Premium Cigars Patterns of Use, Marketing, and Health Effects (2022) / Chapter Skim
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Appendix D: Cross-Sectional Patterns and Longitudinal Transitions of Cigar Use by Type in the PATH Study
Appendix D: Cross-Sectional Patterns and Longitudinal Transitions of Cigar Use by Type in the PATH Study
Pages 413-446
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From page 413... ...
(2018) analyzed adult cigar smoking patterns by cigar type, including premium cigars, and sociodemographic factors in PATH Wave 1 (2013–2014)
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First, we replicated that analysis for Waves 1–5, providing annual estimates of premium cigar and other cigar type use prevalence and patterns of use for 2013–2014, 2014–2015, 2015–2016, 2016–2017, and 2018–2019. We then calculated longitudinal transitions between use of premium cigars and other cigar types and cigarettes, also differentiating premium cigar use by frequency (number of days used in the past 30 days)
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From page 415... ...
" were assigned as filtered cigar users, and those who reported "with a plastic or wooden tip" or "without a tip or filter" were assigned as cigarillos users. Current Established Cigar and Cigarette Users Current established cigar users were defined as those individuals who reported ever smoking the specific type "fairly regularly" and currently smoke every day or some days.
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From page 416... ...
For individuals with missing usual brand information, those who reported paying ≥$2 per cigar were classified as premium cigar users, while those who reported paying <$2 per cigar were nonpremium. The analysis considered four cigar types: traditional premium cigars, traditional nonpremium cigars, cigarillos, and filtered cigars.
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Similar measures were also reported and calculated for cigarette users. Reasons for Cigar Smoking Total of 12 (Waves 1 and 2)
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exclusive current established use of other cigar types (nonpremium cigars, cigarillos, or filtered cigars)
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exclusive current established premium cigar use with 6+ days of use in the past 30 days, (5) exclusive current established other combustible tobacco use (nonpremium cigars, cigarillos, filtered cigars, or cigarettes)
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We then compared the mean and median TDS for the following exclusive tobacco product use categories: premium cigars, nonpremium cigars, cigarillos, filtered cigars, cigarettes, smokeless tobacco, and hookah. For each group, we also calculated the percentage of users reporting at least one dependence symptom, the difference in mean TDS between daily and nondaily users of each product, the difference in mean TDS between those who used it less than 6 days and 6+ days in the past 30 days, and the linear association of the number of days used in the past 30 days with TDS.
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From page 421... ...
Cigarillos were smoked by young adults aged 18–34 years at relatively higher rates compared to other cigar types and cigarettes (54.8 percent versus 37.0 percent for premium cigar, 28.6 percent for nonpremium cigar, 31.5 percent for filtered cigar, and 34.4 percent for cigarette users)
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From page 422... ...
Marlboro, Newport, Camel, Pall Mall, and American Spirit were the most common brands reported by cigarette users. Flavored or mentholated regular brands were less likely for users of premium cigars (7.6 percent; 95 percent CI: 5.5–10.5 percent)
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From page 423... ...
. On the other hand, those smoking premium or nonpremium cigars were less likely to be dual users (APR: 0.53; 95 percent CI: 0.41–0.69 for premium cigar users; APR: 0.80; 95 percent CI: 0.67–0.95 for nonpremium cigar users)
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From page 424... ...
. About 75 percent of exclusive premium cigar users kept smoking premium cigars (sum of 69.2 percent as exclusive premium cigar users, 2.5 and 2.8 percent as dual users with other cigar types and cigarettes, respectively, and 0.5 percent as poly tobacco users)
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From page 425... ...
Transition Analysis of Premium Cigar Use at Any Wave Figure D-4 shows longitudinal trajectories of cigar and cigarette use for those who smoked premium cigars fairly regularly in at least one wave. About 14 percent of adults included in this analysis were not present at Wave 1 but entered the study in following years (either aged up from the youth sample or included in the replenishment sample in Wave 4)
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From page 426... ...
and median (IQR) of TDS estimated for each exclusive tobacco product use group: premium cigars, nonpremium cigars, cigarillos, filtered cigars, cigarettes, smokeless tobacco, hookah, and ENDS.
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SUMMARY OF KEY PATH RESULTS • Premium cigars are predominantly consumed by male smokers, non-Hispanic white people, and individuals with some college or more education. • The proportion of cigar users who smoked >50 cigars in their lifetime decreased over time, especially among premium and nonpremium cigar users.
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From page 428... ...
• Dual use of cigar and cigarettes was less likely among non Hispanic Black people compared to non-Hispanic white people, daily smokers compared to nondaily smokers, and those who have some college/associate degree or more compared to those with education level of GED, high school diploma, or less. • Two common reasons reported for smoking cigars were "social izing while smoking" or "availability of products in favorite fla vors." Affordability was another common reason for smoking nonpremium cigars, cigarillos, and filtered cigars, but not for premium cigars.
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2020. CTP statement on premarket authorization require ments for premium cigars.
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% (95% CI) Overall adult prevalence 0.7 (0.6–0.8)
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10.5 (9.7–11.4) a Among traditional established cigar smokers, 4.8% (n = 29)
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Currently use other cigar type(s)
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e For current cigarette smokers, "currently use other cigar products" refers to current smoking of one or more cigar products. f If respondent was missing status for one cigar product and did not smoke the other cigar product, then they were treated as not smoking other cigar types.
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From page 434... ...
(32.6–35.9) Arturo Fuente 17.9 Acid 12.7 Swisher Sweets 21.1 Cheyenne 18.5 Newport 15.9 (11.4–24.5)
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For dual manufactured cigarette and RYO smokers, the responses to manufactured cigarette products are provided; otherwise, responses reflect the single cigarette type the respondent reported smoking. b Among those with a regular brand; if no regular brand, refers to last brand purchased.
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g Among filtered cigar smokers, price per stick is restricted to those who reported purchasing either 20- or 12-count packs (44% of all filtered cigar smokers)
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From page 437... ...
No 59.8 (57.1–62.3) Ref Smoke nonpremium cigars Yes 46.5 (39.1–54.0)
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b Use of other tobacco products defined as having ever used one or more of the following tobacco products "fairly regularly" and now using that product every day or some days: ENDS, pipe tobacco, hookah, smokeless tobacco, or snus. c Daily cigar refers to smoking at least one cigar type on a daily basis.
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37.1 (35.6–38.6) Median TDS (IQR)
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89.1 (87.7–90.4) Sample size and difference in mean TDS between nondaily and daily users (95% CI)
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NOTE: CI = logit-transformed Wald-type confidence interval; ENDS = electronic nicotine delivery systems; IQR = interquartile range; PATH = Population Assessment of Tobacco and Health; TDS = tobacco dependence score.
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442 PREMIUM CIGARS: PATTERNS OF USE, MARKETING, AND HEALTH EFFECTS FIGURE D-1 Overall prevalence of premium cigar, nonpremium cigar, cigarillo, and filtered cigar users by wave in the PATH data. NOTE: PATH = Population Assessment of Tobacco and Health.
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, 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 444... ...
; dual current established use of other cigar types and cigarettes (OthCigar & Cigarette) ; and poly use of premium cigars, other cigars, and cigarettes (Poly tobacco use)
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From page 445... ...
; dual current established use of premium cigars and cigarettes (PrCigar & Cigarette) ; dual current established use of other cigar types and cigarettes (OthCigar & Cigarette)
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From page 446... ...
Uppmanns, Hoya de Monterrey, Indio, Joya de Nicaragua, Kristoff, La Corona, La Gloria Cubana, Los Blan cos, Macanudo, Makers Mark, Man of War, Montecristo, My Father, Nub, Oliva, Padron, Partagas, Perdomo, Professor Sila, Punch, Robert Burns Blackwatch, Rocky Patel, Romeo y Julieta, San Cristo, Tatuaje, Torano, Victor Sinclair, Zeno Nonpremium cigar Acid, Al Capone, Antonio y Cleopatra, Backwoods, Black and brands Mild, Blackstone, BLK, Djarum, Dutch Masters, El Producto, Entourage, Game, Garcia y Vega, Hav-A-Tampa, Isla Del Sol, Java, Kahula, King Edward, Marsh Wheeling, Miami Suites, Middletons, Munnimaker, Muriels, Optimo, Parodi, Phillies, Spliterillo, Supre Sweets, Supreme Blend Peach Cigars, Su preme Menthol, Swisher Sweets, Tampa Nugget, Tampa Sweet, White Owl • Based on web search conducted that suggested the product was either a filtered cigar or tipped cigarillo. The brands/sub-brands were 305's, 38 Special, Cheyenne, Clipper, Criss Cross, Dark Horse 100 Menthol, Deans, Gambler, King Edward Wood Tip, Phil lies Black Max (plastic tip)
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