Popularity

The prevalence of cigar smoking varies depending on locality, historical era, and population surveyed, and prevalence approximations vary somewhat depending on the survey method. The U.S. is the top consuming country by far, followed by Germany and the UK; the U.S. and Western Europe account for about 75% of cigar sales worldwide. The 2005 U.S. National Health Interview Survey estimated that 2.2% of adults smoke cigars, about the same as smokeless tobacco but far less than the 21% of adults who smoke cigarettes; it also estimated that 4.3% of men but only 0.3% of women smoke cigars. The 2002 U.S. National Survey of Drug Use and Health found that adults with serious psychological distress are significantly more likely to smoke cigars than those without. A 2007 California study found that gay men and bisexual women smoke significantly fewer cigars than the general population of men and women, respectively.Substantial and steady increases in cigar smoking were observed during the 1990s and early 2000s in the U.S. among both adults and adolescents. Data suggest that cigar usage among young adult males increased threefold during the 1990s, a 1999–2000 survey of 31,107 young adult U.S. military recruits found that 12.3% smoked cigars, and a 2003–2004 survey of 4,486 high school students in a Midwestern county found that 18% smoked cigars.