Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.
Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA 19104, USA.
Int J Environ Res Public Health. 2021 Jan 9;18(2):505. doi: 10.3390/ijerph18020505.
The consequences of the COVID-19 pandemic on behavioral health, including tobacco use, are not fully known. The current study sought to measure the perceived impact of COVID-19 and the resulting stay-at-home orders in Philadelphia, Pennsylvania and Buffalo, New York on smokers enrolled in four smoking cessation trials between March 2020 and July 2020. The survey collected quantitative data regarding life changes due to COVID-19, health/exposure status, and the impact on their cessation attempt (e.g., motivation to quit, change in triggers). The questionnaire collected qualitative data to better understand how such changes could explain changes in smoking behavior. Of the 42 participants surveyed, approximately half indicated that COVID-19 changed their motivation and ability to quit or remain quit. Among those who reported that it was easier to quit following the stay-at-home orders ( = 24), most attributed this to concerns regarding the severity of COVID-19 among smokers. Among those who reported more difficulty quitting ( = 15), most attributed this to their increased stress due to the pandemic and the inability to access activities, places, or people that could help them manage triggers. Given public health warnings of continued surges in COVID-19, these data provide insight into who may benefit from further smoking cessation support should existing restrictions or new stay-at-home orders be enacted.
新冠疫情对行为健康（包括烟草使用）的影响尚未完全可知。本研究旨在衡量新冠疫情及其在宾夕法尼亚州费城和纽约州布法罗导致的居家令对 2020 年 3 月至 7 月期间参加四项戒烟试验的吸烟者的影响。该调查收集了与新冠疫情相关的生活变化、健康/暴露状况以及对戒烟尝试的影响（如戒烟动机、触发因素变化）等定量数据。问卷还收集了定性数据，以更好地了解这些变化如何解释吸烟行为的变化。在接受调查的 42 名参与者中，约有一半表示新冠疫情改变了他们戒烟或保持戒烟的动机和能力。在那些报告居家令使戒烟更容易的参与者中（=24），大多数人将这归因于对新冠病毒在吸烟者中严重程度的担忧。在那些报告戒烟更困难的参与者中（=15），大多数人将其归因于大流行导致的压力增加，以及无法接触到可以帮助他们控制触发因素的活动、场所或人。鉴于对新冠疫情持续激增的公共卫生警告，这些数据提供了一些洞见，如果实施现有限制或新的居家令，谁可能需要进一步的戒烟支持。
