Introduction
In 2002, 16 focus groups with young adult smokers who 
used or had tried nontraditional tobacco products (e.g., bidis, shisha, herbal 
cigarettes, kreteks, cigars, herbal smokeless products) were conducted in 
Dallas, Texas, and Chattanooga, Tennessee, to gain an understanding of the 
appeal of these products. 
Methods
In each city, groups were segmented by race or ethnicity 
and by educational status. 
Results
Many consistent themes emerged across the groups. 
Nontraditional tobacco use is not common among young adult smokers. Although 
some products such as Black & Mild and Swisher Sweets cigars are used 
frequently by some groups, other products such as shisha, kreteks, and herbal 
cigarettes are less well known and infrequently used. Among focus group 
participants, use of nontraditional tobacco products tends to occur in clubs, 
during social gatherings, or at times when cigarettes are unavailable. More 
college students than those who were not in college cited cost and inconvenience 
of purchasing nontraditional tobacco products as reasons for not using them. All 
focus group participants agreed that African Americans use cigars more than any 
other racial or ethnic group. 
Conclusion
Overall, findings suggest that the reasons for trying 
nontraditional tobacco products did not differ by race or ethnicity. Family 
members and peers were mentioned as the source of nontraditional tobacco 
products when first used. Cost, convenience, taste, smell, and strength were 
given as reasons both for using these products and for discontinuing their 
use.