Reasons for Cigarillo Initiation and Cigarillo Manipulation Methods among Adolescents

Abstract

Objective To understand reasons for cigarillo initiation and cigarillo manipulation methods among adolescents. Methods We conducted surveys in 8 Connecticut high schools to assess reasons for trying a cigarillo and cigarillo manipulation methods. We used multivariable logistic regressions to assess associations with demographics and tobacco use status. Results Among ever cigarillo users (N = 697, 33.6% girls, 16.7 years old [SD = 1.14], 62.1% White), top reasons for trying a cigarillo were curiosity (41.9%), appealing flavors (32.9%), because “friends use it” (25.3%), and low cost (22.4%). Overall, 40.3% of ever cigarillo users added marijuana (to create blunts) and 39.2% did not manipulate the product. Endorsement of these reasons for initiation and manipulation methods differed significantly across sex, age, SES and other tobacco use. Conclusions Cigarillo regulations should include restricting all appealing flavors, increasing the cost, monitoring the restriction of sales of cigarillos to minors, and decreasing the appeal of cigarillo manipulation.

Blunt Use among Adolescents and Young Adults: Informing Cigar Regulations

“…Flavored cigars are popular among youth, 37,38 and appealing flavors are cited as the most common reason for cigar initiation among adolescents. 13 We observed that flavors were critically important in creating a blunt. Participants enjoyed trying a new cigar flavor; specifically, they reported liking the aroma when first opening the package, as well as the taste from licking the wrapper, and taking the initial puffs.…”

“…11 These inexpensive cigars like cigarillos or little cigars are widely available and have features that are appealing to youth, such as enticing flavors and packaging. 12,13 Cigars also are widely used by youth to co-use tobacco and marijuana by creating blunts; about two-thirds of adolescent cigar users 14 and nearly half of young adult cigar users report that they are using cigars to create blunts. 15…”

Cigarettes, Little Cigars, and Cigarillos: Initiation, Motivation, and Decision-Making

“…The sensory attractiveness of LCCs, both flavored and regular, has been well documented as a key reason for smoking them. 25 , 28 , 29 , 32 Regulation that would ban flavorings could potentially decrease the prevalence of cigar initiation. The importance of the social context of smoking has also been noted.…”

“…LCCs are sold singly and/or in small packs of two or three, and are not taxed at the same rate as cigarettes, making them an affordable alternative for many. 25 , 32 …”

“…A growing body of survey research has begun to examine the reasons for LCC use, which include affect regulation, affordability, appealing flavors, and longer burn time than cigarettes. 22 , 25–27 A few qualitative studies have also provided important insights into why young adults choose to smoke LCCs. We know that the taste, smell, and flavoring of LCCs make them more palatable for some than cigarettes 28 , 29 and that the social context of smoking LCCs enables their use more than control it.…”