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Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
Tel: 1-800-CDC-INFO
(1-800-232-4636)
TTY: 1-888-232-6348
E-mail: tobaccoinfo@cdc.gov
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Fact Sheet
Cigars
(updated February 2009)
Cigars contain the same toxic and carcinogenic compounds found in cigarettes and are not a safe
alternative to cigarettes.1 The three major types of cigars sold in the United States are large
cigars, cigarillos, and little cigars.1 In 2007, cigar sales in the United States rose 9.2 percent2
and generated more than $3.4 billion in retail sales.2
Health Effects
- Regular cigar smoking is associated with an increased risk for cancers
of the lung, oral cavity, larynx, and esophagus.1,3
- Heavy cigar smokers and those who inhale deeply may be at increased risk
for developing coronary heart disease and chronic obstructive pulmonary disease.1
Current Estimates
- In 2007, an estimated 5.4%, or 13.3 million Americans, 12 years of
age or older, were current cigar users.4
- An estimated 7.3% of African American, 5.5% of white, 4.5% of Hispanic,
9.0% of American Indian/Alaska Native, and 1.4% of Asian American adults 18 years of age or older, are
current cigar smokers.4
- An estimated 14.0% of students in grades 912 in the United States are
current cigar smokers.5 Cigar smoking is more common among males (19.4%) than females
(7.6%) in these grades.5
- An estimated 4% of middle school students in the United States are current
cigar smokers.6 Estimates are higher for middle school boys (5.3%)
than girls (2.7%).6
Other Information
- The two leading brands preferred by cigar smokers aged 12 years or older
are Black & Mild® (22.8%) and Swisher Sweets® (14.4%).7
- Marketing efforts have promoted cigars as symbols of a luxuriant and successful
lifestyle.1 Endorsements by celebrities, development of cigar-friendly
magazines (e.g., Cigar Aficionado), features of highly visible women
smoking cigars, and product placement in movies have contributed to the increased
visibility of cigar smoking in society.1
- Since 2001, cigar packaging and advertisements must display one
of five health warning labels on a rotating basis.8
References
- National Cancer Institute.
Cigars: Health Effects and Trends. Smoking and Tobacco Control Monograph No. 9.
Bethesda, MD: National Institutes
of Health, National Cancer Institute; 1998 [accessed 2009 Feb 03].
- Maxwell JC.
Cigar Industry in 2007. Richmond, VA: The Maxwell Report;
March 2008 [accessed 2009 Feb 03].
- U.S. Department of Health and Human Services.
The Health Consequences
of Smoking: Cancer. A Report of the Surgeon General. Rockville, MD: U.S.
Department of Health and Human Services, Public Health Service; 1982 [accessed 2009 Feb 03].
- Substance Abuse and Mental Health Services Administration.
2007
National Survey on Drug Use and Health: Detailed Tables [accessed 2009 Feb 03].
- Centers for Disease Control and Prevention.
Youth Risk Behavior Surveillance—United States, 2007.
Morbidity and Mortality Weekly Report [serial online].
Surveillance Summaries 2008; 57(SS04):1–131 [accessed 2009 Feb 03].
- Centers for Disease Control and Prevention.
2006 National Youth Tobacco
Survey and Key Prevalence Indicators. (PDF–89.9 KB)
[accessed 2009 Feb 03].
-
Substance Abuse and Mental Health Services Administration.
The National Survey on Drug Use and Health: 2
005 Detailed Tables. (PDF–124 KB)
[accessed 2009 Feb 03].
- Federal Trade Commission.
Nationwide Labeling Rules for Cigar Packaging
and Ads Take Effect Today. [fact sheet] Federal Trade Commission; 2001 [accessed 2009 Feb 03].
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
E-mail: tobaccoinfo@cdc.gov
Phone: 1-800-CDC-INFO
Media Inquiries: Contact CDC's Office on Smoking and Health press line
at 770-488-5493.
Page last reviewed 02/05/2009
Page last updated 02/05/2009