Change in Tobacco and Electronic Cigarette Use and Motivation to Quit in Response to COVID-19

Klemperer, Elias M.; West, Julia C.; Peasley-Miklus, Catherine; Villanti, Andrea C.

doi:10.1093/ntr/ntaa072

Cited by 213 publications

(261 citation statements)

References 6 publications

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“…A recent mTurk survey of past-month tobacco users found that a fourth reported decreased access to tobacco during COVID-19 but just as many reported increased access. 17 Additionally, only 20% of our sample tried to reduce or quit vaping, whereas prior work found that COVID-19 prompted about a quarter of e-cigarette users to reduce their e-cigarette use, and >20% attempted to quit in order to reduce risk of harm from COVID-19. 17 This study is limited given the aforementioned complexities and ambiguities, as well as broader issues of potential bias in both the vape shop sample and young adult survey, thus limiting generalisability.…”

Section: Discussionmentioning

confidence: 71%

“…17 Additionally, only 20% of our sample tried to reduce or quit vaping, whereas prior work found that COVID-19 prompted about a quarter of e-cigarette users to reduce their e-cigarette use, and >20% attempted to quit in order to reduce risk of harm from COVID-19. 17 This study is limited given the aforementioned complexities and ambiguities, as well as broader issues of potential bias in both the vape shop sample and young adult survey, thus limiting generalisability. In particular, the estimates regarding vape shop compliance with state orders should be interpreted with caution, as the status/activity of many vape shops could not be determined because of inability to make contact via phone and/or limited online information.…”

Section: Discussionmentioning

confidence: 71%

“…16 Another study documented that almost half of US e-cigarette users in an mTurk panel reported no change in e-cigarette (or cigarette) use; however, ~25% attempted to reduce e-cigarette use and >20% attempted to quit to reduce COVID-19 risk. 17 Some quitline data also showed greater utilisation in March 2020 versus March 2019. 18 Expanding prior research, this study examined vape shop retail in six US states, using data from: (1) legal research determining whether vape shops were required to close as non-essential businesses under statewide COVID-19 orders; (2) phonebased and web-based surveillance assessing retailer practices for a sample of vape shops in March-June 2020, during the initial shelter-in-place periods; and (3) a concurrent online survey of young adult e-cigarette users about their experiences with vape retail in these study sites.…”

Section: Introductionmentioning

confidence: 99%

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Vape shop and consumer activity during COVID-19 non-essential business closures in the USA

Berg

Callanan²,

Johnson

et al. 2020

Tob Control

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IntroductionVaping and vape shops pose risk for COVID-19 and its transmission.ObjectivesWe examined vape shop non-compliance with state-ordered business closures during COVID-19, changes in their marketing and experiences among consumers.MethodsAs part of a longitudinal study of vape retail in six metropolitan statistical areas (MSAs; Atlanta, Boston, Minneapolis, Oklahoma City, San Diego and Seattle), we conducted: (1) legal research to determine whether statewide COVID-19 orders required vape shops to close; (2) phone-based and web-based surveillance to assess vape shop activity in March–June 2020 during shelter-in-place periods; and (3) a concurrent online survey of e-cigarette users about their experiences with vape retail.ResultsNon-essential business closure varied in timing/duration across states and applied to vape shops in California, Massachusetts, Minnesota, Oklahoma (for a brief period) and Washington (Georgia’s orders were ambiguous). Surveillance analysis focused on the five MSAs in these states. Of 156 vape shops, 53.2% were open as usual, 11.5% permanently closed and 3.8% temporarily closed; 31.4% offered pick-up/delivery services. Among survey respondents (n=354, Mage=23.9±4.6; 46.9% male, 71.8% white, 13.0% Hispanic), 27.4% worried their vape shop would close/go out of business during COVID-19; 7.3% said their vape shop did so. Few noticed increases in vape product delivery options (7.3%), discounts/price promotions (9.9%) and/or prices (9.3%). While 20.3% stockpiled vape products, 20.3% tried to reduce use and 15.8% tried to quit.ConclusionsMany vape shops were non-compliant with state COVID-19 orders. E-cigarette users were as likely to stockpile vape products as to attempt to reduce or quit using e-cigarettes.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

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Vape shop and consumer activity during COVID-19 non-essential business closures in the USA

Berg

Callanan²,

Johnson

et al. 2020

Tob Control

View full text Add to dashboard Cite

show abstract

“…Protected by http://jech.bmj.com/ self-reported tobacco and e-cigarette use reduced by about onequarter. 29 Our study has important implications for public health policy. The substantial increase in psychological distress in the UK highlights the potential tension between implementing lockdown measures to control the pandemic and the risk of health harms that such action could have.…”

Section: Cigarette Smoking and E-cigarette Usementioning

confidence: 88%

Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study

Niedzwiedz

Green

Benzeval

et al. 2020

J Epidemiol Community Health

394

440

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BackgroundThere are concerns that COVID-19 mitigation measures, including the ‘lockdown’, may have unintended health consequences. We examined trends in mental health and health behaviours in the UK before and during the initial phase of the COVID-19 lockdown and differences across population subgroups.MethodsRepeated cross-sectional and longitudinal analysis of the UK Household Longitudinal Study, including representative samples of over 27,000 adults (aged 18+) interviewed in four survey waves between 2015 and 2020. A total of 9748 adults had complete data for longitudinal analyses. Outcomes included psychological distress (General Health Questionnaire-12), loneliness, current cigarette smoking, use of e-cigarettes and alcohol consumption. Cross-sectional prevalence estimates were calculated and multilevel Poisson regression assessed associations between time period and the outcomes of interest, as well as differential associations by age, gender, education level and ethnicity.ResultsPsychological distress increased 1 month into lockdown with the prevalence rising from 19.4% (95% CI 18.7% to 20.1%) in 2017–2019 to 30.6% (95% CI 29.1% to 32.3%) in April 2020 (RR=1.3, 95% CI 1.2 to 1.4). Groups most adversely affected included women, young adults, people from an Asian background and those who were degree educated. Loneliness remained stable overall (RR=0.9, 95% CI 0.6 to 1.5). Smoking declined (RR=0.9, 95% CI=0.8,1.0) and the proportion of people drinking four or more times per week increased (RR=1.4, 95% CI 1.3 to 1.5), as did binge drinking (RR=1.5, 95% CI 1.3 to 1.7).ConclusionsPsychological distress increased 1 month into lockdown, particularly among women and young adults. Smoking declined, but adverse alcohol use generally increased. Effective measures are required to mitigate negative impacts on health.

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“…Similar trends were observed in the United States in the early stages of the pandemic (Knell et al 2020). However, the pandemic may also have prompted some smokers to consider reducing or quitting tobacco use (Santé Publique France 2020; Klemperer et al 2020).…”

Section: Impact Of the Pandemic On Tobacco Consumption And Tobacco-rementioning

confidence: 99%

Tobacco and COVID-19: a crisis within a crisis?

Alla

Berlin

Nguyen-Thanh

et al. 2020

Can J Public Health

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During the pandemic, the world's media have publicized preliminary findings suggesting that tobacco use is protective against COVID-19. An ad hoc multidisciplinary group was created to address the major public health implications of this messaging. Key messages of this commentary are as follows: 1) The COVID-19 crisis may increase tobacco consumption and decrease access to healthcare. As a result, smoking-related morbidity and mortality could increase in the coming months and years; 2) Smoking and tobacco-related diseases are prognostic factors for severe COVID-19; and 3) In theory, smokers may be at lower risk of COVID-19 infection because of having fewer social contacts. In conclusion, tobacco control is a greater challenge than ever in the context of the COVID-19 pandemic. Public decision-makers must be vigilant in ensuring that public health practices are consistent and compliant with the principles of the WHO Framework Convention on Tobacco Control. In addition, researchers and the media have a responsibility to be cautious in communicating preliminary results that may promote nonevidence-based research, self-destructive individual behaviours, and commercial agendas. Résumé Pendant la pandémie, des résultats préliminaires sur l'effet protecteur du tabac sur la COVID-19 ont été largement diffusés dans le monde entier. Dans ce contexte, et en raison des questions de santé publique liées à ce sujet, un groupe multidisciplinaire ad hoc a été créé en réponse aux demandes des institutions de santé publique. Les messages clés de ce commentaire sont les suivants : 1) La crise de la COVID-19 pourrait entraîner une augmentation de la consommation de tabac et une diminution de l'accès aux soins. En conséquence, la morbidité et la mortalité liées au tabagisme pourraient augmenter dans les mois et les années à venir; 2) Le tabagisme et les maladies liées au tabac sont des facteurs pronostiques de formes graves de la COVID-19; et 3) Hypothétiquement, les fumeurs, notamment en réduisant la fréquence et la durée des contacts sociaux, pourraient être moins susceptibles d'être contaminés. En conclusion, même pendant et malgré la crise sanitaire due à la pandémie de la COVID-19, la lutte contre le tabagisme reste plus que jamais un défi. Les décideurs publics doivent être particulièrement vigilants pour assurer la cohérence des pratiques publiques, y compris le respect des principes de la Convention-cadre de l'OMS pour la lutte antitabac. Il incombe également aux chercheurs et aux médias de communiquer avec prudence des résultats préliminaires susceptibles de générer des comportements individuels contre-productifs et d'être instrumentalisés à des fins commerciales.

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Change in Tobacco and Electronic Cigarette Use and Motivation to Quit in Response to COVID-19

Cited by 213 publications

References 6 publications

Vape shop and consumer activity during COVID-19 non-essential business closures in the USA

Vape shop and consumer activity during COVID-19 non-essential business closures in the USA

Mental health and health behaviours before and during the initial phase of the COVID-19 lockdown: longitudinal analyses of the UK Household Longitudinal Study

Tobacco and COVID-19: a crisis within a crisis?

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