title: Loose Cigarette Purchasing and Nondaily Smoking Among Young Adult Bar Patrons in New York City.
abstract: OBJECTIVE
  We examined loose cigarette (loosie) purchasing behavior among young adult (aged 18-26 years) smokers at bars in New York City and factors associated with purchase and use.
  
  
  METHODS
  Between June and December 2013, we conducted cross-sectional surveys (n = 1916) in randomly selected bars and nightclubs. Using multivariable logistic regression models, we examined associations of loose cigarette purchasing and use with smoking frequency, price, social norms, cessation behaviors, and demographics.
  
  
  RESULTS
  Forty-five percent (n = 621) of nondaily smokers and 57% (n = 133) of daily smokers had ever purchased a loosie; 15% of nondaily smokers and 4% of daily smokers reported that their last cigarette was a loosie. Nondaily smokers who never smoked daily were more likely than were daily smokers to have last smoked a loosie (odds ratio = 7.27; 95% confidence interval = 2.35, 22.48). Quitting behaviors and perceived approval of smoking were associated with ever purchasing and recently smoking loosies.
  
  
  CONCLUSIONS
  Loosie purchase and use is common among young adults, especially nondaily smokers. Smoking patterns and attitudes should be considered to reduce loose cigarette purchasing among young adults in New York City.
authors.affiliation: At the time of the analysis and writing, Jamie Guillory was with the Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco. Michael Johns and Shannon M. Farley are with the New York City Department of Health and Mental Hygiene, New York, NY. Pamela M. Ling is with the Division of General Internal Medicine, Department of Medicine, and the Center for Tobacco Control Research and Education, University of California, San Francisco.
authors.forename: Jamie
authors.initials: J
authors.lastname: Guillory
authors.affiliation: At the time of the analysis and writing, Jamie Guillory was with the Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco. Michael Johns and Shannon M. Farley are with the New York City Department of Health and Mental Hygiene, New York, NY. Pamela M. Ling is with the Division of General Internal Medicine, Department of Medicine, and the Center for Tobacco Control Research and Education, University of California, San Francisco.
authors.forename: Michael
authors.initials: M
authors.lastname: Johns
authors.affiliation: At the time of the analysis and writing, Jamie Guillory was with the Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco. Michael Johns and Shannon M. Farley are with the New York City Department of Health and Mental Hygiene, New York, NY. Pamela M. Ling is with the Division of General Internal Medicine, Department of Medicine, and the Center for Tobacco Control Research and Education, University of California, San Francisco.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Farley
authors.affiliation: At the time of the analysis and writing, Jamie Guillory was with the Center for Tobacco Control Research and Education, Cardiovascular Research Institute, University of California, San Francisco. Michael Johns and Shannon M. Farley are with the New York City Department of Health and Mental Hygiene, New York, NY. Pamela M. Ling is with the Division of General Internal Medicine, Department of Medicine, and the Center for Tobacco Control Research and Education, University of California, San Francisco.
authors.forename: Pamela M
authors.initials: PM
authors.lastname: Ling
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D012147:Restaurants / Q000706:statistics & numerical data; D012907:Smoking / Q000453:epidemiology*; D062789:Tobacco Products / Q000191:economics / Q000600:supply & distribution*; D055815:Young Adult