of premium vs. nonpremium current cigar smoking, 2010–2019.
From page 411...
... FIGURE C-2  Prevalence of premium cigar smoking by age group, 2010–2019 NSDUH. NOTE: NSDUH = National Survey on Drug Use and Health.


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