Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19

This study aimed to assess whether youth cigarette and electronic cigarette (e-cigarette) use are associated with coronavirus disease 2019 (COVID-19) symptoms, testing, and diagnosis. An online national survey of adolescents and young adults (n = 4,351) aged 13–24 years was conducted in May 2020. Mu...

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Bibliographic Details
Published in:Journal of adolescent health Vol. 67; no. 4; pp. 519 - 523
Main Authors: Gaiha, Shivani Mathur, Cheng, Jing, Halpern-Felsher, Bonnie
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.10.2020
Elsevier BV
Society for Adolescent Health and Medicine
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ISSN:1054-139X, 1879-1972, 1879-1972
Online Access:Get full text
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Summary:This study aimed to assess whether youth cigarette and electronic cigarette (e-cigarette) use are associated with coronavirus disease 2019 (COVID-19) symptoms, testing, and diagnosis. An online national survey of adolescents and young adults (n = 4,351) aged 13–24 years was conducted in May 2020. Multivariable logistic regression assessed relationships among COVID-19–related symptoms, testing, and diagnosis and cigarettes only, e-cigarettes only and dual use, sociodemographic factors, obesity, and complying with shelter-in-place. COVID-19 diagnosis was five times more likely among ever-users of e-cigarettes only (95% confidence interval [CI]: 1.82–13.96), seven times more likely among ever-dual-users (95% CI: 1.98–24.55), and 6.8 times more likely among past 30-day dual-users (95% CI: 2.40–19.55). Testing was nine times more likely among past 30-day dual-users (95% CI: 5.43–15.47) and 2.6 times more likely among past 30-day e-cigarette only users (95% CI: 1.33–4.87). Symptoms were 4.7 times more likely among past 30-day dual-users (95% CI: 3.07–7.16). COVID-19 is associated with youth use of e-cigarettes only and dual use of e-cigarettes and cigarettes, suggesting the need for screening and education.
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ISSN:1054-139X
1879-1972
1879-1972
DOI:10.1016/j.jadohealth.2020.07.002