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Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users
INTRODUCTION: Commercial tobacco (CT) users employ tobacco expenditure minimizing strategies (TEMS) to manage their CT expenditures. We examined how financial challenges and hardships during the COVID-19 pandemic relate to increases in TEMS use. METHODS: Data from a nationally representative sample...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659317/ https://www.ncbi.nlm.nih.gov/pubmed/36417791 http://dx.doi.org/10.1016/j.addbeh.2022.107547 |
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author | Zarei, Kasra Hamilton-Moseley, Kristen Chen-Sankey, Julia Phan, Lilianna Ajith, Aniruddh Hacker, Kiana Jewett, Bambi Choi, Kelvin |
author_facet | Zarei, Kasra Hamilton-Moseley, Kristen Chen-Sankey, Julia Phan, Lilianna Ajith, Aniruddh Hacker, Kiana Jewett, Bambi Choi, Kelvin |
author_sort | Zarei, Kasra |
collection | PubMed |
description | INTRODUCTION: Commercial tobacco (CT) users employ tobacco expenditure minimizing strategies (TEMS) to manage their CT expenditures. We examined how financial challenges and hardships during the COVID-19 pandemic relate to increases in TEMS use. METHODS: Data from a nationally representative sample of 1,700 U.S. adult recent former and current CT users were collected from an online panel during January–February 2021. Participants reported if they had increased use of eight TEMS to save money on CT since the pandemic, and experienced financial challenges (e.g., losing a job) and hardships (e.g., not having enough money to pay for food). The number of financial hardships experienced was counted (range: 0–6). Weighted multivariable logistic regression models were used to examine the associations between financial challenges and hardships and increased TEMS use, adjusting for demographics. RESULTS: Since the COVID-19 pandemic, three TEMS showed the largest increase in use by U.S. adult current and recent former CT users: cutting back (22.4%), finding less expensive places to purchase (15.6%), and buying by bulk (15.5%). Many financial challenges and hardships were consistently associated with increased uses of TEMS. Furthermore, every additional count of financial hardships was associated with higher odds of increasing use of each TEMS (AORs ranging between 1.12 and 1.23). CONCLUSIONS: Many CT users increased TEMS use to manage their CT expenditures when facing financial challenges and hardships during the pandemic. This could hinder CT cessation and promote relapse. Prohibiting certain TEMS (e.g., discount coupon and price promotions) may promote CT cessation among this financially vulnerable group. |
format | Online Article Text |
id | pubmed-9659317 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96593172022-11-14 Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users Zarei, Kasra Hamilton-Moseley, Kristen Chen-Sankey, Julia Phan, Lilianna Ajith, Aniruddh Hacker, Kiana Jewett, Bambi Choi, Kelvin Addict Behav Article INTRODUCTION: Commercial tobacco (CT) users employ tobacco expenditure minimizing strategies (TEMS) to manage their CT expenditures. We examined how financial challenges and hardships during the COVID-19 pandemic relate to increases in TEMS use. METHODS: Data from a nationally representative sample of 1,700 U.S. adult recent former and current CT users were collected from an online panel during January–February 2021. Participants reported if they had increased use of eight TEMS to save money on CT since the pandemic, and experienced financial challenges (e.g., losing a job) and hardships (e.g., not having enough money to pay for food). The number of financial hardships experienced was counted (range: 0–6). Weighted multivariable logistic regression models were used to examine the associations between financial challenges and hardships and increased TEMS use, adjusting for demographics. RESULTS: Since the COVID-19 pandemic, three TEMS showed the largest increase in use by U.S. adult current and recent former CT users: cutting back (22.4%), finding less expensive places to purchase (15.6%), and buying by bulk (15.5%). Many financial challenges and hardships were consistently associated with increased uses of TEMS. Furthermore, every additional count of financial hardships was associated with higher odds of increasing use of each TEMS (AORs ranging between 1.12 and 1.23). CONCLUSIONS: Many CT users increased TEMS use to manage their CT expenditures when facing financial challenges and hardships during the pandemic. This could hinder CT cessation and promote relapse. Prohibiting certain TEMS (e.g., discount coupon and price promotions) may promote CT cessation among this financially vulnerable group. Elsevier Ltd. 2023-03 2022-11-13 /pmc/articles/PMC9659317/ /pubmed/36417791 http://dx.doi.org/10.1016/j.addbeh.2022.107547 Text en © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Zarei, Kasra Hamilton-Moseley, Kristen Chen-Sankey, Julia Phan, Lilianna Ajith, Aniruddh Hacker, Kiana Jewett, Bambi Choi, Kelvin Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users |
title | Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users |
title_full | Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users |
title_fullStr | Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users |
title_full_unstemmed | Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users |
title_short | Financial challenges and hardship during the COVID-19 pandemic and tobacco expenditure minimizing strategies among U.S. adult commercial tobacco users |
title_sort | financial challenges and hardship during the covid-19 pandemic and tobacco expenditure minimizing strategies among u.s. adult commercial tobacco users |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659317/ https://www.ncbi.nlm.nih.gov/pubmed/36417791 http://dx.doi.org/10.1016/j.addbeh.2022.107547 |
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