{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:03:23Z","timestamp":1790075003993,"version":"4.0.1"},"reference-count":36,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T00:00:00Z","timestamp":1693958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Cigar smoking remains a public health issue in the United States (U.S.), with a heterogeneous prevalence based on sociodemographic characteristics. Nationally representative data suggest changes in cigar smoking over time, with some evidence for sociodemographic differences. Using data from the 2002\u20132019 National Survey on Drug Use and Health (NSDUH), the prevalence of past-30-day cigar smoking was examined overall and stratified by sociodemographic characteristics; joinpoint regression examined the trends. Logistic regression analyses identified the correlates of cigar smoking using 2020 NSDUH data. From 2002 to 2004, the prevalence of cigar smoking remained stable (5.33\u20135.73%), but declined from 2004 to 2019 (5.73\u20134.29%). Cigar smoking declined in some periods between 2002\u20132019 among the non-Hispanic White, Hispanic, ages 12\u201317, ages 18\u201320, ages 21\u201325, age \u2265 35, and male subgroups, but remained unchanged among the non-Hispanic Other, ages 26\u201334, and female subgroups. Cigar smoking increased among non-Hispanic Black persons overall from 2002 to 2019 (6.67\u20138.02%). Past-30-day cigarette smoking and drug or alcohol use disorder was associated with an increased likelihood of cigar use, while female sex was associated with a decreased likelihood of cigar use, across all age groups. Though a decline in the prevalence of past-30-day cigar smoking is seen in the general population, the same is not evident among all sociodemographic subgroups. Our findings have the potential to inform tobacco cessation efforts within clinical practice, as well as regulatory efforts to reduce cigar use.<\/jats:p>","DOI":"10.3390\/ijerph20186716","type":"journal-article","created":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T10:23:42Z","timestamp":1693995822000},"page":"6716","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Trends and Associations of Past-30-Day Cigar Smoking in the U.S. by Age, Race\/Ethnicity, and Sex, NSDUH 2002\u20132020"],"prefix":"10.3390","volume":"20","author":[{"given":"Lauren R.","family":"Pacek","sequence":"first","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Sawdey","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly H.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Cooper","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunice","family":"Park-Lee","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Gross","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth A.","family":"Donaldson","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen A.","family":"Cullen","sequence":"additional","affiliation":[{"name":"Office of Science, Center for Tobacco Products, Food and Drug Administration, Silver Spring, MD 20993, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"100821","DOI":"10.1016\/j.pmedr.2019.100821","article-title":"Cigar smoking prevalence and morbidity among US adults, 2000\u20132015","volume":"14","author":"Rostron","year":"2019","journal-title":"Prev. Med. Rep."},{"key":"ref_2","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."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Chang, C.M., Corey, C.G., Rostron, B.L., and Apelberg, B.J. (2015). Systematic review of cigar smoking and all cause and smoking related mortality. BMC Public Health, 15.","DOI":"10.1186\/s12889-015-1617-5"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1177\/0033354918769873","article-title":"Health Care Utilization and Expenditures Attributable to Cigar Smoking Among US Adults, 2000\u20132015","volume":"133","author":"Wang","year":"2018","journal-title":"Public Health Rep."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e86","DOI":"10.2105\/AJPH.2014.301991","article-title":"Mortality and economic costs from regular cigar use in the United States","volume":"104","author":"Nonnemaker","year":"2014","journal-title":"Am. J. Public Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"397","DOI":"10.15585\/mmwr.mm7111a1","article-title":"Tobacco product use among adults\u2014United States, 2020","volume":"71","author":"Cornelius","year":"2022","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_7","first-page":"1429","article-title":"Tobacco Product Use Among Middle and High School Students\u2014United States, 2022","volume":"45","author":"Ren","year":"2022","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.amepre.2020.07.005","article-title":"Cigar-Smoking Patterns by Race\/Ethnicity and Cigar Type: A Nationally Representative Survey Among U.S. Adults","volume":"60","author":"Le","year":"2021","journal-title":"Am. J. Prev. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1093\/ntr\/ntab143","article-title":"Cigar Use Progression Among New Cigar Initiators: A Two-Part Growth Curve Analysis Among a Youth and Young Adult Cohort","volume":"24","author":"Cantrell","year":"2022","journal-title":"Nicotine Tob. Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.15585\/mmwr.mm6950a1","article-title":"Tobacco product use among middle and high school students\u2014United States, 2020","volume":"69","author":"Gentzke","year":"2020","journal-title":"Morb. Mortal. Wkly. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.jadohealth.2019.04.009","article-title":"Adolescent Dual Use Classification and Its Association With Nicotine Dependence and Quit Intentions","volume":"65","author":"Azagba","year":"2019","journal-title":"J. Adolesc. Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.addbeh.2018.01.032","article-title":"Tobacco harm perceptions and use among sexual and gender minorities: Findings from a national sample of young adults in the United States","volume":"81","author":"Ganz","year":"2018","journal-title":"Addict. Behav."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.amepre.2019.03.021","article-title":"Sexual and Gender Minority U.S. Youth Tobacco Use: Population Assessment of Tobacco and Health (PATH) Study Wave 3, 2015\u20132016","volume":"57","author":"Johnson","year":"2019","journal-title":"Am. J. Prev. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1093\/ntr\/ntad010","article-title":"Patterns of premium and nonpremium cigar use in the United States: Findings from Wave 6 (2021) of the Population Assessment of Tobacco and Health Study","volume":"25","author":"Edwards","year":"2023","journal-title":"Nicotine Tob. Res."},{"key":"ref_15","unstructured":"SAMHSA (2021). Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health, Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health sErvices Administration."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"S24","DOI":"10.1093\/ntr\/ntad012","article-title":"Cross-sectional use patterns and characteristics of premium versus non-premium cigar smokers in the United States, 2010\u20132019","volume":"25","author":"Ganz","year":"2023","journal-title":"Nicotine Tob. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.2105\/AJPH.2011.300209","article-title":"Seven-Year Patterns in US Cigar Use Epidemiology Among Young Adults Aged 18\u201325 Years: A Focus on Race\/Ethnicity and Brand","volume":"101","author":"Cullen","year":"2011","journal-title":"Am. J. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1093\/ntr\/ntz060","article-title":"Trends in Cigar Use in the United States, 2002\u20132016: Diverging Trends by Race\/Ethnicity","volume":"22","author":"Weinberger","year":"2020","journal-title":"Nicotine Tob. Res."},{"key":"ref_19","unstructured":"Quality CfBHSa (2021). 2020 National Survey on Drug Use and Health Public Use File Codebook, Substance Use Mental Health Services Administration."},{"key":"ref_20","unstructured":"Quality CfBHSa (2020). 2019 National Survey on Drug Use and Health Public Use File Codebook, Substance Use Mental Health Services Administration."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1001\/archpsyc.60.2.184","article-title":"Screening for serious mental illness in the general population","volume":"60","author":"Kessler","year":"2003","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/mpr.310","article-title":"Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO World Mental Health (WMH) survey initiative","volume":"19","author":"Kessler","year":"2010","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1093\/ntr\/nty227","article-title":"Cigarette Smoking Quit Rates Among Persons With Serious Psychological Distress in the United States from 2008 to 2016: Are Mental Health Disparities in Cigarette Use Increasing?","volume":"22","author":"Streck","year":"2020","journal-title":"Nicotine Tob. Res."},{"key":"ref_24","unstructured":"National Cancer Institute (2023, March 16). Surveillance Research Projects: Joinpoint, Setting Parameters, Number of Joinpoints, Available online: https:\/\/surveillance.cancer.gov\/help\/joinpoint\/setting-parameters\/method-and-parameters-tab\/number-of-joinpoints."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1111\/j.0006-341X.2004.00256.x","article-title":"Comparability of segmented line regression models","volume":"60","author":"Kim","year":"2004","journal-title":"Biometrics"},{"key":"ref_26","unstructured":"National Cancer Institute (2023, March 16). Surveillance Research Projects: Joinpoint, Setting Parameters, Pairwise Comparisons, Available online: https:\/\/surveillance.cancer.gov\/help\/joinpoint\/setting-parameters\/advanced-analysis-tools-tab\/pairwise-comparison."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1093\/ntr\/ntab222","article-title":"Inequitable distribution of FTP marketing by neighborhood characteristics: Further evidence for targeted marketing","volume":"24","author":"Rose","year":"2022","journal-title":"Nicotine Tob. Res."},{"key":"ref_28","first-page":"66","article-title":"Tobacco industry use of flavours to recruit new users of little cigars and cigarillos","volume":"25","author":"Kostygina","year":"2016","journal-title":"Tob. Control"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1093\/ntr\/ntad042","article-title":"Exploring the presence and type of premium cigar retailers with neighborhood sociodemographic correlates in the United States, 2019\u20132021","volume":"25","author":"Kong","year":"2023","journal-title":"Nicotine Tob. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e8","DOI":"10.2105\/AJPH.2015.302777","article-title":"A systematic review of neighborhood disparities in point-of-sale tobacco marketing","volume":"105","author":"Lee","year":"2015","journal-title":"Am. J. Public Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"68","DOI":"10.18332\/tid\/111397","article-title":"Pro-tobacco marketing and anti-tobacco campaigns aimed at vulnerable populations: A review of the literature","volume":"17","author":"Cruz","year":"2019","journal-title":"Tob. Induc. Dis."},{"key":"ref_32","unstructured":"Administration USFD (2023, July 17). FDA Proposes Rules Prohibiting Menthol Cigarettes and Flavored Cigars to Prevent Youth Initiation, Significantly Reduce Tobacco-Related Disease and Death 2022, Available online: https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-proposes-rules-prohibiting-menthol-cigarettes-and-flavored-cigars-prevent-youth-initiation."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1093\/ntr\/ntz221","article-title":"Not quite the rule, but no longer the exception: Multiple tobacco product use and implications for treatment, research, and regulation","volume":"22","author":"Pacek","year":"2020","journal-title":"Nicotine Tob. Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"941575","DOI":"10.3389\/fpsyt.2022.941575","article-title":"The impact of the COVID-19 pandemic on smoking consumption: A systematic review of longitudinal studies","volume":"13","author":"Almeda","year":"2022","journal-title":"Front. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1093\/ntr\/ntac033","article-title":"Characterizing pandemic-related changes in smoking over time in a cohort of current and former smokers","volume":"25","author":"Nagawa","year":"2023","journal-title":"Nicotine Tob. Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"S16","DOI":"10.1093\/ntr\/ntad031","article-title":"Cross-sectional patterns and longitudinal transitions of premium and non-premium cigar use in the United States","volume":"25","author":"Jeon","year":"2023","journal-title":"Nicotine Tob. Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/18\/6716\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:46:04Z","timestamp":1760129164000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/18\/6716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,6]]},"references-count":36,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["ijerph20186716"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20186716","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,6]]}}}