Evidence map›Paper›PMID 32798097›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2020

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

Shivani Mathur Gaiha, Jing Cheng, Bonnie Halpern-Felsher

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 186 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
186citing papers in PubMed, 7 pooled it
35.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

186 citing papers in PubMed, 7 syntheses or guidelines pooled it, 338 citations in OpenAlex.

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  6. Sex Differences and Clinical Outcomes of Patients with Coronavirus Disease 2019 Infection and Cerebral Venous Sinus Thrombosis: A Systematic Review.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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  8. Identifying Promising Themes for Adolescent Vaping Warnings: A National Experiment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Trial
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  16. Trends in Social Norms Toward Cigarette Smoking and E-cigarette Use Among U.S. Youth Between 2015 and 2021.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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126 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Shivani Mathur GaihaDivision of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, California.
Jing ChengDivision of Oral Epidemiology and Dental Public Health, University of California, San Francisco, San Francisco, California.
Bonnie Halpern-FelsherDivision of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, California. Electronic address: bonnie.halpernfelsher@stanford.edu.
Stanford University · USUniversity of California, San Francisco · US

Funding

PROJECT 5: IMPACT OF CHANGING TOBACCO PRODUCT USE ON HEALTHCARE COSTS FOR GENERAL AND VULNERABLE POPULATIONSU54HL147127 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LING, PAMELA MAY · 2018 to 2022
$20.4M
NHLBI NIH HHS U54 HL147127
6 · The paper itself

Abstract

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.

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.

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).

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.

Indexed as

Adolescent BehaviorAdolescentBetacoronavirusCigarette SmokingCoronavirus InfectionsCOVID-19Cross-Sectional StudiesElectronic Nicotine Delivery SystemsFemaleHumansMalePandemicsPneumonia, ViralRisk FactorsSARS-CoV-2Surveys and QuestionnairesCommunicable diseaseCoronavirusCOVIDElectronic cigaretteInfectious diseaseLungPandemicSmokingTobacco

Identifiers

PMID32798097
PMCPMC7417895
OpenAlexW3048369856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.