title: Cigars, cigarettes, and adolescents.
abstract: OBJECTIVE
  To examine public health implications of adolescent use of cigars only, cigarettes only, and both cigarettes and cigars.
  
  
  METHODS
  A cross-sectional health risk survey was administered to a random sample of 4486 high school students in a Midwestern county.
  
  
  RESULTS
  More adolescents reported using both cigarettes and cigars (10.6%) than cigar-only (7.4%) or cigarette-only (6.4%). Product of initiation was associated with current product use. Dual use was associated with more frequent use of both products, high stress, and susceptibility to future cigarette use.
  
  
  CONCLUSIONS
  Assessing cigarette use without examining cigar use overlooks a critical dimension of adolescent tobacco use.
authors.affiliation: University of North Carolina, Chapel Hill, NC 27599, USA. ashley.brooks@unc.edu
authors.forename: Ashley
authors.initials: A
authors.lastname: Brooks
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Gaier Larkin
authors.forename: Sonal
authors.initials: S
authors.lastname: Kishore
authors.forename: Scott
authors.initials: S
authors.lastname: Frank
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D012907:Smoking / Q000453:epidemiology*; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires