Bennett Breesa, Romm Katelyn F, Berg Carla J
Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, United States.
Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, United States.
Tob Prev Cessat. 2022 May 6;8:18. doi: 10.18332/tpc/148245. eCollection 2022.
COVID-19 impacted cigarette and e-cigarette use behaviors among some individuals. This study examined COVID-19 factors and prior substance use as predictors of cigarette and e-cigarette cessation and initiation among US young adults from before to during the COVID-19 pandemic.
We analyzed data from Wave 3 (Sept-Dec 2019) and Wave 5 (Sept-Dec 2020) of a 2-year, 5-wave longitudinal study of young adults across six US metropolitan areas. We examined COVID-19 news exposure, perceived smoking and e-cigarette use risk, and prior substance use, as predictors of cigarette and e-cigarette cessation and initiation, respectively.
Of W3 cigarette users (n=516), 37.8% (n=195) quit cigarettes at W5; predictors of cessation included younger age, fewer days of W3 past-month cigarette use, and no W3 e-cigarette use. Of W3 e-cigarette users (n=687), 38.7% (n=266) quit e-cigarettes at W5; predictors included greater COVID-19 news exposure, fewer days of W3 past-month e-cigarette use, and no W3 cigarette use. Of W3 cigarette non-users (n=1693), 5.0% (n=85) initiated cigarettes at W5; predictors of initiation included younger age, lower perceived smoking risk, lifetime cigarette and e-cigarette use, and W3 e-cigarette use. Of W3 e-cigarette non-users (n=1522), 6.3% (n=96) initiated e-cigarettes at W5; predictors included younger age, less news exposure, lifetime cigarette and e-cigarette use, and W3 cigarette use.
These findings underscore the need to address cigarette and e-cigarette co-use and related risk perceptions in prevention and cessation interventions.
新冠疫情影响了部分人群的卷烟和电子烟使用行为。本研究调查了新冠疫情相关因素以及既往物质使用情况，以此作为新冠疫情大流行之前至期间美国年轻成年人戒烟和开始使用卷烟及电子烟的预测因素。
我们分析了一项针对美国六个大都市地区年轻成年人的为期两年、分五波进行的纵向研究中第三波（2019年9月至12月）和第五波（2020年9月至12月）的数据。我们分别研究了接触新冠疫情相关新闻、感知到的吸烟和使用电子烟风险以及既往物质使用情况，将其作为戒烟和开始使用卷烟及电子烟的预测因素。
在第三波的卷烟使用者中（n = 516），37.8%（n = 195）在第五波时戒烟；戒烟的预测因素包括年龄较小、第三波过去一个月使用卷烟的天数较少以及第三波时未使用电子烟。在第三波的电子烟使用者中（n = 687），38.7%（n = 266）在第五波时戒掉了电子烟；预测因素包括更多地接触新冠疫情相关新闻、第三波过去一个月使用电子烟的天数较少以及第三波时未使用卷烟。在第三波的非卷烟使用者中（n = 1693），5.0%（n = 85）在第五波时开始使用卷烟；开始使用卷烟的预测因素包括年龄较小、较低的感知吸烟风险、有卷烟和电子烟使用史以及第三波时使用电子烟。在第三波的非电子烟使用者中（n = 1522），6.3%（n = 96）在第五波时开始使用电子烟；预测因素包括年龄较小、较少接触新闻、有卷烟和电子烟使用史以及第三波时使用卷烟。
这些发现强调了在预防和戒烟干预措施中解决卷烟和电子烟共同使用以及相关风险认知问题的必要性。
