Preliminary impact of the COVID-19 pandemic on smoking and vaping in college students. (April 2021)

• Record Type: Journal Article
• Authors: Sokolovsky, Alexander W.; Hertel, Andrew W.; Micalizzi, Lauren; White, Helene R.; Hayes, Kerri L.; Jackson, Kristina M.
• Is Part Of: Addictive behaviors. Volume 115(2021)
• Publication Date: 2021-04
• Subjects: COVID-19 -- Coronavirus -- Smoking -- Vaping -- E-cigarettes -- Young adults -- College; Substance abuse -- Periodicals; Alcoholism -- Periodicals; Drug addiction -- Periodicals; Nicotine addiction -- Periodicals; Smoking -- Periodicals; Gambling -- Psychological aspects -- Periodicals; Electronic journals; 362.29
• DOI: 10.1016/j.addbeh.2020.106783
• Languages: English
• ISSNs: 0306-4603

Abstract

Highlights: COVID-19 related campus closures were associated with reduced tobacco use frequency. Reduced tobacco use frequency did not correspond to reduced quantity. One quarter of college students who smoked or vaped paused in response to COVID-19. Lower anxiety and moving to non-independent housing increased odds of pausing. Active COVID-19 related news seeking and passive exposure decreased odds of pausing. Abstract: We examined tobacco use changes in young adult college students in the context of the COVID-19 pandemic, focusing on smoking and vaping. First, we evaluated changes in tobacco use from pre to post campus closure focusing on smoking and electronic nicotine vaping frequency (days) and quantity (cigarettes/cartridges per day). Also, given the potential protective effects of pausing (temporarily or permanently discontinuing) smoking or vaping, we evaluated its predictors. We hypothesized that generalized anxiety and moving home would increase the odds of pausing. We also explored effects of COVID-related news exposure and seeking on tobacco use. We re-contacted young adults two years after they completed a study on alcohol and marijuana co-use. A subset ( N = 83; 26.6% of the 312 respondents) were enrolled in college and reported use of cigarettes ( n = 35) and/or e-cigarettes ( n = 69) in the week prior to their campus closing (PC). Paired sample t-tests compared smoking and vaping frequency and quantity PC to past-week use since closing (SC). Multivariate logistic regression models were fit to examine predictors of pausing. Both smoking and vaping frequency decreased from PC to SC; however, decreased frequency did not correspond to reduced quantity. Twenty-four participants (28.9%) paused past-week use SC. Higher anxiety and moving home (versus living independently) were related to increased odds of pausing, whereas COVID-19 related news exposure and seeking were related to decreased odds of pausing. Characterizing COVID-19 related tobacco use change provides insights into how college students respond to novel health threats and informs potential interventions.