ArticleTobacco use insights2021
Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.
Article in Tobacco use insights, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- [Impact of the COVID-19 pandemic on cannabis use in young adults and general population: a systematic review].Revista espanola de salud publica · 2023Pooled it
- Substance Use Among Youth During the COVID-19 Pandemic: a Systematic Review.Current psychiatry reports · 2022Pooled it
- E-cigarette and cannabis use and co-use patterns and dependence trajectories among young adults in the United States.Addiction (Abingdon, England) · 2026Article
- Temporal Patterns of Alcohol- and Drug-Related Overdoses During the COVID-19 Pandemic: A National EMS-Based Study by Age and Gender in Israel.International journal of environmental research and public health · 2026Article
- Trauma led us to substance use: an interpretative phenomenological analysis of refugee youth experiences with substance use during the COVID-19 pandemic in Uganda.BMJ public health · 2026Article
- Initial impacts of the COVID-19 pandemic on tobacco use among college students in California.Journal of American college health : J of ACH · 2025Article
- Article
- Motivations for Tobacco, Cannabis, and Their Co-Use Among U.S. Young Adults Who Engage in Same-Day Co-Use.Substance use & misuse · 2025Article
- Depression and anxiety mediate the relationship between COVID-19 stay-at-home orders and tobacco and marijuana use.PloS one · 2025Article
- Associations Between U.S. High-School Student and Parental Job Loss During the COVID-19 Pandemic and Student Substance Use: Adolescent Behaviors and Experiences Survey (ABES), 2021.Substance use & misuse · 2025Article
- On the rise or a return to pre-pandemic levels? A cross-sectional online survey on nicotine, alcohol, and illicit drug use among youth.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2024Article
- Hunger and housing: Economic disparities in current and daily tobacco use among high school students in the United States in 2021.Preventive medicine reports · 2024Article
- Cannabis use among adolescents and young adults during the COVID-19 pandemic: A systematic review.Drug and alcohol dependence reports · 2024Review
- Immigration status-related exclusive e-cigarette use and cannabis use and their dual use disparities associated with mental health disorder symptoms.Drug and alcohol dependence · 2024Article
- Anxiety as a predictor of the age of initiation of tobacco and cannabis use in adolescents and young adults.Addictive behaviors · 2024Article
- Youth perception of difficulty accessing cannabis following cannabis legalization and during the early and ongoing stages of the COVID-19 pandemic: repeat cross-sectional and longitudinal data from the COMPASS study.Archives of public health = Archives belges de sante publique · 2023Article
- Changes in self-reported cannabis use during the COVID-19 pandemic: a scoping review.BMC public health · 2023Article
- Associations over the COVID-19 pandemic period and the mental health and substance use of youth not in employment, education or training in Ontario, Canada: a longitudinal, cohort study.Child and adolescent psychiatry and mental health · 2023Article
- Dopamine D1-like receptor activation decreases nicotine intake in rats with short or long access to nicotine.Addiction biology · 2023Article
- The Association Between Tobacco and Cannabis Use and the Age of Onset of Depression and Anxiety Symptoms: Among Adolescents and Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundStudies show smoking and vaping behaviors increase risk of contracting and worse symptoms of COVID-19. This study examines whether past 30-day youth and young adult users of marijuana, e-cigarettes, and cigarettes self-reported changes in their use of these substances due to the COVID-19 pandemic; and cross-sectional associations between perceived stress, nicotine or marijuana dependence, and COVID-19-related changes in use.
methodsParticipants were 709 past 30-day self-reported substance users from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS; mean age = 19; 58% female; 38% Hispanic, 35% white). Multiple logistic regression models assessed cross-sectional associations between perceived stress and dependence and increased, decreased, or sustained past 30-day use of marijuana, e-cigarettes, and cigarettes due to COVID-19 (e.g., "Has your marijuana use changed due to the COVID-19 outbreak?"). Covariates included age, race/ethnicity, socio-economic status (SES), dependence (exposure: stress), and stress (exposure: dependence).
resultsMost participants reported sustained (41%, 43%, 49%) or increased (37%, 34%, 25%) use of marijuana, e-cigarettes, and cigarettes due to COVID-19, respectively. Participants who reported symptoms of dependence were significantly more likely than their non-dependent peers to report increasing their marijuana (AOR: 1.66; 95% CI: 1.15-2.39) and e-cigarette (AOR: 2.57; 95% CI: 1.38-4.77) use. Those who reported higher perceived stress were significantly more likely to report increasing their marijuana use (AOR: 1.55; 95% CI: 1.01-2.42).
conclusionsMost youth and young adults did not decrease their substance use amid a global, respiratory disease pandemic. Health messaging and interventions that address the health effects of smoking and vaping as well as factors like stress and dependence that may be barriers to decreasing use are vital in curbing the COVID-19 pandemic.
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Registered trials
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.