Evidence map›Paper›PMID 26175458›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2016

The Most Natural Tobacco Used: A Qualitative Investigation of Young Adult Smokers' Risk Perceptions of Flavored Little Cigars and Cigarillos.

Kymberle L Sterling, Craig S Fryer, Pebbles Fagan

Abstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Perceived Effectiveness of Cigar Warnings in Discouraging Blunt Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Trial
  4. Exploring Young Adults' Beliefs About Cigar Smoking by Susceptibility: A Belief Elicitation Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
  5. Improving Point-of-Sale Warnings for Single Cigars: Implications for Premium Cigars.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
  6. Trial
  7. Trial
  8. Article
  9. Exploring Social Media Discourse on Cigars: Insights from Twitter/X Data.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  10. Article
  11. Psychological Distress is Associated With Blunt Use Among Youth in the United States: Insights From the 2021-2023 National Youth Tobacco Surveys.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  12. The Impact of Cigarillo Text Warning Presence and Size on Young Adults' Cigarillo Risk Beliefs, Knowledge, Appeal, and Use Intentions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  13. Article
  14. Article
  15. Flavored Tobacco Product Use Among California Adolescents Before and Immediately After a Statewide Flavor Ban.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  16. Article
  17. Patterns of Blunt and Cigar Use in the United States, 2015-2019.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  18. Article
  19. Article
  20. Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kymberle L SterlingSchool of Public Health, Georgia State University, Atlanta, GA; ksterling@gsu.edu.
Craig S FryerSchool of Public Health, University of Maryland, College Park, MD;
Pebbles FaganCancer Prevention and Control Program, University of Hawaii at Manoa, Honolulu, HI.

Funding

Uncovering and Addressing Cultural Beliefs Behind Vaccine Racial Disparities P20MD006737 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI QUINN, SANDRA CROUSE, THOMAS, STEPHEN B. · 2012 to 2016
$5.9M
Correlates of Nicotine Dependence among Urban African American YouthK01CA148789 · NCI · UNIV OF MARYLAND, COLLEGE PARK · PI FRYER, CRAIG S. · 2010 to 2014
$633k
Assessing Risk Perceptions of Flavored Small Cigars/Cigarillos Among Young AdultsR21CA180934 · NCI · GEORGIA STATE UNIVERSITY · PI STERLING, KYMBERLE L · 2013 to 2014
$427k
Developing Measures of Little Cigar Use for Young AdultsR03CA159909 · NCI · GEORGIA STATE UNIVERSITY · PI STERLING, KYMBERLE L · 2012 to 2013
$143k
NCI NIH HHS 1R21CA180934-01NCI NIH HHS K01 CA148789NCI NIH HHS K01CA148789NCI NIH HHS R03 CA159909NCI NIH HHS R21 CA180934NIMHD NIH HHS P20 MD006737
6 · The paper itself

Abstract

introductionFlavored little cigar and cigarillo (LCC) smoking prevalence rate is increasing among young adults; little is known about their comprehension of its risks. To inform tobacco control regulatory policy and prevention methods, we explored young adult smokers' risk perceptions of flavored LCC products and its use.

methodsPurposive samples (n = 90) of African American, Hispanic, and white young adults who self-identified as dual (smoked ≥ 1 LCC and cigarette in past 30 days) and cigarette-only (≥1 cigarette in past 30 days) smokers participated in 12 audiotaped focus groups and a semi-structured interview conducted in the Southeastern United States. Participants discussed their experiences smoking flavored LCCs and perceived health risks of smoking flavored LCCs. A brief survey was administered to characterize participants.

resultsThe participants had a mean age of 25.1 years (SD = 4.5), were majority male (53.1%), and were 60.0% African American, 29.5% white, and 17.5% Hispanic. Along with health risks and addiction, three major themes emerged as underlying contributors of risk perceptions: affect, participants' smoking practices (amount smoked and inhalation), and beliefs about the components of LCCs (including flavoring and filters). Participants' reported intention to smoke flavored LCCs with its tobacco or as blunts (filled with marijuana) also influenced perceptions. Flavored LCCs were viewed along a continuum of risks compared to cigarettes and blunt smoking.

conclusionsOur study revealed dimensions that were important for the formation of risk perceptions about flavored LCCs. A multidimensional conceptual model and a measure of risk perceptions that is inclusive of these dimensions should be developed and examined for LCC use patterns.

Indexed as

Tobacco ProductsAdultBehavior, AddictiveFemaleFlavoring AgentsFocus GroupsHealth Knowledge, Attitudes, PracticeHumansMalePrevalenceQualitative ResearchRisk FactorsSmokingSocial PerceptionTasteTobacco IndustryFlavoring Agents

Identifiers

PMID26175458
PMCPMC5896812

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.