Cigar Warning Noticing and Demographic and Usage Correlates: Analysis from the United States Population Assessment of Tobacco and Health Study, Wave 5

Stefanie K. Gratale, Arjun Teotia, Julia Chen‐sankey, Ollie Ganz, Cristine D. Delnevo, Andrew A. Strasser, Olivia A. Wackowski

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Although cigars pose health risks similar to cigarettes, their packaging/marketing is not subject to commensurate regulation in the US. In a 2000 agreement with the Federal Trade Commission, seven major manufacturers agreed to use some form of cigar warning. In 2016, the Food and Drug Administration passed a rule requiring larger standardized warnings, but the requirement was successfully challenged in court. Here, we examined U.S. population‐level trends in noticing existing cigarillo, traditional and filtered cigar warnings. We analyzed Wave 5 Population Assessment of Tobacco and Health adult data to assess prevalence of past‐30 day warning noticing and associations with socio‐demographic and tobacco use variables. Noticing was higher among current users of cigarillos (27%), filtered (34%) and traditional cigars (21%), than non‐users (8% for each product, p’s < 0.0001), and among every‐day vs. some‐day users, established vs. experimental users, and past‐30 day users vs. those without past‐30 day use. Results varied by product, but generally indicated lower noticing among non‐Hispanic Whites and dual cigarette users, but higher noticing among those purchasing cigars by the box/pack (vs. not purchasing for themselves). Low overall noticing but higher prevalence among frequent users underscores a need for a stronger, uniform cigar warning label policy in the US.

Original languageEnglish (US)
Article number3221
JournalInternational journal of environmental research and public health
Volume19
Issue number6
DOIs
StatePublished - Mar 1 2022

All Science Journal Classification (ASJC) codes

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Keywords

  • Cigars
  • Survey methods
  • Tobacco
  • Warning labels

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