Reasons for Pack Size Purchase among US Adults Who Purchase Cigars

King, J. Stanton; Bilic, Anna; Merten, Julie Williams

doi:10.3390/ijerph18157790

Cited by 4 publications

(7 citation statements)

References 19 publications

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“…This suggests that state, local and impending federal policies in the USA prohibiting flavours will reduce the appeal of cigarillos in this population 41. In addition to flavours, smaller pack size, less expensive cigarillos may be especially appealing to younger and/or less frequent cigarillo smokers because of their affordability, social use and/or for use as blunts to smoke marijuana 22 40 42. This preference was reflected in our results, where under actual price conditions intentions to buy and smoke cigarillos were strongest for smaller packs, while under standardised price conditions preference was greater for larger packs.…”

Section: Discussionmentioning

confidence: 63%

“…The majority of our study participants smoked cigarillos infrequently (monthly or less) and 75% reported using cigarillos for tobacco or for tobacco and marijuana in the past 12 months. These factors likely contributed to the preference for smaller, lower priced cigarillos 22 40 42. Two-pack cigarillos are typically packaged in foil pouches, which research indicates are perceived to contribute to product freshness, and as useful to store marijuana 22…”

Section: Discussionmentioning

confidence: 99%

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Tobacco minimum packaging policy to reduce cigarillo use among young people: results of an experimental study

et al. 2022

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ObjectiveThe Food and Drug Administration has the authority to set a minimum for cigar pack size, a product feature linked to price. This study examined the effects of cigarillo package size and price on young adults’ smoking and purchase intentions.DesignYoung adults (n=1032) 18–30 years old who smoked cigarillos in the past 12 months completed an online 3×2 within-subjects experiment testing the effects of cigarillo pack size (1, 2, 5) and price (actual price, standardised price per stick) on intentions to purchase and smoke cigarillos. We modelled the main effects and interactions of pack size and price on intentions to buy and smoke cigarillos overall and by cigarillo use frequency.ResultsIntentions to buy and smoke were strongest for lower priced singles and two packs compared with higher priced five packs. Under standardised price conditions, participants preferred larger packs, but under actual pricing conditions smaller packs, especially two packs, were preferred. Participants who smoked cigarillos less than monthly were more likely to buy and smoke the least expensive products (buy: singles actual price adjusted OR (aOR)=4.51, 95% CI 3.76 to 5.42; two packs actual price aOR=9.76, 95% CI 8.11 to 11.75; five packs standardised price aOR=3.17, 95% CI 2.89 to 3.48) with the strongest preference for two packs and singles.ConclusionsYoung adult cigarillo smokers prefer smaller packs in conditions where pricing incentivises smaller packs. Minimum pack size policies may reduce the appeal of cigarillos among young adults, especially less frequent cigarillo smokers. Pack size policy should take into consideration price, and ideally these two factors should be addressed together.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Tobacco minimum packaging policy to reduce cigarillo use among young people: results of an experimental study

et al. 2022

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“…Adjusted models account for age (continuous), sex (male or female), race (White, Black, other), ethnicity (not Hispanic, Hispanic), income, and residing in a state with a local cigar pack policy as these factors have been associated with pack quantity purchase and use [ 16 , 22 ].…”

Section: Methodsmentioning

confidence: 99%

“…Some US municipalities have similarly enacted minimum pack quantity policies to reduce the availability of inexpensive cigars [ 14 ]. However, cigarette pack quantity is positively associated with consumption, with some consumers preferring to pay a premium for smaller packs to self-regulate their use [ 15 , 16 ]. Recognizing this relationship, some countries have enacted maximum pack quantity regulations to reduce consumption and limit the affordability of each individual stick [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal analysis of cigar use patterns among US youth and adults, 2013–2019

Jensen,

Stoddard,

Delnevo

et al. 2023

BMC Public Health

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Background Cigars are available in a range of pack quantities, which contrasts regulations requiring cigarettes to be sold in packs of 20 or greater. Smaller packages may be associated with increases in initiation while larger packs may lead consumers to smoke more. The purpose of this study was to inform pack quantity regulations by examining whether usual cigar pack quantity purchased was associated with use, initiation, and discontinuation among youth and adults for four cigar types: premium cigars, large cigars, cigarillos, and filtered cigars. Methods We analyzed waves 1–5 (2013–2019) of the adult and waves 2–5 (2014–2019) of the youth Population Assessment of Tobacco and Health (PATH) Study. Samples included those responding to the item on pack quantity and providing data at all waves (adults: premium cigars [N = 536], large cigars [N = 1,272], cigarillos [N = 3,504], filtered cigars [N = 1,281]; youth: premium cigars [N = 55], large cigars [N = 217], cigarillos [N = 1514], filtered cigars [N = 266]). Generalized estimating equation models examined the population-averaged effects of pack quantity on cigar use, initiation, and discontinuation. Results Adult pack quantity was positively associated with the days used per month for premium cigars (b: 0.23, 95% CI: 0.11, 0.34), large cigars (b: 0.17, 95% CI: 0.08, 0.25), cigarillos (b: 0.12, 95% CI: 0.003, 0.24), and filtered cigars (b: 0.07, 95% CI: 0.04, 0.10), and positively associated with amount smoked per day for all cigar types. Youth pack quantity was positively associated with days used per month for premium cigars (b: 0.88, 95% CI: 0.33, 1.43), large cigars (b: 0.79, 95% CI: 0.43, 1.15), and cigarillos (b: 0.17, 95% CI: 0.01, 0.34). Adult initiation was associated with pack quantity for filtered cigars (b: -2.22, 95% CI: -4.29, -0.13), as those who initiated purchased smaller pack quantities compared to those who did not initiate that wave. Pack quantity was not associated with discontinuation for adults or youth. Conclusions Cigar use increased as usual pack quantity purchased increased across cigar types for youth and adults. Small increases in pack quantity (e.g., one additional cigar) are likely to result in consuming less than one additional day per month, though larger increases (e.g., 10 additional cigars per pack) may result in greater use.

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“…( Brock et al, 2016 , Sbarra et al, 2016 ) Larger pack sizes often cost more per pack than smaller packs, ( King et al, 2020 , Persoskie et al, 2019 ) which is a common reason consumers purchase smaller packs. ( King et al, 2021 , Giovenco et al, 2018 ) There is strong evidence from the cigarette literature that increasing price is an effective way to reduce use, and vulnerable populations like youth and adults with low socioeconomic status are particularly price sensitive. ( Chaloupka et al, 2019 ) In the absence of federal or state restrictions on cigar packaging, municipalities across the US have adopted minimum cigar pack size and price policies in an effort to increase cigar pack price, reduce access to inexpensive cigars, and reduce youth access.…”

Section: Introductionmentioning

confidence: 99%