A Ban on Flavored Cigars is Long Overdue
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1 A Ban on Flavored Cigars is Long Overdue MAHAM AKBAR PUBLIC POLICY MANAGER APRIL 2018
2 Overview Background Sales Prevalence Consumer Perceptions Marketing and Promotion Nicotine Dependence Policy Options
3 Background
4 Tobacco Control Act
5 Tobacco Control Act
6 Deeming Rule
7 Deeming Rule
8 FDA Comprehensive Regulatory Plan for Tobacco and Nicotine
9
10
11 Methods Excluded: Not related to cigars Not in English Conducted outside of the US or Canada Related to genetics or tobacco farming Topic Areas: Product Features Health and Safety Consumer Perceptions Patterns of Use Marketing Sales Policies
12 Flavored cigars: How are sales?
13 Sales From , little cigar sales 240% and flavored cigars made up about 80% of the market share [VALUE ] Flavored cigars responsible for 75% of the increase in cigar sales [VAL UE]
14 Sales DELNEVO CD, ET AL. CHANGES IN THE MASS -MERCHANDISE CIGAR MARKET SINCE THE TOBACCO CONTROL ACT. TOB REG SCI Share of Flavored Cigars in the Cigar Market, Percentage 50.0 Percentage
15 Flavored cigars: Who s smoking them?
16 Prevalence among youth MONITORING THE FUTURE, Day Prevalence of Tobacco Products Among Youth, Percentage Percentage 8 6 8th Grade [VALUE] [VALUE] Flavored Little Cigars or Cigarillos Regular Little Cigars or Cigarillos Large Cigars Cigarettes 10th Grade 12th Grade
17 Prevalence among youth COREY CG, ET AL. FLAVORED TOBACCO PRODUCT USE AMONG MIDDLE AND HIGH SCHOOL STUDENTS UNITED STATES, MMW R Prevalence of Flavored Tobacco Product Use Among All Middle and High School Students, Percentage Percentage Cigars Cigarettes E-Cigarettes Hookah Smokeless Tobacco Pipe Tobacco
18 Prevalence among youth COREY CG, ET AL. FLAVORED TOBACCO PRODUCT USE AMONG MIDDLE AND HIGH SCHOOL STUDENTS UNITED STATES, MMW R Prevalence of Flavored Tobacco Product Use Among Current Middle and High School Student Tobacco Product Users, Percentage Percentage Cigars Cigarettes E-Cigarettes Hookah Smokeless Tobacco Pipe Tobacco
19 Prevalence among youth COREY CG, ET AL. FLAVORED TOBACCO PRODUCT USE AMONG MIDDLE AND HIGH SCHOOL STUDENTS UNITED STATES, MMW R Among Current Cigar Smokers in Middle and High School, Use of Flavored Cigars by School Type, Percentage Percentage Middle School High School
20 Prevalence among youth COREY CG, ET AL. FLAVORED TOBACCO PRODUCT USE AMONG MIDDLE AND HIGH SCHOOL STUDENTS UNITED STATES, MMW R Among Current Cigar Smokers in Middle and High School, Use of Flavored Cigars by Gender, Percentage Percentage Male Female
21 Prevalence among youth COREY CG, ET AL. FLAVORED TOBACCO PRODUCT USE AMONG MIDDLE AND HIGH SCHOOL STUDENTS UNITED STATES, MMW R Among Current Cigar Smokers in Middle and High School, Use of Flavored Cigars by Race/Ethnicity, Percentage Percentage Black, non-hispanic Hispanic White, non-hispanic Other race, non-hispanic
22 Prevalence among youth AMBROSE BK, ET AL., FLAVORED TOBACCO PRODUCT USE AMONG US YOUTH AGED YEARS, JAMA Proportion of Youth Ever Users Reporting First Product Used was Flavored Proportion of Flavored Use Among Past 30Day Youth Tobacco Users Any Cigars 65.4% 71.7% Cigarettes 50.1% 59.5% E-Cigarettes 81.0% 85.3% Hookahs 88.7% 89.0% Smokeless Tobacco (excluding snus) 68.9% 81.0% Snus Pouches 81.2% 80.4%
23 Prevalence among young adults GLASSER AM, ET AL., CORRELATES OF CIGAR USE BY TYPE AND FLAVOR AMONG US ADULTS: TOB REG SCI Day Prevalence of Flavored Cigar Use Among Current Young Adult Cigar Users, Percentage Did not use flavored cigars 53.2% Used flavored cigars 46.8%
24 Prevalence among young adults GLASSER AM, ET AL., CORRELATES OF CIGAR USE BY TYPE AND FLAVOR AMONG US ADULTS: TOB REG SCI Day Prevalence of Flavored Cigar Use Among Current Young Adult Cigar Users by Age Group, Percentage Percentage years years
25 Prevalence among young adults GLASSER AM, ET AL., CORRELATES OF CIGAR USE BY TYPE AND FLAVOR AMONG US ADULTS: TOB REG SCI Day Prevalence of Flavored Cigar Use Among Current Young Adult Cigar Users by Gender, Percentage Percentage Male Female
26 Prevalence among young adults GLASSER AM, ET AL., CORRELATES OF CIGAR USE BY TYPE AND FLAVOR AMONG US ADULTS: TOB REG SCI Day Prevalence of Flavored Cigar Use Among Current Young Adult Cigar Users by Race/Ethnicity, Percentage Percentage White, non-hispanic Black, non-hispanic Other, non-hispanic Hispanic
27 Prevalence among young adults GLASSER AM, ET AL., CORRELATES OF CIGAR USE BY TYPE AND FLAVOR AMONG US ADULTS: TOB REG SCI Day Prevalence of Flavored Cigar Use Among Current Young Adult Cigar Users by Sexuality, Percentage Percentage Straight/Heterosexual LGB (excludes trans/other)
28 Prevalence among young adults GLASSER AM, ET AL., CORRELATES OF CIGAR USE BY TYPE AND FLAVOR AMONG US ADULTS: TOB REG SCI Day Prevalence of Flavored Cigar Use Among Current Young Adult Cigar Users by Education, Percentage Percentage Less than high school High school At least some college
29 Prevalence among adults KING BA, ET AL., FLAVORED CIGAR SMOKING AMONG US ADULTS: FINDINGS FROM THE NATIONAL ADULT TOBACCO SURVEY. NICOTINE TOB RES Day Prevalence of Flavored Cigars among Adults by Age Group, Percentage Percentage years years years 65+ years
30 Prevalence among adults KING BA, ET AL., FLAVORED CIGAR SMOKING AMONG US ADULTS: FINDINGS FROM THE NATIONAL ADULT TOBACCO SURVEY. NICOTINE TOB RES Day Prevalence of Flavored Cigars among Current Adult Cigar Smokers by Age Group, Percentage Percentage years years years 65+ years
31 Preference for flavored cigar brands DELNEVO CD, ET AL., PREFERENCE FOR FLAVOURED CIGAR BRANDS AMONG YOUTH, YOUNG ADULTS AND ADULTS IN THE USA. TOBACCO CONTROL Among Cigar Smokers, Usual Brand Makes Flavored Cigars by Age Group, Percentage Percentage Age Group
32 Preference for flavored cigar brands DELNEVO CD, ET AL., PREFERENCE FOR FLAVOURED CIGAR BRANDS AMONG YOUTH, YOUNG ADULTS AND ADULTS IN THE USA. TOBACCO CONTROL Among Cigar Smokers, Preferred Cigar Brand by Age Group, Percentage Percentage 34.7 Black & Mild 30 Swisher Sweets White Owl [VALUE] Age Group
33 Preference for flavored cigar brands DELNEVO CD, ET AL., PREFERENCE FOR FLAVOURED CIGAR BRANDS AMONG YOUTH, YOUNG ADULTS AND ADULTS IN THE USA. TOBACCO CONTROL Among Cigar Smokers, Usual Brand Makes Flavored Cigars by Gender, Percentage Percentage Male Gender Female
34 Preference for flavored cigar brands DELNEVO CD, ET AL., PREFERENCE FOR FLAVOURED CIGAR BRANDS AMONG YOUTH, YOUNG ADULTS AND ADULTS IN THE USA. TOBACCO CONTROL Among Cigar Smokers, Usual Brand Makes Flavored Cigars by Race/Ethnicity, Percentage Percentage Hispanic Other White Black Race/Ethnicity
35 Flavored cigars: Why are they smoking them?
36 Consumer perceptions reduce throat irritation
37 Consumer perceptions reduce throat irritation
38 Consumer perceptions reduce throat irritation
39 Reasons for cigar use among youth AMBROSE BK, ET AL., FLAVORED TOBACCO PRODUCT USE AMONG US YOUTH AGED YEARS, JAMA Leading Reasons for Cigar Use Among Past 30-Day Cigar Users Aged Years Reasons for Use Percentage I use cigars because they come in flavors I like. 73.8% I use cigars because they are affordable. 58.2% I use cigars because I like socializing while using them. 57.0% I use cigars because people in the media or other public figures use them. 30.7% I use cigars because they might be less harmful to me than cigarettes. 29.9% I use cigars because people who are important to me use them. 28.4% I use cigars because I can smoke/use them at times when or in places where smoking cigarettes isn t allowed. 10.9% I use cigars because they help people to quit smoking cigarettes. 9.9%
40 Flavored cigars: How is the industry marketing them?
41 Marketing and promotion
42 Marketing and promotion
43 Marketing and promotion
44 Marketing and promotion
45 Flavored cigars: Are they addictive?
46 Nicotine dependence intentions to quit smoking frequency of smoking
47 Flavored cigars: What are the policy solutions?
48 Policy options
49 Policy options
50 Policy options Alaska Hawaii
51 Policy options Alaska Hawaii
52 Policy options 109 cities and local municipalities in MA, including Boston Alaska Hawaii
53 In Closing Flavoring is the biggest issue when it comes to cigars. Flavored cigar use is higher among youth and young adults than adults. The use of flavors in cigar products makes them more appealing. FDA, states, and localities must ban the sale of flavored cigars.
54 Thank you
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