ArticleDrug and alcohol dependence2023
The impact of cigar pack size and pricing policies on youth and adult cigar use in the US.
Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and network meta-analysis of population-level interventions to tackle smoking behaviour.Nature human behaviour · 2024Pooled it
- The changing face of nicotine use in England: Age-specific annual trends, 2014 to 2024.Addiction (Abingdon, England) · 2026Article
- "We're building the plane while we're flying it": perspectives on local cigar policy implementation from qualitative interviews with key personnel.Implementation science communications · 2026Article
- Trends in youth use of non-cigarette tobacco products in England, Canada, and the US and the impact of England's menthol cigarette ban on use.medRxiv : the preprint server for health sciences · 2025Article
- The impact of local cigar pack regulations on cigar retail sales.Preventive medicine · 2025Article
- The Impact of Modest Price Increases and Single Cigar Restrictions on Youth Cigar Use.American journal of preventive medicine · 2024Article
- Circumventing cigarette regulation: Product characteristics of cigarette-like cigarillos on the Dutch market.Tobacco induced diseases · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundOver 250 US localities have adopted cigar pack quantity and price policies. No empirical studies exist on their impact on tobacco use.
methodsA quasi-experimental design was used to assess the impact of cigar policies on cigar and cigarette use among (1) Minnesota youth (n=569,528, triennially 2007-2019); (2) New York youth (n=111,236, annually 2000-2020), (3) New York adults (n=62,295, annually 2003-2019), and (4) District of Columbia (DC) adults (n=5027, annually 2015-2019). We estimated the county-level policy coverage for 15 local policies in Minnesota. Differences-in-differences approach was used to compare the policy in NYC with the rest of the state (no policy). We examined changes in DC use before and after policy implementation. Analyses adjust for sociodemographic characteristics.
resultsIn Minnesota, youth in counties with a greater proportion of the population covered by a policy had lower odds of cigar use (AOR: 0.51; 95% CI: 0.38-0.69). Similarly, adult cigar use in DC declined following policy enactment (AOR: 0.65; 95% CI: 0.46-0.93). Cigarette use also decreased in both Minnesota and DC following policy enactment. However, in New York, the NYC policy did not have a significant impact on cigar use among youth (AOR: 0.95; 95% CI: 0.47-1.93) or adults (AOR: 1.98; 95% CI: 0.85-1.37) in NYC compared to the rest of the state. The only significant effect in NYC was reduced odds for adult cigarette use (AOR: 0.79; 95% CI: 0.68-0.92).
conclusionsFindings suggest regulating cigar packaging could decrease cigar consumption without increasing cigarette consumption, but effects may differ across jurisdictions.
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