218711 Epidemiology of cigar use among young adults in the US: A focus on socioeconomic (SES) and racial/ethnic differences

Sunday, November 7, 2010

Mignonne C. Guy, PhD , Center for Health Outcomes and PharmacoEconomic Research, University of Arizona, Tucson, AZ
Jennifer Cullen, PhD, MPH , Research and Evaluation, American Legacy Foundation, Washington, DC
Amber Hardy Thornton-Bullock, MPH, CHES , Program Development, American Legacy Foundation, Washington, DC
Donna Vallone, PhD, MPH , American Legacy Foundation, Washington, DC
Introduction: National patterns in US cigar consumption demonstrate dramatic increases over the past decade, driven largely by a rise in small or little cigars, as well as products known colloquially as “cigarillos”. Cigars pose significant health risks, contributing to cancer of the mouth, lung, esophagus, and larynx. Prevalence data for these products are scant, in part because the Federal Government does not require reporting on sales, and in part because surveillance instruments have not kept pace with industry marketing; many consumers know these products by a brand name rather than as little cigars or cigarillos. The primary aim of this study was to examine the descriptive epidemiology of cigar use among young adults aged 18-25 in the US, with an emphasis on variation over time by socioeconomic status (SES) and racial/ethnic subgroups. Methodology: Secondary data analysis was performed using seven consecutive, annual cross-sectional waves (2002-2008) of the National Survey on Drug Use and Health, with a special focus on past 30 day use of little cigars or “cigarillos” brands. Logistic regression analysis was used to examine temporal trends in a pooled sample of all cross-sectional waves. Models were stratified by race/ethnicity and SES to explore potential differences. Results: Roughly 20% of young adults report past 30 day cigar use and, overwhelmingly, little cigar and cigarillo brands are preferred. Preliminary findings indicate differences in cigar product use by race/ethnicity and SES. Discussion: Additional research is needed to better understand whether and how cigar use is disproportionate across race/ethnic and SES subgroups.

Learning Areas:
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. State the prevalence of cigar product use among young adults across SES and racial/ethnic subgroups; in particular, cigar products known as little cigars and cigarillos. 2. Identify the subgroups affected by the greatest burden of cigar product use, and compare trends over time between 2002-2007 in use of the most popular cigar brands. 3. Discuss the importance of additional surveillance measures to improve national estimates of cigar use trajectories among young adults.

Keywords: Tobacco, Data/Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present on this topic as I have special training and interest in the topic of cigar use in the United States, with a focus on racial/ethnic disparities.
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.