{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T18:03:02Z","timestamp":1791050582238,"version":"4.1.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000038","name":"U.S. Food and Drug Administration","doi-asserted-by":"publisher","award":["U54CA229974"],"award-info":[{"award-number":["U54CA229974"]}],"id":[{"id":"10.13039\/100000038","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Cigar use is common in the United States; however, knowledge about trends and longitudinal patterns of premium and non-premium cigar use is limited. We analyzed cross-sectional and transition patterns of cigar use in the United States by cigar type, age, race\/ethnicity, and socioeconomic status.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims and Methods<\/jats:title>\n                  <jats:p>Using data from the Population Assessment of Tobacco and Health (PATH) Study, we compared characteristics of cigar users by Wave (1\u20135) and type; premium versus non-premium traditional cigars, cigarillos, and filtered cigars. We then calculated longitudinal transition rates of cigar and cigarette use between PATH Study Waves and longitudinal trajectories across all five Waves.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Premium cigars were predominantly used by males, non-Hispanic White individuals, and those with high educational attainment. Premium cigar use was mostly non-daily and less likely to be dual with cigarettes or other cigar types. About three-quarters of exclusive premium cigar users remained so after one year. However, dual-use of premium cigars with either other cigar types or cigarettes was transient. Those who smoked premium cigars fairly regularly for at least one year were more likely to be exclusive premium cigar users or have dropped combustible tobacco product use by Wave 5.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Cigar use patterns vary significantly by cigar type. Premium cigar users have distinctive characteristics compared to other cigar-type users. When studying cigar use and related health outcomes, it is critical to distinguish cigar type.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Implications<\/jats:title>\n                  <jats:p>Continuous monitoring of longitudinal use patterns of premium and non-premium cigar use and their co-use and transitions to other tobacco products, including inhalation and a more precise measure of the intensity of use, is essential for a better assessment of their health implications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ntr\/ntad031","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T17:15:59Z","timestamp":1690564559000},"page":"S16-S23","source":"Crossref","is-referenced-by-count":9,"title":["Cross-sectional Patterns and Longitudinal Transitions of Premium and Non-Premium Cigar Use in the United States"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7003-3412","authenticated-orcid":false,"given":"Jihyoun","family":"Jeon","sequence":"first","affiliation":[{"name":"Department of Epidemiology, University of Michigan , Ann Arbor, MI , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4807-4415","authenticated-orcid":false,"given":"Yoonseo","family":"Mok","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Michigan , Ann Arbor, MI , USA"},{"name":"Department of Integrative Oncology, BC Cancer Research Institute , Vancouver, BC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1076-5037","authenticated-orcid":false,"given":"Rafael","family":"Meza","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Michigan , Ann Arbor, MI , USA"},{"name":"Department of Integrative Oncology, BC Cancer Research Institute , Vancouver, BC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"2023072817151650100_CIT0001","author":"National Cancer Institute","year":"1998"},{"key":"2023072817151650100_CIT0002","article-title":"Premium cigars: Patterns of use, marketing, and health effects","author":"National Academies of Sciences, Engineering, and Medicine","year":"2022"},{"issue":"12","key":"2023072817151650100_CIT0003","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1093\/ntr\/ntx209","article-title":"US adult cigar smoking patterns, purchasing behaviors, and reasons for use according to cigar type: Findings from the Population Assessment of Tobacco and Health (PATH) Study, 2013-2014","volume":"20","author":"Corey","year":"2018","journal-title":"Nicotine Tob Res."},{"issue":"30","key":"2023072817151650100_CIT0004","first-page":"650","article-title":"Little filtered cigar, cigarillo, and premium cigar smoking among adults--United States, 2012-2013","volume":"63","author":"Corey","year":"2014","journal-title":"Morb Mortal Wkly Rep"},{"issue":"suppl 3","key":"2023072817151650100_CIT0005","doi-asserted-by":"crossref","first-page":"s163","DOI":"10.1136\/tobaccocontrol-2020-055624","article-title":"Longitudinal pathways of exclusive and polytobacco cigar use among youth, young adults and adults in the USA: Findings from the PATH Study Waves 1-3 (2013-2016)","volume":"29","author":"Edwards","year":"2020","journal-title":"Tob Control."},{"key":"2023072817151650100_CIT0006","author":"United States Department of Health and Human Services. National Institutes of Health","year":"2021"},{"key":"2023072817151650100_CIT0007","author":"R Core Team","year":"2020"},{"issue":"3","key":"2023072817151650100_CIT0008","doi-asserted-by":"crossref","first-page":"pkz036","DOI":"10.1093\/jncics\/pkz036","article-title":"Contemporary associations of exclusive cigarette, cigar, pipe, and smokeless tobacco use with overall and cause-specific mortality in the United States","volume":"3","author":"Inoue-Choi","year":"2019","journal-title":"JNCI Cancer Spectr"},{"issue":"4","key":"2023072817151650100_CIT0009","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1001\/jamainternmed.2017.8625","article-title":"Association of cigarette, cigar, and pipe use with mortality risk in the US population","volume":"178","author":"Christensen","year":"2018","journal-title":"JAMA Intern Med"}],"container-title":["Nicotine and Tobacco Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ntr\/article-pdf\/25\/Supplement_1\/S16\/50998556\/ntad031.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ntr\/article-pdf\/25\/Supplement_1\/S16\/50998556\/ntad031.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T17:16:24Z","timestamp":1690564584000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ntr\/article\/25\/Supplement_1\/S16\/7233230"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,1]]},"references-count":9,"journal-issue":{"issue":"Supplement_1","published-online":{"date-parts":[[2023,7,28]]},"published-print":{"date-parts":[[2023,7,28]]}},"URL":"https:\/\/doi.org\/10.1093\/ntr\/ntad031","relation":{},"ISSN":["1469-994X"],"issn-type":[{"value":"1469-994X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,1]]},"published":{"date-parts":[[2023,7,1]]}}}