COVID-19 Restrictions and Adolescent Cigarette and E-cigarette Use in California

Wharton, M. Kristina; Islam, Sabrina; Abadi, Melissa H.; Pokhrel, Pallav; Lipperman‐Kreda, Sharon

doi:10.1016/j.amepre.2022.09.014

Cited by 7 publications

(4 citation statements)

References 36 publications

(61 reference statements)

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“…Our study found that spending more time at home due to social gathering restrictions and fewer social opportunities decreased adolescent tobacco use, which is consistent with previous studies on US college students 32 and adolescents 21 . Importantly, our findings found that 'anti-pandemic fatigue' during later phases of the COVID-19 pandemic led some participants to resume increased tobacco use, resulting in mixed changes in adolescent smoking behavior.…”

Section: Discussionsupporting

confidence: 92%

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Risk perceptions and changes in tobacco use in relation to Coronavirus Disease 2019 pandemic: A qualitative study on adolescent tobacco users in Hong Kong

Chen¹,

Wang²,

Cheung³

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION Tobacco use is associated with an increased risk of Coronavirus Disease 2019 (COVID-19) infection, severe COVID-19 outcomes requiring intensive care, and mortality. We investigated the perceived risk of and changes in cigarette, e-cigarette (EC) and heated tobacco product (HTP) use in relation to COVID-19 in Hong Kong adolescent tobacco users. METHODS We conducted semi-structured telephone interviews from January to April 2021 and in February 2022 on 40 adolescents (63% boys, Secondary school grades 2-6) who participated in our previous smoking surveys and were using cigarettes, ECs or HTPs before the first wave of the COVID-19 pandemic in January 2020. RESULTS Adolescents generally perceived higher risks of contracting and having more severe COVID-19 from using cigarettes than ECs/HTPs, but they had limited knowledge of COVID-19 risks from EC/HTP use, particularly. Both increased and reduced consumption were found in tobacco, with EC use being the less affected product. Changes also included switching to ECs for convenience and lower cost and shifting from smoking cigarettes outside to mainly at home or in hidden areas. COVID-related policies, fear of infection, non-COVID-related health concerns, less social opportunities and pocket money, and limited access to tobacco products were barriers to tobacco use. In contrast, greater freedom at home versus school and negative emotions due to social distancing were facilitators. Family/peer influence had mixed impacts. CONCLUSIONS Adolescent tobacco users perceived lower COVID risks associated with HTPs and ECs than cigarettes, and various changes in tobacco use were found amid the pandemic in Hong Kong. COVID-19 and related social changes may both facilitate or deter adolescent tobacco use.

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Section: Discussionsupporting

confidence: 92%

“…While several quantitative studies have investigated changes in tobacco use due to COVID-19 in adolescents 20,21 , these studies rely on predetermined survey questions. They might not capture the complexity and variability of adolescents' experiences in this context.…”

Section: Introductionmentioning

confidence: 99%

Risk perceptions and changes in tobacco use in relation to Coronavirus Disease 2019 pandemic: A qualitative study on adolescent tobacco users in Hong Kong

Chen¹,

Wang²,

Cheung³

et al. 2023

Tob. Induc. Dis.

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“…Restrictions during the pandemic affected access to and use of e-cigarettes by young adults (bans on leaving home, limited social gatherings, and closing of tobacco stores) [34,35]. Studies have shown changes in nicotine use related to availability (closing of some stores, malls) or 'stay at home' orders, resulting in a reduction of smoking/vaping.…”

Section: Introduction and Objectivementioning

confidence: 99%

“…Also examined are their associations with future intentions to quit using e-cigarettes. Understanding how e-cigarette use changed during the COVID-19 pandemic is important because it affects coping with e-cigarette use after the pandemic [33,34].…”

Section: Introduction and Objectivementioning

confidence: 99%

Vaping and COVID-19 pandemic: changes in e-cigarette use and conclusions for the future – narrative review

Znyk,

Lewicka,

Kaleta

2023

Med Og Nauk Zdr.

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Introduction and Objective. Electronic cigarettes (e-cigarettes) have become the most common form of nicotine consumption among adolescents and young adults. Little is known about the impact of government-imposed restrictions during the COVID-19 pandemic on the vaping behaviour of both adolescents and adults. This study aimed to explore scientific research concerning the prevalence of e-cigarette usage following the onset of the COVID-19 pandemic. Review Methods. A systematic, comprehensive search of English-language literature in online databases (PubMed, Web of Science, Elsevier, Scopus, Google Scholar) was conducted from January 2023 -June 2023. A key word search was conducted for publications published from March 2020 when the COVID-19 pandemic was announced to December 2022. Brief description of the state of knowledge. Most of the analyzed articles reported changes in e-cigarette use during the COVID-19 pandemic. The reasons for the increase in the use of e-cigarettes during the pandemic included: boredom, loneliness, stress caused by lockdown, and online purchases. The decrease in e-cigarette consumption is attributed to stayat-home orders causing barriers to e-cigarette access, limited peer group gatherings, and increased time spent at home with the family. The Covid-19 pandemic also impacted attempts to stop the use of e-cigarettes. Summary. Understanding the factors that influenced changes in e-cigarette use during the COVID-19 pandemic should be used to develop prevention programmes for adolescents and young adults. Educating young people and increasing knowledge about the harmful effects of using e-cigarettes may contribute to reducing the initiation of using e-cigarettes, and is a strong incentive to quit smoking.

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Covid-19 shelter-in-place, modified reopening orders, and order compliance impact on adolescent alcohol use and drinking contexts in California: A longitudinal analysis

Wharton

Balassone

Thomas

et al. 2023

Addictive Behaviors

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COVID-19 Restrictions and Adolescent Cigarette and E-cigarette Use in California

Cited by 7 publications

References 36 publications

Risk perceptions and changes in tobacco use in relation to Coronavirus Disease 2019 pandemic: A qualitative study on adolescent tobacco users in Hong Kong

Risk perceptions and changes in tobacco use in relation to Coronavirus Disease 2019 pandemic: A qualitative study on adolescent tobacco users in Hong Kong

Vaping and COVID-19 pandemic: changes in e-cigarette use and conclusions for the future – narrative review

Covid-19 shelter-in-place, modified reopening orders, and order compliance impact on adolescent alcohol use and drinking contexts in California: A longitudinal analysis

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