Cent Eur J Public Health 2019, 27(3):182-187 | DOI: 10.21101/cejph.a5583

Cost, prevalence and correlates of cigarillo use in 28 European countries in 2017

Filippos T. Filippidis^1,2, Enkeleint A. Mechili³, Charis Girvalaki⁴, Constantine Vardavas^2,4,5

¹ Department of Primary Care and Public Health, School of Public Health, Imperial College, London, United Kingdom

² Centre for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece

³ Department of Health Care, Faculty of Public Health, University of Vlora, Vlora, Albania

⁴ Laboratory of Toxicology, Medical School, University of Crete, Rethymnon, Greece

⁵ European Network for Smoking and Tobacco Prevention, Brussels, Belgium

Objectives: Although manufactured cigarettes remain the most popular tobacco product worldwide, the use of other products, including little cigar and cigarillo, has been rising in recent years; however, there is a paucity of data on the correlates of current and ever use of cigarillos in Europe. The aim of this study was to explore the extent and determinants of cigarillo use, as well as to describe the cost and affordability of cigarillos across the EU, in light of the current regulatory framework at a European level.

Methods: We performed a secondary analysis of data collected across 28 European Union (EU) Member States through wave 87.1 of the Eurobarometer survey, conducted in March 2017 (N = 27,901). A multilevel logistic regression model was fitted to assess the association of current and ever cigarillo use with the above socio-demographic factors. We also analysed Euromonitor International data on cigarillo prices in 2017 from 24 EU Member States.

Results: Across the EU, 0.46% (95% CI: 0.33-0.63) of those aged ≥ 15 years reported at least weekly current use of cigarillos in 2017, which corresponds to 1,966,516 (95% CI: 1,426,554-2,709,563) people. Finland recorded the highest prevalence (20.51%) of ever cigarillo use in Europe while Ireland had the lowest (1.15%). Male sex, living in urban area and being over 55 years old compared to 15-24 year olds were associated with greater odds of ever cigarillo use. Median cigarillo prices varied widely, ranging from 3.60 Euros in Portugal to 20.40 Euros in Bulgaria per 20 sticks.

Conclusions: The use of cigarillos in Europe is associated with several socio-demographic factors such as gender, age and living area. Policy makers of EU countries, especially now under the regulatory framework of the EU Tobacco Products Directive, should work together to enforce more restrictive rules for cigarillos.

Keywords: cigarillos, Europe, epidemiology, Eurobarometer

Received: October 30, 2018; Revised: July 27, 2019; Accepted: July 27, 2019; Published: September 30, 2019  Show citation