ArticleTobacco induced diseases2020
The double-edged relationship between COVID-19 stress and smoking: Implications for smoking cessation.
Article in Tobacco induced diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
124 citing papers in PubMed, 2 syntheses or guidelines pooled it, 210 citations in OpenAlex.
- Impact of COVID-19 lockdown on smoking and vaping: systematic review and meta-analysis.Public health · 2023Pooled it
- The Impact of the COVID-19 Pandemic on Smoking Consumption: A Systematic Review of Longitudinal Studies.Frontiers in psychiatry · 2022Pooled it
- Quit Experiences among Primary Care Patients Enrolled in a Smoking Cessation Pilot RCT Early in the COVID-19 Pandemic.International journal of environmental research and public health · 2021Trial
- Trial
- Changes in tobacco sales before, during, and after the COVID-19 pandemic in Japan: An interrupted time series analysis.PloS one · 2026Article
- Initiation of tobacco use during the pandemic: risk factors in the Brazilian context.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Vaping and smoking trajectories among youth and adults in the United States across the period 2014-2022.Frontiers in public health · 2026Article
- Demographic Trends and Disparities in Cigarette Consumption Among U.S. Older Adults, 2006-2022.Journal of racial and ethnic health disparities · 2025Article
- The Effects of State-Level Flavored Electronic Cigarette Restrictions on Adult Tobacco Use Using Multilevel Modeling: Findings From the PATH Study Waves 5 and 7 (2018-2023).Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- COVID-19, sense of control, and the rise of addictive behaviors: a study in Poland.Postepy psychiatrii neurologii · 2025Article
- Adherence to mHealth quit smoking application 'stopcoach' on top of evidence based smoking cessation counselling: association with participant characteristics and long-term abstinence.Substance abuse treatment, prevention, and policy · 2025Article
- Cigarette consumption from a life-course perspective in low- and middle-income countries.Bulletin of the World Health Organization · 2025Article
- Effect and acceptability of an mHealth smoking cessation intervention 'Stopcoach' combined with smoking cessation counseling for people from multiple levels of socioeconomic position: a multi-methods study.Substance abuse treatment, prevention, and policy · 2025Article
- Trends in Daily Cigarette Consumption Among Smokers: A Population Study in England, 2008-2023.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Prevalence and patterns of traditional and e-cigarette use, and factors associated with e-cigarette use.Frontiers in public health · 2025Article
- Impact of the COVID-19 pandemic on tobacco product consumption and behavioral patterns from a low-middle income country perspective: A qualitative study.Tobacco prevention & cessation · 2025Article
- Google Trends Assessment of Keywords Related to Smoking and Smoking Cessation During the COVID-19 Pandemic in 4 European Countries: Retrospective Analysis.Online journal of public health informatics · 2024Article
- Tobacco consumption behavior change during the COVID-19 pandemic is associated with perceived COVID threat.BMC public health · 2024Article
- Changes in the Success and Characteristics of Tobacco Dependence Treatment before and during the COVID-19 Pandemic: Clinical Sample Comparisons.Medicina (Kaunas, Lithuania) · 2024Article
- E-Cigarette Characteristics and Cigarette Cessation Among Adults Who Use E-Cigarettes.JAMA network open · 2024Article
64 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough recent research shows that smokers respond differently to the COVID-19 pandemic, it offers little explanation of why some have increased their smoking, while others decreased it. In this study, we examined a possible explanation for these different responses: pandemic-related stress.
methodsWe conducted an online survey among a representative sample of Dutch current smokers from 11-18 May 2020 (n=957). During that period, COVID-19 was six weeks past the (initial) peak of cases and deaths in the Netherlands. Included in the survey were measures of how the COVID-19 pandemic had changed their smoking, if at all (no change, increased smoking, decreased smoking), and a measure of stress due to COVID-19.
resultsOverall, while 14.1% of smokers reported smoking less due to the COVID-19 pandemic, 18.9% of smokers reported smoking more. A multinomial logistic regression analysis revealed that there was a dose-response effect of stress: smokers who were somewhat stressed were more likely to have either increased (OR=2.37; 95% CI: 1.49-3.78) or reduced (OR=1.80; 95% CI: 1.07-3.05) their smoking. Severely stressed smokers were even more likely to have either increased (OR=3.75; 95% CI: 1.84-7.64) or reduced (OR=3.97; 95% CI: 1.70-9.28) their smoking. Thus, stress was associated with both increased and reduced smoking, independently from perceived difficulty of quitting and level of motivation to quit.
conclusionsStress related to the COVID-19 pandemic appears to affect smokers in different ways, some smokers increase their smoking while others decrease it. While boredom and restrictions in movement might have stimulated smoking, the threat of contracting COVID-19 and becoming severely ill might have motivated others to improve their health by quitting smoking. These data highlight the importance of providing greater resources for cessation services and the importance of creating public campaigns to enhance cessation in this dramatic time.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.