Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19.
Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19.
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DOI：
10.1016/j.abrep.2020.100317
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发表时间：
2020-12
影响因子：
--
通讯作者：
Choi K
中科院分区：
文献类型：
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作者：
Chen-Sankey JC;Broun A;Duarte DA;Ajith A;Jewett B;Smiley SL;Mead-Morse EL;Guy MC;Choi K
在 COVID-19 大流行期间，黑人年轻人吸更多的小雪茄和小雪茄。吸烟加剧是由于大流行引起的压力和焦虑。吸雪茄环境的变化意味着吸烟成瘾模式。即使认为 COVID-19 风险较高，戒烟的动机也很低。 COVID-19 大流行对美国黑人/非裔美国人社区产生了不成比例的影响。本研究的目的是了解在 COVID-19 大流行期间年轻黑人雪茄吸烟者中雪茄吸烟模式的变化和戒烟动机。 2020 年 5 月至 6 月期间，我们对自我认定的非西班牙裔黑人/非裔美国年轻雪茄吸烟者（n = 40；年龄 21-29 岁）进行了深入的电话采访，以调查大流行期间雪茄（即大雪茄、小雪茄、过滤雪茄和钝雪茄）的吸烟行为。采访被录音、逐字转录，并由三名编码员分别编码。主题分析用于评估访谈中出现的主题模式。大多数参与者报告说，吸小雪茄和小雪茄的频率和数量更高，是为了应对因经济损失和身体隔离而导致的 COVID-19 引起的压力、焦虑、孤独和无聊。一些人还报告了小雪茄和钝烟的环境变化，包括全天候吸烟、醒来后立即吸烟以及在一种环境中吸整支小雪茄或钝烟。很少有参与者报告在大流行期间戒掉雪茄的动机。认识到 COVID-19 进展的风险较高并没有促使参与者戒掉雪茄的动机增加。这项研究中的黑人年轻人在 COVID-19 大流行期间越来越多地吸小雪茄和小雪茄，这主要归因于日常生活压力。参与者并没有增加戒烟以减少与 COVID-19 相关风险的动机。促进因地制宜的健康应对和戒烟可以最大限度地减少吸雪茄对 COVID-19 相关的健康影响，并减少黑人年轻人之间的健康差异。
Black young adults smoked more cigarillos and blunts during the COVID-19 pandemic. Escalated smoking was attributed to pandemic-induced stress and anxiety. Changes in cigar smoking context signified addictive smoking patterns. Motivation to quit cigars was low even when perceiving higher COVID-19 risks. The COVID-19 pandemic has disproportionately impacted the Black/African American communities in the U.S. The objective of this study is to understand the change in cigar smoking patterns and motivations to quit cigars during the COVID-19 pandemic among Black young adult cigar smokers. During May-June 2020, in-depth telephone interviews were conducted to investigate cigar (i.e., large cigars, cigarillos, filtered cigars, and blunts) smoking behaviors during the pandemic among self-identified, non-Hispanic Black/African American young adult cigar smokers (n = 40; ages 21–29). Interviews were audio-recorded, transcribed verbatim, and coded separately by three coders. Thematic analysis was used to assess thematic patterns arising from the interviews. Most participants reported smoking cigarillos and blunts in higher frequency and quantity to cope with COVID-19-induced stress, anxiety, loneliness, and boredom due to economic losses and physical isolation. Some also reported contextual changes in cigarillo and blunt smoking, including smoking around the clock, smoking immediately after waking up, and smoking an entire cigarillo or blunt in one setting. Very few participants reported motivations to quit cigars during the pandemic. Perceiving higher risks of progressed COVID-19 outcomes did not prompt participants’ increased motivations for quitting cigars. Black young adults in this study increasingly smoked cigarillos and blunts during the COVID-19 pandemic, mainly attributed to daily life stressors. Participants did not have increased motivations for quitting cigars to reduce COVID-19-related risks. Promoting contextually appropriate healthy coping and cigar smoking cessation may minimize COVID-19-related health consequences of cigar smoking and reduce health disparities among Black young adults.