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

被引:9
作者
Schnitzer, Kristina [1 ,2 ,3 ]
Jones, Sarah [1 ]
Kelley, Jennifer H. K. [1 ,4 ]
Tindle, Hilary A. [5 ,6 ]
Rigotti, Nancy A. [1 ,3 ,4 ,5 ,6 ,7 ]
Kruse, Gina R. [1 ,3 ,7 ]
机构
[1] Massachusetts Gen Hosp, Tobacco Res & Treatment Ctr, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[3] Harvard Med Sch, Boston, MA 02115 USA
[4] Massachusetts Gen Hosp, Hlth Policy Res Ctr, Mongan Inst, Boston, MA 02114 USA
[5] Vanderbilt Univ, Med Ctr, Nashville, TN 37232 USA
[6] Vet Affairs Tennessee Valley Healthcare Syst, Geriatr Res Educ & Clin Ctr GRECC, Nashville, TN 37212 USA
[7] Massachusetts Gen Hosp, Dept Med, Div Gen Internal Med, Boston, MA 02114 USA
关键词
COVID-19; smoking cessation; qualitative interviews; Transactional Model of Stress; CIGARETTES; SEPTEMBER-11; CONSUMPTION; RESIDENTS; MARIJUANA; OPTIMISM; ALCOHOL; ANXIETY;
D O I
10.3390/ijerph18105404
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
(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.
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页数:12
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