Alcohol-flavoured tobacco products

Jackler, Robert K.; VanWinkle, Callie K; Bumanlag, Isabela M; Ramamurthi, Divya

doi:10.1136/tobaccocontrol-2016-053609

Cited by 12 publications

(9 citation statements)

References 25 publications

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“…Although there is a gap in research examining the potential effects of such policies among women of childbearing age specifically, there is strong evidence that menthol cigarettes and other flavored tobacco products are used at disproportionately higher rates among subpopulations including reproductive-aged women, thereby suggesting that removing menthol cigarettes from the market may reduce smoking-attributable disease and death among at least some portion of this population (Lester & Gagosian, 2017; Schroth, Villanti, Kurti, & Delnevo, 2019; Wailoo, 2019). Although little research exists on the contribution of flavored e-cigarettes to long term, harmful tobacco use trajectories among women of childbearing age, the FDA’s plan to restrict sales of flavored e-cigarette cartridges (American Association for Cancer Research, 2019; Jackler, VanWinkle, Bumanlag, & Ramamurthi, 2018) may combat initiation of nicotine product use among youth, including underage girls.…”

Section: Tobacco Regulatory Sciencementioning

confidence: 99%

Reducing tobacco use among women of childbearing age: Contributions of tobacco regulatory science and tobacco control.

Kurti¹

2020

Experimental and Clinical Psychopharmacology

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Tobacco use is associated with adverse health outcomes that are unique to women, including conception delay, infertility, pregnancy complications, and premature birth. The present narrative review examines tobacco regulatory policy and tobacco control efforts to reduce tobacco use among women of reproductive age within the past decade. Although women who use tobacco represent a challenging population in which to effect behavior change, ongoing dedication to developing innovative, effective, multipronged strategies to reducing tobacco use among this population offers the opportunity to exert profound, multigenerational impacts on improving public health and reducing health disparities.

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Section: Tobacco Regulatory Sciencementioning

confidence: 99%

Reducing tobacco use among women of childbearing age: Contributions of tobacco regulatory science and tobacco control.

Kurti¹

2020

Experimental and Clinical Psychopharmacology

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“…This study also revealed that alcohol-flavored cigars were popular in our sample of African American young adult dual users. Alcohol flavors include wine, beer, spirits, liquors, and mixed drinks (Jackler et al, 2018). Rather than traditionally popular tobacco flavors such as fruits, desserts, and candy, more than half of the flavored cigars smoked by our sample were alcohol, and about 70% of participants smoked at least one alcohol-flavored cigar.…”

Section: Discussionmentioning

confidence: 91%

Flavored cigar smoking among African American young adult dual users: An ecological momentary assessment

Chen-Sankey

Choi

Kirchner

et al. 2019

Drug and Alcohol Dependence

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Background-Flavored cigar sales have increased in recent years in the U.S. African American young adults (AAYAs) have high prevalence of smoking flavored cigars and dual use with cigarettes, but the predictors of use are unclear. We examined the predictors of flavored cigar smoking among AAYA dual users. Methods-We analyzed data from an Ecological Momentary Assessment (EMA) study that captured near real-time affect, smoking cues, and tobacco smoking from eight text-messaging surveys per day over two weeks. Sixty-three AAYA (ages 18-29) dual users of cigarettes and cigars recorded 1,205 cigar smoking moments. Multivariable Generalized Estimating Equations were used to assess the predictors of smoking cigars with flavors and specific flavor types. Results-Half of the participants were women (49.2%) and aged between 18-24 (46.7%). Over the two-weeks, almost all (98.4%) participants smoked flavored cigars, and 64.2% of the cigars smoked were flavored. Alcohol (34.4%) was the most frequently smoked flavor type followed by sweet (23.4%) and mint (5.7%). Feeling stressed (AOR=1.07) and bored (AOR=1.10) predicted smoking alcohol flavors. Blunt smoking positively predicted smoking sweet flavors (AOR=4.79) but negatively predicted smoking alcohol flavors (AOR=0.40). Conclusions-Smoking flavored cigars, especially alcohol-flavored cigars, is prevalent among AAYA dual users in this study. This group might use specific flavors for different purposes including smoking blunts and boosting mood. Efforts to reduce cigar use need to tackle these risk

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“… 53 , 54 This study found high popularity of alcohol-flavored cigars, which is consistent with the heavy marketing of these flavors by the major tobacco companies (eg, Philip Morris International, British American Tobacco). 55 …”

Section: Discussionmentioning

confidence: 99%

An Ecological Momentary Assessment of Cigarette and Cigar Dual Use Among African American Young Adults

Mead

Chen

Kirchner

et al. 2018

Nicotine &Amp; Tobacco Research

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IntroductionThe dual use of cigarettes and cigars among African American young adults is a significant public health issue. Patterns of and reasons for dual use are difficult to capture using traditional self-report methods. This study used ecological momentary assessment (EMA) to characterize patterns of dual smoking and examine the personal and environmental predictors of cigarette and cigar smoking among African American young adult dual users (ages 18–29) in real-time.MethodsFor 14 days, 64 participants smoked ad libitum and were prompted four times daily to record their smoking, craving, emotions, social smoking, and environment via text message on their mobile phones. The odds of single product and dual use were examined using adjusted generalized estimating equations.ResultsParticipants smoked an average of 7.9 cigarettes and 4.2 cigars per day. Cigarettes and cigars were smoked as frequently during periods of dual use as they were during periods of single product use. Cigarette craving was positively associated with cigarette-only smoking (OR: 1.07), whereas cigar craving was positively associated with cigar-only smoking (OR: 1.43) and dual use (OR: 1.08). Cigars had the greatest odds of dual use when with others (OR: 4.69) and in others’ homes (OR: 4.33). Cigarettes had the greatest odds of being smoked while alone (OR: 1.57).ConclusionsEMA was useful for capturing variable smoking patterns and predictors. In this study population, cigarettes and cigars appeared to be smoked additively, and cigars smoked socially. These findings can inform future interventions addressing dual use in this high priority population.ImplicationsThis is the first study to use EMA to examine naturalistic patterns and predictors of multiple tobacco use in real-time. African American young adults smoked cigarettes and cigars during periods of dual use as frequently as during periods of single product use. This suggests that most use was additive (one product smoked in addition to another) and less often as substitution (one product smoked instead of another). Social smoking and craving were strongly associated with cigar smoking in single and dual use periods. This study suggests the need for cessation messaging specifically targeted to reduce dual use in this population.

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Alcohol-flavoured tobacco products

Cited by 12 publications

References 25 publications

Reducing tobacco use among women of childbearing age: Contributions of tobacco regulatory science and tobacco control.

Reducing tobacco use among women of childbearing age: Contributions of tobacco regulatory science and tobacco control.

Flavored cigar smoking among African American young adult dual users: An ecological momentary assessment

An Ecological Momentary Assessment of Cigarette and Cigar Dual Use Among African American Young Adults

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