207239 Who's smoking cigar/cigarillos: A segmentation analysis?

Monday, November 9, 2009: 11:06 AM

Anne Philipneri, MPH , University of Toronto, Ontario Tobacco Research Unit, Toronto, ON, Canada
Shawn O'Connor, PhD , University of Toronto, Ontario Tobacco Research Unit, Toronto, ON, Canada
Robert Schwartz, PhD , Ontario Tobacco Research Unit, Toronto, ON, Canada
Objectives: To examine the change in prevalence of cigar/cigarillo smoking among Canadians adolescents and young adults. Explore the factors associated with cigar/cigarillo smokers.

Method: Cross-sectional study based on data from the Canadian Tobacco Monitoring Survey 2003-2006 (n=84,391) and the Youth Smoking Survey 2006-2007 (n=71,003).

Results: The prevalence of cigar/cigarillo use has significantly increased from 2003 to 2007 (6% to 9% among 15-19 year olds; 6% to 11%, p<0.05 among 20-24 year olds). Over this period cigarette-only use have declined, while cigar/cigarillo-only use have increased, producing no change in the prevalence of all tobacco use. Cigar/cigarillo use among students (grades 7-12) was highly associated with lower school attachment, motivation to excel in school, self-esteem and higher absenteeism. Half of all cigar/cigarillo users who have never smoked cigarettes thought that they will smoke a cigarette in the next year and only 7% of non-cigarillo smokers reported as such. Cigar/cigarillo users who have never used cannabis had 5 times higher odds (95%CI: 4.3-6.7) of believing that they will experiment with cannabis in the next year compared to non cigar/cigarillo users.

Conclusion: As the second most commonly used tobacco product, cigars/cigarillos are rapidly gaining popularity among 15-24 year-olds. Belief among cigar/cigarillo users to experiment with cigarettes and cannabis in the next year illustrates the need to explore the possibility that cigars may be a gateway to cigarettes and cannabis.

Learning Objectives:
1. Describe the increasing rates of cigar/cigarillo use 2. identify the demographics and the behavioral characteristics of cigar/cigarillo users 2. Discuss how cigarette smoking may be a misleading measure of tobacco use in a population 3. Discuss why surveillance for the true burden of tobacco must account for all tobacco products (e.g. cigar/cigarillo) 3. Describe how cigars/cigarillos may be gateway products to cigarettes and cannabis

Keywords: Tobacco Control, Youth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I assisted with the study and completed the analyzes.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.