More than 8 million Americans live with smoking-related diseases, and more than 440,000 people die from smoking-related health effects each year. The majority of adult smokers -- close to 90 percent -- began smoking by age 18, according to the CDC.
The study is based on an annual survey of more than 24,000 U.S. middle and high school students. It is published in tomorrow's (Nov. 15) issue of the CDC's Morbidity and Mortality Weekly Report.
Some types of cigars are sold as "little cigars," which look almost exactly like cigarettes and may appeal to teens because they can be sold individually, and also come in fruit and candy flavors that aren't allowed in cigarettes, the CDC said. Just last month, the CDC found that more than a third of middle and high school students who smoke cigars use flavored, little cigars.
The reason for the rise is not known, but it could be due to an increase in marketing and availability of electronic cigarettes and hookahs, as well as the perception that the products are "safer" than cigarettes, the CDC said. [How Electronic Cigarettes Work (Infographic)]
"A large portion of kids who use tobacco are smoking products other than cigarettes, including cigars and hookahs, which are similarly dangerous," Dr. Tim McAfee, director of the CDC's Office on Smoking and Health, said in a statement. "We need to apply the same strategies that work to prevent and reduce cigarette use among our youth to these new and emerging products."
Overall use of cigarettes and cigars remained about the same between 2011 and 2012, however, there was a concerning increase in cigar use among black high school students, from 11.7 percent to 16.7 percent, the researchers said.
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