Introduction

The prevalence of little cigar and cigarillo (LCC) use among young adults is high. Research shows there are racial/ethnic differences in this prevalence, with Black/African American users more likely to report current LCC use. Given these discrepancies in LCC use, the present study aimed to assess potential differences in reasons for LCC use between White and Black/African American young adult ever and past 30-day users.

Methods

Participants were White (n = 2150), and Black/African American (n = 308) young adults (aged 18 to 24) recruited from Amazon Mechanical Turk who completed an online survey of tobacco use (December 2018–January 2019). LCC users were asked eight reasons for using LCCs.

Results

Flavoring was cited as the most popular reason for LCC use among White ever users while affordability was the most popular among Black/African American ever users. Adjusted logistic regressions among ever users revealed that Black/African American respondents (vs White) were more likely to use LCCs because of their affordability, the perception that LCCs are less harmful than cigarettes, and because of LCC advertising appeal. Among past 30-day users, adjusted logistic regression models showed that Black/African American respondents (vs White) were more likely to use LCCs because of their affordability.

Conclusions

Findings align with previous studies showing that LLCs are more heavily marketed in predominantly Black/African American communities. Prevention efforts should account for racial differences in reasons for use in message development.

中文翻译：

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白人和黑人/非裔美国青年使用者少用雪茄/小雪茄的原因的差异

介绍

在年轻人中使用小雪茄和小雪茄（LCC）的患病率很高。研究表明，这种患病率存在​​种族/种族差异，黑人/美国黑人用户更可能报告当前的LCC使用情况。考虑到LCC使用中的这些差异，本研究旨在评估过去30天和过去30天使用者中，白人和黑人/非洲裔美国年轻人之间在LCC使用原因方面的潜在差异。

方法

参加者是从Amazon Mechanical Turk招聘的白人（n = 2150）和黑人/非裔美国人（n = 308）年轻人（18至24岁），他们完成了在线烟草使用调查（2018年12月至2019年1月）。向LCC用户询问使用LCC的八个原因。

结果

调味剂被认为是有史以来白人用户中最普遍使用LCC的原因，而负担能力则是有史以来黑人/非裔美国人中最流行的原因。经过调整的logistic回归分析显示，黑人/非裔美国受访者（与白人相比）由于其价格可承受性，人们认为LCC的危害性不及卷烟，以及LCC的广告吸引力而更倾向于使用LCC。在过去30天的用户中，调整后的Logistic回归模型显示，黑人/美国黑人受访者（与白人相比）由于负担能力强而更倾向于使用LCC。

结论

研究结果与先前的研究相吻合，表明LLC在黑人/非裔美国人社区中的投放更为广泛。预防工作应考虑到在信息开发中使用原因的种族差异。