Evidence map›Paper›PMID 32795846›Full record

ArticleAddictive behaviors2020

Cigarillo and multiple tobacco product use and nicotine dependence in adolescents and young adults.

Karen J Ishler, Susan A Flocke, Elizabeth L Albert, Erika Trapl, Douglas Gunzler

Open access · greenAbstract read
In one paragraph

Article in Addictive behaviors, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
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

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. 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
  2. Electronic Nicotine Delivery Devices Function as a Complement for Cigarillos in Sexual and Gender Minority Young Adult Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  3. Article
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  5. Racial and Ethnic Disparities in Adolescent Combustible Tobacco Smoking From 2014 to 2020: Declines Are Lagging Among Non-Hispanic Black Youth.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  6. Article
  7. Come for the Tobacco, Stay for the Flavor: Flavored Cigarillo-Use Trajectories Among Young Adult Sexual Gender Minority Women.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  8. Article
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  11. Measuring Nicotine Dependence Among Adolescent and Young Adult Cigarillo Users.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Article
  12. Article
  13. Article
  14. Dissonance in Young Adult Cigarillo Users' Categorization of Concept Flavored and Unflavored Products.International journal of environmental research and public health · 2022
    Article
  15. Article
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

5 authors at 2 institutions in 1 country.

Karen J IshlerCenter for Community Health Integration, Case Western Reserve University, 11000 Cedar Ave, Suite 402, Cleveland, OH 44106 7136, USA; Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106 7164, USA. Electronic address: kji@case.edu.
Susan A FlockeDepartment of Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA. Electronic address: flocke@OHSU.edu.
Elizabeth L AlbertCenter for Community Health Integration, Case Western Reserve University, 11000 Cedar Ave, Suite 402, Cleveland, OH 44106 7136, USA. Electronic address: ela@case.edu.
Erika TraplPrevention Research Center for Healthy Neighborhoods, Case Western Reserve University, 11000 Cedar Ave, Suite 445, Cleveland, OH 44106 7069, USA. Electronic address: est2@case.edu.
Douglas GunzlerCenter for Health Care Research & Policy, Case Western Reserve University at MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109 1998, USA. Electronic address: douglas.gunzler@case.edu.
Case Western Reserve University · USOregon Health & Science University · US

Funding

Measurement of nicotine dependence among adolescent & young adult cigarillo usersR01CA190130 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI FLOCKE, SUSAN A. · 2015 to 2018
$1.9M
NCI NIH HHS R01 CA190130
6 · The paper itself

Abstract

introductionMultiple tobacco product (MTP) use is a growing public health concern, particularly among adolescents and young adults. This study identifies subgroups of MTP use among cigarillo users and examines associations with nicotine dependence (ND).

methods1089 youth (ages 14-28) who currently smoke cigarillos completed a web-based survey regarding their current use of cigarillos, little cigars, traditional cigars, cigarettes, e-cigarettes, and waterpipe/hookah. Latent class analysis (LCA) was used to identify patterns of product use by type and amount. The LCA also assessed the relationship between the latent classes and a 38-item measure of ND, controlling for relevant demographics.

resultsMost participants (88.2%) reported using two or more tobacco products in the past 30 days. The best-fitting LCA solution revealed 7 classes: (1) Mixed-Light tipped cigarillo and light cigarette users, 28.9%; (2) Light tipped cigarillo users, 15.8%; (3) Light untipped cigarillo users, 14.3%; (4) Heavy tipped cigarillo users, 13.4%; (5) E-cigarette and waterpipe users, 11.9%; (6) Heavy users of tipped and untipped cigarillos and light users of cigarettes, 9.8%; and (7) Dabblers who primarily used traditional cigars, but were also likely to use a variety of other products, 6.1%. Classes comprised of those using multiple products-particularly those that included cigarettes-had significantly higher levels of ND than other classes (Tukey's HSD P < .05).

conclusionsDistinct patterns of MTP use are evident among young cigarillo smokers. Smoking multiple products, particularly smoking cigarillos in combination with cigarettes, is associated with higher ND compared to other product use patterns.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsTobacco Use DisorderAdolescentAdultHumansSmokingTobacco UseYoung AdultAdolescentsLatent class analysisNicotine dependenceTobaccoYoung adults

Identifiers

PMID32795846
PMCPMC7484124
OpenAlexW3038601845

What OpenQuestion holds

Textmetadata
LicenceTDM
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.