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How Has COVID-19 Lockdown Impacted Smoking? A Thematic Analysis of Written Accounts from UK Smokers

Grogan, Sarah and Walker, Lucy and McChesney, Gillian and Gee, Ivan and Gough, Brendan and Cordero, Maria I (2020) How Has COVID-19 Lockdown Impacted Smoking? A Thematic Analysis of Written Accounts from UK Smokers. Psychology and Health: an international journal. ISSN 0887-0446 (In Press)

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Objective. This study was designed to investigate UK smokers’ accounts of impacts of COVID-19 on their smoking, to develop implications for supporting smoking cessation. Design. One hundred and thirty-two smokers aged 19-52 years (mean age 25 years), recruited through an advert distributed through social media and a dedicated Twitter page, completed an anonymous online questionnaire. Main Outcome Measures. Smokers produced written accounts of how COVID-19 had impacted their smoking. Responses were of unlimited length and completed online 22nd May-22nd June 2020 during UK COVID-19 lockdown. Results. Inductive thematic analysis generated three themes: i) increased smoking as a coping mechanism to deal with anxiety, boredom, stress, and anger in COVID-19 lockdown; ii) lockdown as enabling quitting through lifting social barriers and enabling a focus on health benefits; and iii) no change, avoiding Government/media COVID-19 information due to disbelief, lack of trust, and perceptions of bias. Conclusions. Results demonstrate a need for credible public health messaging on COVID-19 risk aimed at smokers. Implications for supporting smoking cessation are discussed, including maintaining quitting in those “social smokers” who quit during lockdown, and support on stress-management and emotion regulation in those who use smoking as a way to cope with stress, anger, and boredom.

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