Evidence map›Paper›PMID 38678212›Full record

ArticleRespiratory research2024

Respiratory symptoms and outcomes among cigar smokers: findings from the Population Assessment of Tobacco and Health (PATH) study waves 2-5 (2014-2019).

Eva Sharma, Kristin Lauten, Katarzyna A Zebrak, Kathryn C Edwards, Samantha VanEtten, Adam F Benson, Cristine D Delnevo, Daniela Marshall, Heather L Kimmel, Kristie A Taylor and 3 more

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

13 authors at 6 institutions in 2 countries.

Eva SharmaWestat, 1600 Research Blvd., Rockville, MD, 20850, USA. evasharma@westat.com.
Kristin LautenWestat, 1600 Research Blvd., Rockville, MD, 20850, USA.
Katarzyna A ZebrakWestat, 1600 Research Blvd., Rockville, MD, 20850, USA.
Kathryn C EdwardsWestat, 1600 Research Blvd., Rockville, MD, 20850, USA.
Samantha VanEttenCenter for Tobacco Products, US Food and Drug Administration, Silver Spring, MD, USA.
Adam F BensonCenter for Tobacco Products, US Food and Drug Administration, Silver Spring, MD, USA.
Cristine D DelnevoRutgers Institute for Nicotine & Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, USA.
Daniela MarshallNational Institute On Drug Abuse, National Institutes of Health, Bethesda, MD, USA.
Heather L KimmelNational Institute On Drug Abuse, National Institutes of Health, Bethesda, MD, USA.
Kristie A TaylorWestat, 1600 Research Blvd., Rockville, MD, 20850, USA.
Maansi Bansal-TraversDepartment of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Andrew HylandDepartment of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
K Michael CummingsDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Westat (United States) · USNational Institutes of Health · USRoswell Park Comprehensive Cancer Center · USUnited States Food and Drug Administration · USMedical University of South Carolina · USRutgers Sexual and Reproductive Health and Rights · NL

Funding

National Institute on Drug Abuse, National Institutes of Health (NIH NIDA), and the Center for Tobacco Products, Food and Drug Administration (FDA CTP) Contract Nos. HHSN271201100027C and HHSN271201600001C
6 · The paper itself

Abstract

backgroundThe mechanisms by which cigarette smoking increases the risk of respiratory disease have been studied. However, less is known about risks of respiratory symptoms and outcomes associated with smoking cigars, and risks by cigar types have not been previously explored. The aim of this study was to examine associations between cigar use, including traditional cigars, cigarillos, filtered cigars, and dual cigar and cigarette use, and functionally important respiratory symptoms (FIRS), lifetime asthma diagnosis, uncontrolled asthma, and new cases of FIRS.

methodsData from Waves 2-5 (2014-19) of the Population Assessment of Tobacco and Health (PATH) Study, a nationally representative longitudinal study, were analyzed in two ways. For cross-sectional analysis, the analytic sample included adults 18 and older at each wave, resulting in 44,040 observations. Separately, longitudinal analyses were assessed among adults 18 and older at Wave 2, resulting in 7,930 individuals. Both analyses excluded adults with chronic obstructive pulmonary disease (COPD) or non-asthma respiratory disease.

resultsCurrent established cigarillo smokers had higher odds of having FIRS (Adjusted odds ratio (AOR): 1.72; 95% CI: 1.08, 2.74) compared to never smokers of cigarillos and cigarettes, after adjusting for covariates. Current established filtered cigar smokers had higher odds of asthma diagnosis (AOR: 1.35; 95% CI: 1.10, 1.66) while current established dual smokers of filtered cigars and cigarettes had higher odds of uncontrolled asthma (AOR: 5.13; 95% CI: 1.75, 15.02) compared to never smokers of filtered cigars or cigarettes. Both current established cigar smokers and current established dual smokers of cigarettes and cigars had higher odds of new FIRS compared to never cigar or cigarette smokers (AORs: 1.62; 95% CI: 1.02, 2.60 for exclusive cigars and 2.55; 95% CI 1.57, 4.14 for dual smokers).

conclusionsThis study provides evidence that cigar smokers or dual smokers of cigars and cigarettes have greater odds of FIRS, asthma, and uncontrolled asthma and that new incidence of FIRS is higher among any cigar smokers compared to never cigar or cigarette smokers. Understanding health impacts associated with cigar use provides information for supporting policy development, as well as for designing clinical interventions focused on smoking cessation for cigars.

Indexed as

Cigar SmokingAdolescentAdultAgedAsthmaCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsSmokersTobacco ProductsUnited StatesYoung Adult

Identifiers

PMID38678212
PMCPMC11055341
OpenAlexW4395692837

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.