RT Journal Article SR Electronic T1 Toxicant exposure from smoking a little cigar: further support for product regulation JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 269 OP 276 DO 10.1136/tobaccocontrol-2015-052633 VO 26 IS 3 A1 Wallace B Pickworth A1 Zachary R Rosenberry A1 Bartosz Koszowski YR 2017 UL http://tobaccocontrol.bmj.com/content/26/3/269.abstract AB Background Although numerous studies have documented the prevalence and increasing use of little cigars and other cigar products, the present study is the first direct, head-to-head laboratory comparison of little cigar and cigarette smoking. The study addressed a fundamental objective to compare exposure and use characteristics of little cigar and cigarette smoking.Methods Smoking patterns, toxicant exposure and subjective measures were collected and analysed in 21 adults after smoking a little cigar (Winchester) and a cigarette (own brand). Participants were dual users of little cigars and cigarettes.Results Similar to cigarettes, little cigars delivered substantial nicotine and relatively more carbon monoxide. Puff volume, puff duration and time to smoke were significantly greater after cigarettes, but the temporal pattern of smoking more intensively at the beginning was similar in little cigars and cigarettes. Both little cigars and cigarettes reduced urge to smoke. Participants consistently mentioned that the lower cost of little cigars was a reason for initiation and continuation of their use.Conclusions The results support the notion that regulation of little cigars is appropriate in light of public health considerations.