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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Vydané v:	Journal of adolescent health Ročník 67; číslo 4; s. 519 - 523
Hlavní autori:	Gaiha, Shivani Mathur, Cheng, Jing, Halpern-Felsher, Bonnie
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Elsevier Inc 01.10.2020 Elsevier BV Society for Adolescent Health and Medicine
Predmet:	Adolescent Adolescent Behavior Adolescents Adults Betacoronavirus Children & youth Cigarette Smoking - adverse effects Cigarette Smoking - epidemiology Cigarettes Communicable disease Coronavirus Coronavirus Infections - etiology COVID COVID-19 Cross-Sectional Studies Diagnostic tests Electronic cigarette Electronic cigarettes Electronic Nicotine Delivery Systems Female Humans Infectious disease Lung Male Medical diagnosis Medical screening Obesity Original Pandemic Pandemics Pneumonia, Viral - etiology Polls & surveys Risk Factors SARS-CoV-2 Smoking Smoking cessation Sociodemographics Surveys and Questionnaires Symptoms Tobacco Vaping Vaping - adverse effects Vaping - epidemiology Young Adult Young adults Youth United States > US COVID Infectious disease Tobacco Coronavirus Lung Pandemic Communicable disease Electronic cigarette Smoking
ISSN:	1054-139X, 1879-1972, 1879-1972
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Abstract	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.
AbstractList	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. Purpose: 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. Methods: 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. Results: 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). Conclusions: 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. 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.PURPOSEThis 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.METHODSAn 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).RESULTSCOVID-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.CONCLUSIONSCOVID-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.
Author	Gaiha, Shivani Mathur Halpern-Felsher, Bonnie Cheng, Jing
Author_xml	– sequence: 1 givenname: Shivani Mathur surname: Gaiha fullname: Gaiha, Shivani Mathur organization: Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, California – sequence: 2 givenname: Jing surname: Cheng fullname: Cheng, Jing organization: Division of Oral Epidemiology and Dental Public Health, University of California, San Francisco, San Francisco, California – sequence: 3 givenname: Bonnie surname: Halpern-Felsher fullname: Halpern-Felsher, Bonnie email: bonnie.halpernfelsher@stanford.edu organization: Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, California
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32798097$$D View this record in MEDLINE/PubMed
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Copyright	2020 Society for Adolescent Health and Medicine Copyright © 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. Copyright Elsevier BV Oct 2020 2020 Society for Adolescent Health and Medicine. All rights reserved. 2020 Society for Adolescent Health and Medicine
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Keywords	COVID Infectious disease Tobacco Coronavirus Lung Pandemic Communicable disease Electronic cigarette Smoking
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License	Copyright © 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
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Snippet	This study aimed to assess whether youth cigarette and electronic cigarette (e-cigarette) use are associated with coronavirus disease 2019 (COVID-19) symptoms,... Purpose: This study aimed to assess whether youth cigarette and electronic cigarette (e-cigarette) use are associated with coronavirus disease 2019 (COVID-19)...
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SubjectTerms	Adolescent Adolescent Behavior Adolescents Adults Betacoronavirus Children & youth Cigarette Smoking - adverse effects Cigarette Smoking - epidemiology Cigarettes Communicable disease Coronavirus Coronavirus Infections - etiology COVID COVID-19 Cross-Sectional Studies Diagnostic tests Electronic cigarette Electronic cigarettes Electronic Nicotine Delivery Systems Female Humans Infectious disease Lung Male Medical diagnosis Medical screening Obesity Original Pandemic Pandemics Pneumonia, Viral - etiology Polls & surveys Risk Factors SARS-CoV-2 Smoking Smoking cessation Sociodemographics Surveys and Questionnaires Symptoms Tobacco Vaping Vaping - adverse effects Vaping - epidemiology Young Adult Young adults Youth
Title	Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19
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