Introduction
Although adolescent use of cigars, cigarillos, and little cigars (CCLCs) has been
increasing, little research has been conducted to understand how adolescents acquire
CCLCs and the situations in which they smoke CCLCs. Thus, this study aims to understand
how adolescent smokers acquire CCLCs and the situations in which they smoke them.
Methods
Data were drawn from the 2011 Cuyahoga County Youth Risk Behavior Survey. Current
CCLC smoking was assessed; analysis was limited to current smokers (n=1,337). Current
users were asked to identify situations in which they use cigars and ways in which
they get cigars. Bivariate analyses assessed differences by sex, race, and concurrent
substance use. Data were analyzed in 2014.
Results
Youth acquired CCLCs most commonly by buying (64.2%). CCLC smokers also reported high
rates of social use (81.1%). There were no significant differences is situational
use across sexes, but female adolescents were significantly more likely than male
adolescents to share CCLCs and significantly less likely to buy or take CCLCs. Conversely,
significant differences were seen for situational use by race/ethnicity, with whites
significantly more likely to use in social situations and less likely to use in solitary
situations versus blacks and Hispanics. Finally, significant differences were observed
in both acquisition and use for youth who concurrently used CCLCs and cigarettes compared
with CCLCs only; fewer differences were noted among those who concurrently used CCLCs
and marijuana compared with CCLCs only.
Conclusions
These findings highlight how adolescents acquire and use CCLCs and can inform tobacco
control strategies to prevent and reduce CCLC use.
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Published online: October 04, 2016
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© 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
