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Related Experiment Video

Updated: Jul 5, 2026

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System

Published on: May 24, 2017

Cigars, cigarettes, and adolescents.

Ashley Brooks¹, Elizabeth M Gaier Larkin, Sonal Kishore

¹University of North Carolina, Chapel Hill, NC 27599, USA. ashley.brooks@unc.edu

American Journal of Health Behavior

|April 30, 2008

Summary

Adolescent dual use of cigarettes and cigars is more common than exclusive use of either product. This dual tobacco use is linked to higher frequency of use, stress, and future cigarette use susceptibility.

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Published on: August 28, 2017

Area of Science:

Public Health
Adolescent Health
Tobacco Control

Background:

Adolescent tobacco use remains a significant public health concern.
Understanding patterns of use, including exclusive and dual product use, is crucial for effective interventions.

Purpose of the Study:

To investigate the public health implications of exclusive cigar use, exclusive cigarette use, and dual cigarette-and-cigar use among adolescents.

Main Methods:

A cross-sectional health risk survey was conducted.
The survey included a random sample of 4486 high school students from a Midwestern county.

Main Results:

Dual cigarette and cigar use was reported by 10.6% of adolescents, exceeding cigar-only (7.4%) and cigarette-only (6.4%) use.
The product initiated was associated with current product usage patterns.
Dual product use correlated with increased frequency of using both products, higher reported stress levels, and greater susceptibility to future cigarette use.

Conclusions:

Exclusive focus on cigarette use in assessments of adolescent tobacco habits is insufficient.
Examining combined cigarette and cigar use provides a more comprehensive understanding of adolescent tobacco behaviors.
Public health strategies must address the complexities of dual tobacco product use in adolescents.