Estimating the impact of COVID-19 on changes in volume sales of cigars, smokeless tobacco products, pipe, and roll-your-own tobacco in the United States.

At the six-month mark following the start of the COVID-19 pandemic in the US, we found that the shock of the COVID-19 pandemic was associated with a statistically significant initial increase in the number of little and large cigars sold nationwide.These COVID-19 related trends may have momentarily reversed the long-term declines seen in cigar sales prior to the pandemic.Intensified implementation of evidence-based tobacco control and prevention measures amidst the COVID-19 pandemic may help reduce aggregate tobacco consumption.