Perceived Tobacco Accessibility and Cigar Initiation: Exploring Racial and Ethnic Differences
Alisha A Crump1, Benjamin C Amick2,3, Reid D Landes4
1Department of Practice, Sciences, and Health Outcomes Research, University of Maryland, Baltimore, MD, USA.
Tobacco Use Insights
|September 30, 2025
Summary
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.
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.
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