Multi-level drivers of tobacco use and purchasing behaviors during COVID-19 "lockdown": A qualitative study in the United States.
Multi-level drivers of tobacco use and purchasing behaviors during COVID-19 "lockdown": A qualitative study in the United States.
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DOI：
10.1016/j.drugpo.2021.103175
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发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Philbin MM
中科院分区：
文献类型：
--
作者：
Giovenco DP;Spillane TE;Maggi RM;Lee EY;Philbin MM
2019冠状病毒病大流行和相关的公共卫生预防措施（如“待在家里”命令）可能会影响消费者的烟草供需。这项定性研究确定了在美国最初的COVID-19“封锁”期间，吸入烟草产品使用和获取模式发生转变的多层次驱动因素。在2020年4月至5月期间，我们对使用香烟和/或电子尼古丁传递系统（ENDS）的成年人进行了半结构化电话访谈（n = 44）。使用社会生态学框架对转录本进行主题分析。几乎所有的参与者都报告说，在封锁期间，他们的产品使用发生了变化，尽管模式各不相同。增加使用是最常见的，主要是由个人层面的因素驱动的：与大流行有关的焦虑、无聊和不规律的日常生活。社交用户的使用率普遍下降，他们表示人际互动减少，害怕分享产品。在社区层面，零售渠道对卷烟和终端使用的影响不同。虽然香烟是普遍可以买到的，但电子烟的使用却比较有限，这促使一些人在网上购买产品。延迟交付导致一些终端用户用现成的香烟来弥补。为了减轻COVID-19大流行可能加剧现有公共卫生危机的方式，多层次的政策战略，如扩大虚拟戒烟服务以及实施和执行无烟家庭规则，可以在这一关键时期更好地支持人口健康。促进获得低风险产品的政策可以帮助最大限度地减少那些不能或不想戒烟的人的伤害。
The COVID-19 pandemic and associated public health prevention measures (e.g., “stay at home” orders) may impact tobacco supply and demand among consumers. This qualitative study identified multi-level drivers of shifts in inhaled tobacco product use and access patterns during the initial COVID-19 “lockdown” period in the United States. Between April and May 2020, we conducted semi-structured telephone interviews (n = 44) with adults who use cigarettes and/or electronic nicotine delivery systems (ENDS). Transcripts were thematically analyzed using a socioecological framework. Nearly all participants reported changes in their product use during lockdown, though patterns varied. Increased use was most common and was predominantly driven by individual-level factors: pandemic-related anxiety, boredom, and irregular routines. Decreased use was common among social users who cited fewer interpersonal interactions and fear of sharing products. At the community level, retail access impacted cigarette and ENDS use differently. While cigarettes were universally accessible, ENDS access was more limited, driving some to purchase products online. Delayed deliveries led some ENDS users to compensate with readily-available cigarettes. To mitigate ways that the COVID-19 pandemic may exacerbate an existing public health crisis, multi-level policy strategies, such as expanded virtual cessation services and implementation and enforcement of smoke-free home rules, can better support population health during this critical period. Policies that facilitate access to lower risk products can help minimize harm among those who cannot or do not want to quit smoking.
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影响因子：
2
作者：
Caponnetto, Pasquale;Inguscio, Lucio;Polosa, Riccardo
通讯作者：
Polosa, Riccardo
影响因子：
4.4
作者：
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DOI：
10.1111/add.15295
发表时间：
2021-05
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Jackson SE;Garnett C;Shahab L;Oldham M;Brown J
通讯作者：
Brown J
影响因子：
16.4
作者：
BRONFENBRENNER, U
通讯作者：
BRONFENBRENNER, U
DOI：
10.15585/mmwr.mm6946a4
发表时间：
2020-11-20
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Cornelius ME;Wang TW;Jamal A;Loretan CG;Neff LJ
通讯作者：
Neff LJ