"The cigar market is the most heavily flavored of all tobacco products and for decades, tobacco industry internal documents have highlighted that flavors appeal to youth and young people," says Cristine Delnevo. "What we found was that the preference for flavored brands was high among females, minorities, and young people." (Credit: Cait Oppermann/Flickr)

Fruity cigars get teens hooked early

Cigars that come in a variety of flavors—chocolate, strawberry, and fruit punch—are largely responsible for the explosive growth in cigar sales and are undermining efforts to reduce smoking, particularly among young people, public health experts say.

“The cigar market is the most heavily flavored of all tobacco products and for decades, tobacco industry internal documents have highlighted that flavors appeal to youth and young people,” says Cristine Delnevo, director of Rutger’s Center for Tobacco Studies at the School of Public Health. “What we found was that the preference for flavored brands was high among females, minorities, and young people.”

Delnevo says she hopes the new findings will convince the US Food and Drug Administration to adopt regulations that would, similar to cigarettes, ban flavoring in cigars.

The FDA recently proposed new rules to assert its authority over cigars, pipe tobacco, and e-cigarettes like it already does for cigarettes and smokeless tobacco. The new proposal doesn’t ban flavoring in cigars and e-cigarettes but does require tobacco producers to provide the FDA with a list of their ingredients, manufacturing processes, and any research data available.

Information demonstrating that flavoring appeals to young people would have to first be provided to the FDA before new regulations banning flavors could be adopted. Flavors in cigarettes were banned under the 2009 Family Smoking Prevention and Tobacco Control Act because of their appeal to young people.

Preference for flavor

“Our recently published research on cigars identified specific demographic groups such as youth and young adults that were more likely to report preference for flavored cigar brands,” Delnevo says. “We think the information will likely be used by policy makers and advocates to encourage the FDA to ban flavors in cigars.”

In the study, published in the journal Tobacco Control, Delnevo and colleagues analyzed a national survey of Americans ages 12 and older, focusing on 6,700 survey respondents who reported smoking cigars in the previous month. Using market scanner data, researchers found that preference for flavored cigar brands was highest among young people, females, and minorities.

Of those who smoked cigars, 94 percent of females reported smoked a flavored brand, compared with 70 percent male.  When it came to age, 95 percent of 12- to 17-year-olds reported that they smoked a flavored brand compared to 63 percent of those aged 35 and older. In addition, black cigar smokers preferred flavored cigars over white and Hispanic smokers. People who smoked marijuana were more likely to use flavored cigars to replace the tobacco with the marijuana.

“These results didn’t surprise us especially since females and young people tend to smoke menthol cigarettes because it masks the harshness of tobacco,” Delnevo says.

Dual users

The proposed regulations giving the FDA regulatory authority over cigars and e-cigarettes are open for public comment until the beginning of July. The FDA is asking for research and public comment on a variety of questions including what additional actions, if any, the FDA should take to address the sale of candy and/or fruit-flavored tobacco products to children and young adults.

Further information is needed to determine if children who smoke flavored tobacco products are likely to start smoking cigarettes or become dual users of cigarettes and cigars because they are first being enticed by the flavor.

“Once the FDA completes the regulatory process to gain authority over cigars,” Delnevo says, it will allow them to propose additional regulations, like banning flavors, to prevent youth tobacco use and protect the public’s health provided that they have a strong scientific evidence base,” Delnevo says.

Source: Rutgers

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