Tobacco Cessation and Prevention |

Adult Smokers of Regular, King-sized and Long/Ultralong Cigarettes in NHANES 2007-2010: User Characteristics and Their Tobacco Specific Carcinogen Levels FREE TO VIEW

Israel Agaku, DMD; Constantine Vardavas, PhD; Gregory Connolly, DMD
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Harvard School of Public Health, Center for Global Tobacco Control, Boston, MA

Chest. 2013;144(4_MeetingAbstracts):1008A. doi:10.1378/chest.1704821
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SESSION TITLE: Tobacco Cessation and Prevention

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Sunday, October 27, 2013 at 10:45 AM - 11:45 AM

PURPOSE: Almost all popular cigarette brands in the US are now sold in various length categories, however very little information is available on comparative assessment of health risks of different cigarette sizes. This study compared sociodemographic characteristics and urinary total NNAL levels among smokers of regular, king-sized and long/ultra-long cigarettes using nationally representative data from the 2007-2008 and 2009-2010 National Health and Nutrition Examination Surveys (NHANES)

METHODS: We merged data from the NHANES 2007-2008 and 2009-2010 waves. NHANES is a household interview and examination survey that uses a complex, multi-stage probability sampling design to select participants from the non-institutionalized U.S. population. Analysis was restricted to respondents that had information on the length of cigarette usually smoked (n=3,699)

RESULTS: Overall, smokers of king-sized cigarettes made up over half (53.0%) of the total smoker composition, while smokers of long/ultra-long cigarettes constituted about one-third (31.5%) of all smokers, with smokers of regular-sized cigarettes making up the remaining 15.4% of the smoker population. Older respondents (55% in the >65 age group), non-Hispanic blacks (42%), and females (40% vs. 23%) had a relatively high distribution of long/ultra-long cigarette smokers. Furthermore, mean creatinine-adjusted NNAL levels were significantly higher among smokers of long/ultra-long cigarettes, compared to levels observed in smokers of either regular- (β=0.489, P=0.001), or king-sized cigarettes (β=0.283; P<0.001)

CONCLUSIONS: Smokers of long/ultralong cigarettes were found to have higher urinary NNAL concentrations than smokers of regular or king size cigarettes, while racial and gender preferences by cigarette length in the US were noted.

CLINICAL IMPLICATIONS: Cigarette characteristic designs, such as cigarette length may be assosciated with tobacco specific carcinogen uptake

DISCLOSURE: The following authors have nothing to disclose: Israel Agaku, Constantine Vardavas, Gregory Connolly

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