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Randomized Controlled Trial
. 2022 Jul-Aug;54(3):199-206.
doi: 10.1080/02791072.2021.2013583. Epub 2021 Dec 20.

Serious Psychological Distress Is Associated with Higher Intentions to Quit among Smokers during the COVID-19 Pandemic

Victoria Churchill  1 , Hue Trong Duong  2 , Zachary B Massey  3 , Lucy Popova  1
Affiliations
Randomized Controlled Trial

Serious Psychological Distress Is Associated with Higher Intentions to Quit among Smokers during the COVID-19 Pandemic

Victoria Churchill et al. J Psychoactive Drugs. 2022 Jul-Aug.

Abstract

COVID-19 has increased the rates of serious psychological distress (SPD) among the general population. However, the SPD among smokers during the pandemic remains understudied. In a parent study, 1,004 U.S. adult smokers with and without SPD were randomized to view messages about COVID-19 risk, smoking risk, combined COVID-19 and smoking risk, or control. Outcomes were smoking quit intentions and COVID-19 protective behavior intentions. We analyzed the prevalence of SPD among current smokers; the associations between SPD, personal characteristics, and smoking and COVID-19 protective behavioral intentions; and whether SPD moderated the effect of messages about risks of smoking and COVID-19.Thirty-six percent of smokers met the criteria for SPD. Odds of having SPD were higher for older, everyday smokers, who had COVID-19, had poor health and conservative ideology. Smokers with SPD were significantly more likely to report intentions to quit smoking and seek counseling than smokers without SPD, controlling for demographics, readiness to quit, and message condition. SPD was not significantly related to COVID-19 protective intentions. The interactions between SPD and messages were nonsignificant. During the pandemic, smokers with SPD may be motivated to quit smoking, which provides an opportunity for targeted interventions to increase quit attempts.

Keywords: COVID-19; Tobacco; psychological distress; smoking quit intentions.

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Conflict of interest statement

Declaration of Interest: All authors declare no conflicts of interest.

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