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The early to mid-1990s saw a large surge in U.S. cigar consumption, including premium cigars. Based on recent import data, premium cigar use may be increasing, though they currently make up a small percent of the total U.S. cigar market. Premium cigars have also been the subject of legal and regulatory efforts for the past decade. In 1998, the National Cancer Institute undertook a comprehensive review of available knowledge about cigars — the only one to date. The resulting research recommendations have largely not been addressed, and many of the identified information gaps persist. Furthermore, there is no single, consistent definition of premium cigars, making research challenging. In response, the Food and Drug Administration (FDA) and the National Institutes of Health commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee of experts to address this issue. The resulting report, Premium Cigars: Patterns of Use, Marketing, and Health Effects, includes 13 findings, 24 conclusions, and nine priority research recommendations and assesses the state of evidence on premium cigar characteristics, current patterns of use, marketing and perceptions of the product, and short- long-term health effects.
Contents
- The National Academies of SCIENCES • ENGINEERING • MEDICINE
- COMMITTEE ON PATTERNS OF USE AND HEALTH EFFECTS OF “PREMIUM CIGARS” AND PRIORITY RESEARCH
- Reviewers
- Acknowledgments
- Acronyms and Abbreviations
- Abstract
- Summary
- 1. Context and Methods
- 2. Characteristics of Cigars
- 3. Patterns of Use and Prevalence of Cigars
- 4. Cigar Marketing and Perceptions
- 5. Health Effects of Premium Cigars
- INTRODUCTION
- HEALTH EFFECTS OF EXPOSURE TO HARMFUL AND POTENTIALLY HARMFUL CONSTITUENTS OF CIGAR SMOKE
- HEALTH EFFECTS OF PREMIUM CIGARS
- CARDIOVASCULAR DISEASE
- LUNG CANCER AND RESPIRATORY DISEASE
- PERIODONTAL DISEASES AND CANCERS OF THE ORAL CAVITY, HEAD, AND NECK
- OTHER CANCERS
- OTHER HEALTH CONDITIONS
- HEALTH EFFECTS: SUMMARY AND CONCLUSIONS
- DIFFERENCES BY SOCIODEMOGRAPHIC CHARACTERISTICS
- POTENTIAL HEALTH IMPLICATIONS OF FLAVORINGS IN PREMIUM CIGARS
- HEALTH EFFECTS OF SECONDHAND CIGAR SMOKE
- ADDICTION POTENTIAL
- RESEARCH GAPS
- REFERENCES
- Chapter 5 Annex. Health Effects Evidence Tables
- 6. Priority Research Needs
- Appendix A. Research Questions
- Appendix B. Overview of Literature Search
- Appendix C. Cross-Sectional Patterns of Cigar Use by Type in the National Survey on Drug Use and HealthMichelle T. Bover Manderski, Ollie Ganz, and Julia Chen-Sankey.
- Appendix D. Cross-Sectional Patterns and Longitudinal Transitions of Cigar Use by Type in the PATH StudyJihyoun Jeon and Yoonseo Mok.Published: September 2021.
- Appendix E. Cigar Brands from PATH and NSDUH Analyses
- Appendix F. Cigar Physical CharacteristicsSundos Yassin, Jeremy Giberson, and Michelle Page.
- Appendix G. Exploratory Spatial Analyses of the Locations of 2019–2021 Premium Cigar Association Retailers, United StatesAmanda Y. Kong.
- Appendix H. Public Meeting Agendas
- Appendix I. Committee Member and Staff Biographies
Suggested citation:
National Academies of Sciences, Engineering, and Medicine. 2022. Premium cigars: Patterns of use, marketing, and health effects. Washington, DC: The National Academies Press. https://doi.org/10.17226/26421.
Digital Object Identifier: https://doi.org/10.17226/26421
Library of Congress Catalog Number: 2022935876
Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
Printed in the United States of America
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