Correlates of behavior change intents in response to a hypothetical flavored cigar sales restriction among U.S. adult flavored cigar smokers. 2022

Julia Chen-Sankey, and Maryam Elhabashy, and Aniruddh Ajith, and Bambi Jewett, and Kiana Hacker, and Lilianna Phan, and Kelvin Choi
Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, New Brunswick, NJ, United States of America; Rutgers School of Public Health, Rutgers University, Piscataway, NJ, United States of America. Electronic address: JC.Sankey@Rutgers.edu.

Flavored cigar sales restrictions (FCSRs) may reduce cigar smoking and protect public health. This study examined the correlates of behavior change intents in response to a hypothetical FCSR. Data were from a nationally representative sample of adult flavored cigar smokers (ages ≥21; n = 343) collected through an online survey in 2021. Respondents selected their behavior change intents in response to a hypothetical FCSR, including (1) quitting cigars altogether; (2) smoking plain or non-flavored cigars; (3) smoking other flavored tobacco products; (4) smoking cannabis; and (5) other options. Weighted logistic regressions were used to examine the associations of socio-demographic backgrounds, tobacco use history, and tobacco dependence with behavioral change intents. In response to an FCSR, 15.1% of respondents would quit smoking cigars altogether, 41.6% would smoke plain cigars without flavors, 33.4% would substitute flavored cigars with other flavored tobacco products, and 29.2% would substitute flavored cigars with cannabis. Large cigar smokers and blunt smokers were less likely to quit cigars altogether than non-smokers of those products; females and racial/ethnic minorities were more likely to substitute flavored cigars with other flavored tobacco and cannabis products, respectively, than males and non-Hispanic White respondents. Results suggest that FCSRs may reduce cigar smoking among a portion of U.S. flavored cigar smokers while leaving more continuing to smoke plain cigars or transitioning to use other flavored tobacco products or cannabis. Implementing FCSRs should be accompanied by comprehensive flavored tobacco sales restrictions, cessation programs, and educational messages aimed at reducing the use of cigars and other substances.

UI MeSH Term Description Entries
D008297 Male Males
D003132 Commerce The interchange of goods or commodities, especially on a large scale, between different countries or between populations within the same country. It includes trade (the buying, selling, or exchanging of commodities, whether wholesale or retail) and business (the purchase and sale of goods to make a profit). (From Random House Unabridged Dictionary, 2d ed, p411, p2005 & p283) Business,Commercial Sector,Prices,Sales,Vendors,Businesses,Commerces,Commercial Sectors,Price,Sale,Sector, Commercial,Sectors, Commercial,Vendor
D005260 Female Females
D005421 Flavoring Agents Substances added to foods and medicine to improve the taste. Flavor Additives,Flavor Enhancers,Additive, Flavor,Additives, Flavor,Agent, Flavoring,Agents, Flavoring,Enhancer, Flavor,Enhancers, Flavor,Flavor Additive,Flavor Enhancer,Flavoring Agent
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000073863 Cigar Smoking The SMOKING of CIGARS. Smoking, Cigar
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D062789 Tobacco Products Substances and products derived from NICOTIANA TABACUM. Cigarettes,Cigars,Bidis,Bidis Tobacco,Cigarillos,Kreteks,Kreteks Tobacco,Pipe Tobacco,Tobacco, Bidi,Bidi,Bidi Tobacco,Bidi Tobaccos,Bidis Tobaccos,Cigar,Cigarette,Cigarillo,Kretek,Kreteks Tobaccos,Pipe Tobaccos,Product, Tobacco,Products, Tobacco,Tobacco Product,Tobacco, Bidis,Tobacco, Kreteks,Tobacco, Pipe,Tobaccos, Bidi,Tobaccos, Bidis,Tobaccos, Kreteks,Tobaccos, Pipe
D064424 Tobacco Use Use of TOBACCO (Nicotiana tabacum L) and TOBACCO PRODUCTS. Tobacco Consumption,Tobacco Chewing,Consumption, Tobacco,Tobacco Uses

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