Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19

Introduction: 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....

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Main Authors: Julia C. Chen-Sankey, Aaron Broun, Danielle A. Duarte, Aniruddh Ajith, Bambi Jewett, Sabrina L. Smiley, Erin L. Mead-Morse, Mignonne C. Guy, Kelvin Choi
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Addictive Behaviors Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352853220301322
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author Julia C. Chen-Sankey
Aaron Broun
Danielle A. Duarte
Aniruddh Ajith
Bambi Jewett
Sabrina L. Smiley
Erin L. Mead-Morse
Mignonne C. Guy
Kelvin Choi
author_facet Julia C. Chen-Sankey
Aaron Broun
Danielle A. Duarte
Aniruddh Ajith
Bambi Jewett
Sabrina L. Smiley
Erin L. Mead-Morse
Mignonne C. Guy
Kelvin Choi
author_sort Julia C. Chen-Sankey
collection DOAJ
description Introduction: 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. Methods: 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. Results: 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. Conclusions: 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.
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spelling doaj.art-aa14c9c3b7134d30b04e2c62af4791932022-12-21T18:56:29ZengElsevierAddictive Behaviors Reports2352-85322020-12-0112100317Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19Julia C. Chen-Sankey0Aaron Broun1Danielle A. Duarte2Aniruddh Ajith3Bambi Jewett4Sabrina L. Smiley5Erin L. Mead-Morse6Mignonne C. Guy7Kelvin Choi8National Institute on Minority Health and Health Disparities, Division of Intramural Research, United States; Corresponding author at: 5E11, Building 3, 3 Center Drive, Bethesda, MD 20814, United States.National Institute on Minority Health and Health Disparities, Division of Intramural Research, United StatesNational Institute on Minority Health and Health Disparities, Division of Intramural Research, United StatesNational Institute on Minority Health and Health Disparities, Division of Intramural Research, United StatesNational Institute on Minority Health and Health Disparities, Division of Intramural Research, United StatesUniversity of Southern California, Keck School of Medicine, Department of Preventive Medicine, United StatesUniversity of Connecticut, School of Medicine, United StatesVirginia Commonwealth University, College of Humanities & Sciences, Department of African American Studies, United StatesNational Institute on Minority Health and Health Disparities, Division of Intramural Research, United StatesIntroduction: 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. Methods: 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. Results: 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. Conclusions: 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.http://www.sciencedirect.com/science/article/pii/S2352853220301322COVID-19Cigar smokingAfrican AmericanHealth disparitiesHealth equityIn-depth interviews
spellingShingle Julia C. Chen-Sankey
Aaron Broun
Danielle A. Duarte
Aniruddh Ajith
Bambi Jewett
Sabrina L. Smiley
Erin L. Mead-Morse
Mignonne C. Guy
Kelvin Choi
Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19
Addictive Behaviors Reports
COVID-19
Cigar smoking
African American
Health disparities
Health equity
In-depth interviews
title Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19
title_full Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19
title_fullStr Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19
title_full_unstemmed Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19
title_short Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19
title_sort exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of covid 19
topic COVID-19
Cigar smoking
African American
Health disparities
Health equity
In-depth interviews
url http://www.sciencedirect.com/science/article/pii/S2352853220301322
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