Cigars, cigarettes, and adolescents

Am J Health Behav. Nov-Dec 2008;32(6):640-9. doi: 10.5555/ajhb.2008.32.6.640.


Objective: To examine public health implications of adolescent use of cigars only, cigarettes only, and both cigarettes and cigars.

Methods: A cross-sectional health risk survey was administered to a random sample of 4486 high school students in a Midwestern county.

Results: More adolescents reported using both cigarettes and cigars (10.6%) than cigar-only (7.4%) or cigarette-only (6.4%). Product of initiation was associated with current product use. Dual use was associated with more frequent use of both products, high stress, and susceptibility to future cigarette use.

Conclusion: Assessing cigarette use without examining cigar use overlooks a critical dimension of adolescent tobacco use.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Smoking / epidemiology*
  • Stress, Psychological / epidemiology
  • Stress, Psychological / psychology
  • Surveys and Questionnaires