Tobacco Smoke by Any Other Name Is Still as Deadly
Authors: Michael B. Steinberg, Cristine D. Delnevo
Journal: Annals of Internal Medicine (2010)

Editorials16 February 2010Tobacco Smoke by Any Other Name Is Still as DeadlyMichael B. Steinberg, MD, MPH and Cristine D. Delnevo, PhD, MPHMichael B. Steinberg, MD, MPHFrom University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ 08903; and University of Medicine and Dentistry of New Jersey, School of Public Health, New Brunswick, NJ 08903.Search for more papers by this author and Cristine D. Delnevo, PhD, MPHFrom University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ 08903; and University of Medicine and Dentistry of New Jersey, School of Public Health, New Brunswick, NJ 08903.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-4-201002160-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Although cigarettes remain the most popular form of tobacco in the United States and most industrialized nations, the use of other tobacco products, such as cigars, pipes, and smokeless tobacco, is also common. Moreover, federal and industrial trade data show that although cigarette consumption has decreased substantially, consumption and sales of other tobacco products, most notably cigars, increased during the same period (1, 2). Since well before 1998, when the American Cancer Society convened a conference of 120 experts to review the evidence for disease caused by cigar smoking (3, 4), we have known that all tobacco products are harmful. ...References1. Maxwell JC. The Maxwell Report: Year End & Fourth Quarter 2007 Sales Estimates for the Cigarette Industry. Richmond, VA 2008. Google Scholar2. U.S. Department of Agriculture. Tobacco outlook. In: Electronic Outlook Report from the Electronic Research Service TBS-263. Washington, DC: U.S. Department of Agriculture; 2007. Google Scholar3. Baker F, Ainsworth SR, Dye JT, Crammer C, Thun MJ, Hoffmann D, et al. Health risks associated with cigar smoking. JAMA. 2000;284:735-40. [PMID: 10927783] CrossrefMedlineGoogle Scholar4. National Cancer Institute. Cigars: Health Effects and Trends. Smoking and Tobacco Control Monograph No. 9. Bethesda, MD: U.S. Department of Health and Human Services, Public Health Service; 1998. NIH publication no. 98-4302. Google Scholar5. Rodriguez J, Jiang R, Johnson WC, MacKenzie BA, Smith LJ, Barr RG. The association of pipe and cigar use with cotinine levels, lung function, and airflow obstruction. A cross-sectional study. Ann Intern Med. 2010;152:201-10. LinkGoogle Scholar6. Nyman AL, Taylor TM, Biener L. Trends in cigar smoking and perceptions of health risks among Massachusetts adults. Tob Control. 2002;11 Suppl 2 ii25-8. [PMID: 12034977] MedlineGoogle Scholar7. Baker F, Dye JT, Denniston MM, Ainsworth SR. Risk perception and cigar smoking behavior. Am J Health Behav. 2001;25:106-14. [PMID: 11297040] CrossrefMedlineGoogle Scholar8. O'Connor RJ, McNeill A, Borland R, Hammond D, King B, Boudreau C, et al. Smokers' beliefs about the relative safety of other tobacco products: findings from the ITC collaboration. Nicotine Tob Res. 2007;9:1033-42. [PMID: 17943619] CrossrefMedlineGoogle Scholar9. Henley SJ, Thun MJ, Chao A, Calle EE. Association between exclusive pipe smoking and mortality from cancer and other diseases. J Natl Cancer Inst. 2004;96:853-61. [PMID: 15173269] CrossrefMedlineGoogle Scholar10. Shaper AG, Wannamethee SG, Walker M. Pipe and cigar smoking and major cardiovascular events, cancer incidence and all-cause mortality in middle-aged British men. Int J Epidemiol. 2003;32:802-8. [PMID: 14559754] CrossrefMedlineGoogle Scholar11. Iribarren C, Tekawa IS, Sidney S, Friedman GD. Effect of cigar smoking on the risk of cardiovascular disease, chronic obstructive pulmonary disease, and cancer in men. N Engl J Med. 1999;340:1773-80. [PMID: 10362820] CrossrefMedlineGoogle Scholar12. Streppel MT, Boshuizen HC, Ocké MC, Kok FJ, Kromhout D. Mortality and life expectancy in relation to long-term cigarette, cigar and pipe smoking: the Zutphen Study. Tob Control. 2007;16:107-13. [PMID: 17400948] CrossrefMedlineGoogle Scholar13. Delnevo CD, Hrywna M. “A whole ‘nother smoke” or a cigarette in disguise: how RJ Reynolds reframed the image of little cigars. Am J Public Health. 2007;97:1368-75. [PMID: 17600253] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Michael B. Steinberg, MD, MPH; Cristine D. Delnevo, PhD, MPHAffiliations: From University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ 08903; and University of Medicine and Dentistry of New Jersey, School of Public Health, New Brunswick, NJ 08903.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M09-2852.Corresponding Author: Michael B. Steinberg, MD, MPH, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, 125 Paterson Street, Suite 2304, New Brunswick, NJ 08903; e-mail, michael.steinberg@umdnj.edu.Current Author Addresses: Dr. Steinberg: University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, 125 Paterson Street, Suite 2304, New Brunswick, NJ 08903.Dr. Delnevo: University of Medicine and Dentistry of New Jersey, School of Public Health, 335 George Street, Suite 2100, New Brunswick, NJ 08901. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Association of Pipe and Cigar Use With Cotinine Levels, Lung Function, and Airflow Obstruction Josanna Rodriguez , Rui Jiang , W. Craig Johnson , Barbara A. MacKenzie , Lewis J. Smith , and R. Graham Barr Metrics Cited byPatterns of combustible tobacco use in U.S. young adults and potential response to graphic cigarette health warning labelsDesign Characteristics and Tobacco Metal Concentrations in Filtered CigarsDifferences in Risk Perception and Quit Rates Among Hospitalized Veteran Pipe Smokers, Cigarette Smokers, and Dual UsersMarketing Little Cigars and Cigarillos: Advertising, Price, and Associations With Neighborhood DemographicsThe effect of selected lifestyle factors and diet on mortality of men with documented physical fitness in the city of ŁódźSeven-Year Patterns in US Cigar Use Epidemiology Among Young Adults Aged 18–25 Years: A Focus on Race/Ethnicity and Brand 16 February 2010Volume 152, Issue 4 Page: 259-260 Keywords Dentistry Health care providers Lungs Nicotine Perception Prevention, policy, and public health Relative risk Taxes Tobacco control Toxins ePublished: 16 February 2010 Issue Published: 16 February 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. 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