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Perceived Tobacco Accessibility and Cigar Initiation: Exploring Racial and Ethnic Differences.

Alisha A Crump1, Benjamin C Amick2,3, Reid D Landes4

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|September 30, 2025
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Summary
This summary is machine-generated.

Easy access to tobacco increases cigar initiation risk in youth. This risk is notably higher for Hispanic youth compared to Non-Hispanic White youth, highlighting a critical public health concern.

Keywords:
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Area of Science:

  • Public Health
  • Adolescent Health
  • Tobacco Control

Background:

  • Cigar initiation among adolescents presents a significant public health challenge.
  • Understanding factors influencing youth cigar use is crucial for effective prevention strategies.

Purpose of the Study:

  • To examine the association between perceived tobacco accessibility and cigar initiation among youth.
  • To explore racial and ethnic differences in this relationship.

Main Methods:

  • Longitudinal cohort study of 5399 cigar-naïve youth (aged 12-17) from the Population Assessment of Tobacco and Health Study.
  • Multivariable regression and marginal effects models were used to assess cigar initiation within one year.
  • Interaction between perceived accessibility and race/ethnicity was analyzed.

Main Results:

  • Approximately 4% of youth initiated cigar use within one year.
  • Perceiving tobacco as easily accessible (very easy/somewhat easy) increased cigar initiation risk by 59%.
  • Hispanic youth perceiving easy tobacco access were twice as likely to initiate cigar use compared to Non-Hispanic White youth with inaccessible tobacco.

Conclusions:

  • Easy perceived tobacco accessibility is a significant risk factor for youth cigar initiation.
  • Interventions targeting tobacco accessibility may reduce initiation rates, with particular attention needed for Hispanic youth.
  • Multi-level strategies are essential to decrease cigar initiation across all youth populations.