Cigar package quantity and smoking behavior

BMC Public Health

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[1] 0000 0000 9270 6633, grid.280561.8, Westat, Rockville, MD, USA;0000 0004 0533 8369, grid.281076.a, Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA;0000 0004 1936 8075, grid.48336.3a, Tobacco Control Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA;0000 0004 1936 8796, grid.430387.b, Rutgers School of Public Health, Center for Tobacco Studies, New Brunswick, NJ, USA;0000 0004 1936 914X, grid.266818.3, Division of Social and Behavioral Health/Health Administration and Policy, School of Community Health Services, University of Nevada, Reno, NV, USA;0000 0001 2171 9311, grid.21107.35, Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;grid.453216.7, Office of Science, US Food and Drug Administration (FDA) Center for Tobacco Products, Building 71, Room G335, 10903 New Hampshire Avenue, 20993, Silver Spring, MD, USA;

关键词: Pack quantity;    Pack size;    Package size;    Packaging;    Cigar;    Tobacco packaging;   

DOI  :  10.1186/s12889-019-7205-3

来源: publisher

【 摘 要 】

BackgroundSeveral jurisdictions in the US and abroad limit the minimum number of cigars that can be sold per package. Research has not evaluated whether small packages might result in cigar use initiation, or whether adding cigars to packages might result in purchasers smoking more cigars.MethodsUsing nationally representative US adult data from Waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) Study, we assessed links between cigar package quantity (number of cigars in the package a person usually buys) and (1) price, and (2) cigar and cigarette use over time, for three cigar types: filtered cigars, cigarillos, and large cigars.ResultsSmaller quantity packages (i.e., packages with fewer cigars) were cheaper per-pack than larger quantity packages but more expensive per-stick for all three cigar types. For filtered cigars, past-year starters tended to buy smaller quantity packages compared to longer-term users (geometric mean = 6.31 vs. 11.75, respectively; b = −.18, 95%CI: −.32, −.04). Also, those who bought smaller quantity packages of filtered cigars tended to smoke fewer cigars over time compared to those who bought larger quantity packages (b = 1.16, 95%CI: 0.45, 1.87). Neither of these associations was observed for cigarillos or large cigars. We also found little evidence that buying larger quantity packages predicted continuing to use cigars or using cigarettes.ConclusionsAlthough we found consistent associations between package quantity and price, we found few associations between package quantity and changes in cigar smoking behaviors over time, particularly for cigarillos and large cigars. Key limitations include our adult-only analyses and inability to determine the package quantity that cigar users initiated with. Future studies could examine whether package quantity plays a causal role in filtered cigar use initiation or consumption rates.

【 授权许可】

CC BY