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Reasons for Cigarillo Initiation and Cigarillo Manipulation Methods among Adolescents
Grace Kong1, Krysten W Bold1, Patricia Simon1
1Yale School of Medicine, New Haven, CT.
Objective:
To understand reasons for cigarillo initiation and cigarillo manipulation methods among adolescents.
Methods:
We conducted surveys in 8 Connecticut high schools to assess reasons for trying a cigarillo and cigarillo manipulation methods. We used multivariable logistic regressions to assess associations with demographics and tobacco use status.
Results:
Among ever cigarillo users (N = 697, 33.6% girls, 16.7 years old [SD = 1.14], 62.1% White), top reasons for trying a cigarillo were curiosity (41.9%), appealing flavors (32.9%), because "friends use it" (25.3%), and low cost (22.4%). Overall, 40.3% of ever cigarillo users added marijuana (to create blunts) and 39.2% did not manipulate the product. Endorsement of these reasons for initiation and manipulation methods differed significantly across sex, age, SES and other tobacco use.
Conclusions:
Cigarillo regulations should include restricting all appealing flavors, increasing the cost, monitoring the restriction of sales of cigarillos to minors, and decreasing the appeal of cigarillo manipulation.
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