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A Qualitative Study of the Impact of COVID-19 on Smoking Behavior for Participants in a Post-Hospitalization Smoking Cessation Trial

Author

Listed:
  • Kristina Schnitzer

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA)

  • Sarah Jones

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Jennifer H. K. Kelley

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Hilary A. Tindle

    (Vanderbilt University Medical Center, Nashville, TN 37232, USA
    Geriatric Research Education and Clinical Centers (GRECC), Veterans Affairs Tennessee Valley Healthcare System, Nashville, TN 37212, USA)

  • Nancy A. Rigotti

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA
    Health Policy Research Center, Mongan Institute, Massachusetts General Hospital, Boston, MA 02114, USA
    Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA)

  • Gina R. Kruse

    (Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Harvard Medical School, Boston, MA 02115, USA
    Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA)

Abstract

(1) Background: COVID-19 has substantially altered individual environments and behaviors. We aim to explore the impact of COVID-19 on the smoking behavior of individuals trying to quit tobacco. (2) Methods: This study presents a qualitative analysis of individual interviews focused on perceived impacts of the COVID-19 pandemic on tobacco use among 39 participants in the Helping HAND 4 (HH4) post-hospitalization smoking cessation trial (NCT03603496). (3) Results: Emergent impacts of COVID-19 included change in routine, isolation, employment changes, and financial challenges; these in turn were associated with boredom, altered cravings and triggers, and increased stress. The availability of effective coping mechanisms instead of smoking to deal with stress heavily influenced subsequent smoking behavior. These results were triangulated with the Transactional Model of Stress, providing a framework to elucidate connections between factors such as perceived control, self-efficacy, and dispositional coping style, and highlighting potential areas for intervention. (4) Conclusions: Results suggest that stress during the COVID-19 pandemic may undermine effective coping skills among individuals enrolled in a post-hospitalization smoking cessation trial. Strengthening effective coping skills (e.g., minimizing the use of tobacco as a default stress response) and increasing perceived control and self-efficacy are promising intervention targets.

Suggested Citation

  • Kristina Schnitzer & Sarah Jones & Jennifer H. K. Kelley & Hilary A. Tindle & Nancy A. Rigotti & Gina R. Kruse, 2021. "A Qualitative Study of the Impact of COVID-19 on Smoking Behavior for Participants in a Post-Hospitalization Smoking Cessation Trial," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5404-:d:557427
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    References listed on IDEAS

    as
    1. Jessica M. Yingst & Nicolle M. Krebs & Candace R. Bordner & Andrea L. Hobkirk & Sophia I. Allen & Jonathan Foulds, 2021. "Tobacco Use Changes and Perceived Health Risks among Current Tobacco Users during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    2. Natalia Martinelli & Sandrine Gil & Johann Chevalère & Clément Belletier & Guillaume Dezecache & Pascal Huguet & Sylvie Droit-Volet, 2021. "The Impact of the COVID-19 Pandemic on Vulnerable People Suffering from Depression: Two Studies on Adults in France," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    3. Robert Stanton & Quyen G. To & Saman Khalesi & Susan L. Williams & Stephanie J. Alley & Tanya L. Thwaite & Andrew S. Fenning & Corneel Vandelanotte, 2020. "Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults," IJERPH, MDPI, vol. 17(11), pages 1-13, June.
    4. Vlahov, D. & Galea, S. & Ahern, J. & Resnick, H. & Kilpatrick, D., 2004. "Sustained Increased Consumption of Cigarettes, Alcohol, and Marijuana among Manhattan Residents after September 11, 2001," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 253-254.
    5. Zoe Rosoff-Verbit & Erin Logue-Chamberlain & Jessica Fishman & Janet Audrain-McGovern & Larry Hawk & Martin Mahoney & Alexa Mazur & Rebecca Ashare, 2021. "The Perceived Impact of COVID-19 among Treatment-Seeking Smokers: A Mixed Methods Approach," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
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    1. Katherine-Ka-Wai Lam & Ka-Yan Ho & Cynthia-Sau-Ting Wu & Man-Nok Tong & Lai-Ngo Tang & Yim-Wah Mak, 2022. "Exploring Factors Contributing to the Smoking Behaviour among Hong Kong Chinese Young Smokers during COVID-19 Pandemic: A Qualitative Study," IJERPH, MDPI, vol. 19(7), pages 1-14, March.

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