Did You Know – Vaping linked to COVID-19 risk in teens and young adults


Vaping linked to COVID-19 risk in teens and young adults

[From Stanford Medicine] – Data collected in May shows that teenagers and young adults who vape face a much higher risk of COVID-19 than their peers who do not vape, Stanford researchers found.

The study, which was published online Aug. 11 in the Journal of Adolescent Health, is the first to examine connections between youth vaping and COVID-19 using U.S. population-based data collected during the pandemic.

Among young people who were tested for the virus that causes COVID-19, the research found that those who vaped were five to seven times more likely to be infected than those who did not use e-cigarettes.

Did You Know: Arrest During Emerging Adulthood Can Impact Smoking Behavior of African Americans

A newly published study examined how arrest during emerging adulthood altered smoking behavior during subsequent years and whether there were differential effects by race/ethnicity and gender. Researchers analyzed 15 waves of data from the National Longitudinal Survey of Youth 1997.
Findings included:
  • For both genders, arrested black men and women had the most distinct smoking transitions (both increases and decreases) as compared with their non-arrested counterparts.
  • Among men, particularly black males, arrest in early adulthood was associated with the men transitioning to both increased and decreased smoking.
  • Patterns in smoking transitions for women were less clear, suggesting that women’s smoking may be influenced by factors not in the models.
  • Women had a low probability of starting to smoke or increasing smoking if they were never arrested between 18 and 21 years of age.

The researchers conclude that transitioning into increased smoking offers some support for labeling theory processes. Other findings suggest that arrest may lead to some men reducing or quitting smoking. Early adulthood arrest may serve to “shock the system” and contribute to males altering their prior smoking behavior. Because criminal justice policymakers tend to focus on issues like ex-offender unemployment, public health officials can provide guidance regarding the effect of justice system involvement on smoking, particularly given the adverse health outcomes of using cigarettes.

Source: Hassett-Walker & Shadden (2020). Examining Arrest and Cigarette Smoking in Emerging Adulthood. Tobacco Use Insights, 13: 1179173X20904350.

Some Community Updates You Should Know About



Paid Media Planning Webinar Series

As previously announced, the California Tobacco Control Program’s (CTCP) regional in-person Paid Media Planning Trainings have been canceled. In their place, CTCP’s Media Unit is hosting a two-part series of webinar trainings. The webinars will feature much of the same content as the trainings and build on the 2018 Paid Media Technical Assistance Sessions and Communications Plan Trainings to offer attendees a deeper look into best practices of paid media. All CTCP-funded partners are invited to attend. Please see below for dates and times:
Paid Media Planning: Aligning Media and Campaign Efforts Webinar | Tuesday, July, 14 from 10:00-11:30 am
Topics will include aligning paid media to best support project objectives and building communications plans.
Paid Media Planning: Paid Social and Digital Media Webinar | Tuesday, July 21 from 10:00-11:30 am
Topics will include digital tactics to consider at the local level and paid social media.
For details and to register, please visit: http://www.cvent.com/d/hnq6h8.

For more information, please contact Amelia Anderson, 916-449-5470


webinar picWebinar: New Way To Submit TA Requests and Refresher On Tobacco Education Clearinghouse Of California (TECC) Services

Starting June 1, 2020 TECC will implement a new way to submit technical assistance (TA) requests!
Please join us on this webinar: TECC Support 101: Technical Assistance for Educational Material Development on Wednesday, June 3, 2020 from 2:00PM – 3:00 PM to learn about how to submit TA requests in MatTrack and the services we provide for your educational material needs. This webinar is great for new and existing projects.

For more information, please contact Claudia Medina, (916) 883-0116


nicotine patchOver 1500 Free Nicotine Patches Mailed To Eligible Smokers Who Called The Helpline

The California Smokers’ Helpline sent out 1,500 two-week nicotine patch starter kits to eligible smokers over the past month. Thank you for continuing to promote the Helpline and this offer in your community. Let’s keep the momentum going to help people quit!
Cigarette smokers over 18-years-old who call 1-800-NO-BUTTS (1-800-662-8887) can receive a free, two-week starter kit of nicotine patches mailed to their home, while supplies last. The nicotine patches are made possible through a Tobacco-Related Disease Research Program grant.
CA Quits collaborated with several Statewide Coordinating Centers to develop flyers tailored to different populations. Download the flyers here: https://cdn2.hubspot.net/hubfs/131650/CSH-NRT-Starter-Flyer.pdf

For more information, please contact Lesley Phillips, (858) 3001051

Did You Know: Less Than Half of Teachers and Parents Know What a JUUL Looks Like


Electronic cigarette use, including JUUL, has risen to epidemic levels among high school and middle school students in the United States. Schools serve as a key environment for prevention and intervention efforts to address e-cigarette use, yet little is known about the awareness of and response to e-cigarettes in schools. A newly published study of middle and high school teachers and administrators (n = 1,420) measured JUUL awareness, e-cigarette policies, and barriers to enforcement in schools.


Findings included:

  • While two thirds of respondents had heard of a product called JUUL (68%), less than half accurately identified a photo of a JUUL as a vaping device/e-cigarette (47%).
  • Awareness of JUUL (81%) was higher among high school teachers (83%) than among middle school teachers (78%).
  • A large majority of respondents reported that their school had an e-cigarette policy (83%), but less than half of the sample worked in a school with a policy that specifically included JUUL (43%).
  • Those working in a school with an e-cigarette policy in place noted that e-cigarettes’ discreet appearance (66%) and difficulties in identifying origin of vapor or scent (46%) made the policy difficult to enforce.


The researchers concluded that efforts to increase middle and high school staff awareness of the ever-evolving e-cigarette market are essential to help prevent youth use.


Source: Schillo et al. (2019). JUUL in School: Teacher and Administrator Awareness and Policies of E-Cigarettes and JUUL in U.S. Middle and High Schools. Health Promotion Practice, Sept 18. [Epub ahead of print]


Did You Know: Nicotine Dependence Is Linked To Cannabis Use Disorder Symptoms In Youth


A recently published study examined if cigarette smoking and/or nicotine dependence predicts cannabis use disorder symptoms among adolescent and young adult cannabis users and whether the relationships differ based on frequency of cannabis use. Data were drawn from seven annual surveys of the NSDUH to include adolescents and young adults (age 12-21) who reported using cannabis at least once in the past 30 days (n = 21,928).


Findings included:

  • Over half of current cannabis users also smoked cigarettes in the past 30 days (55%).
  • Cigarette smoking in the past 30 days was associated with earlier onset of cannabis use, more frequent cannabis use and a larger number of cannabis use disorder symptoms compared to those who did not smoke cigarettes.
  • Nicotine dependence but not cigarette smoking quantity or frequency was positively and significantly associated with each of the cannabis use disorder symptoms, as well as the total number of cannabis symptoms.

The researchers concluded that prevention and treatment efforts should consider cigarette smoking comorbidity when addressing the increasing proportion of the US population that uses cannabis.


Source: Dierker et al. (2018). Nicotine dependence predicts cannabis use disorder symptoms among adolescents and young adults. Drug and Alcohol Dependence, Apr 16;187:212-220. doi: 10.1016/j.drugalcdep.2018.02.037. [Epub ahead of print]

Did You Know: Among Sexual and Gender Minority Youth Smoking May Mean Having Control


A newly published study examined the meanings that sexual and gender minority youth ascribe to their tobacco use and how those meanings are shaped by the circumstances and structures of their everyday lives. This article is based on analysis of 58 in-depth qualitative interviews conducted with sexual and gender minority youth living in the San Francisco Bay area. The narratives illustrate how smoking signifies “control” in a multitude of ways, including taking control over an oppressor, controlling the effects of exposure to traumatic or day-to-day stress, and exerting control over the physical body in terms of protecting oneself from violence or defending one’s mental health. The authors conclude that these findings call into question the universal appropriateness of foundational elements that underlie tobacco control and prevention efforts directed at youth in the USA, specifically the focus on abstinence and future orientation.


Source: Antin et al. (2018). The “here and now” of youth: the meanings of smoking for sexual and gender minority youth. Harm Reduction Journal, May 31;15(1):30. doi: 10.1186/s12954-018-0236-8.

Did You Know? Flavors Like Menthol/Mint, Fruit and Candy Appeal to Young Tobacco Users


A recently published study examined youth preference for flavored tobacco products.

Findings included:

  • Prevalence of flavored tobacco product use was highest among youth, followed by young adults and adult 25+.
  • Within each age group, flavored use was greatest among hookah, e-cigarette and snus users.
  • Overall, menthol/mint, fruit and candy/sweet were the most prevalent flavor types at first and past 30-day use across age groups.
  • For past 30-day use, all flavor types except menthol/mint exhibited an inverse age gradient, with more prevalent use among youth and young adults, followed by adults 25+.
  • Prevalence of menthol/mint use was high (over 50% youth, young adults; 76% adults 25+).
  • Brand-categorized and self-reported flavor use measures among adults 18+ were moderately to substantially concordant across most products.


The researchers concluded that these findings can inform tobacco flavor regulations to address flavor appeal especially among youth.


Source: Rose et al. (2019). Flavour types used by youth and adult tobacco users in wave 2 of the Population Assessment of Tobacco and Health (PATH) Study 2014-2015. Tobacco Control, Sep 21. [Epub ahead of print]

LOOP Director Dr. Valerie Yerger Speaks to Cal Poly Students about Tobacco-Related Health Disparities

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On February 13, 2020, Dr. Yerger had the opportunity to “wake up” undergraduate students from various disciplines at the Cal Poly San Luis Obispo campus to tobacco-related health disparities. Her talk was part of Cal Poly’s “Inclusion Starts With Me” teach-in workshop.

As the California Tobacco Control Program is moving towards its EndGame, where the goal is to reach a statewide 0% smoking prevalence by the year 2035, Dr. Yerger is committed to there being no one “left behind.” An analogy she often references is that the EndGame is like a powerful, fast-moving locomotive, with a seat for everyone, that has already left the station. Dr. Yerger believes that to fill these seats, it is imperative to engage with priority populations, to reach out to non-traditional partners, and to inspire those who have not considered working in tobacco control to rethink their future career paths.


The LOOP Team is continually working toward the EndGame of 2035!

Young Adults’ Secondhand Smoke Exposure in San Francisco’s Multi-Unit Housing

sf housing

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A newly published study evaluated young adults’ exposure to drifting secondhand smoke in San Francisco County housing units using the 2014 Bay Area Young Adult Health Survey (N = 1363). Specifically, the study examined whether residing in multiunit housing or in areas with greater neighborhood disorder were risk factors for exposure, and how drifting smoke exposure varied spatially within San Francisco County.


Findings included:

  • Residing in buildings with five or more units significantly increased the odds of reporting drifting smoke exposure.
  • Neighborhood disorder was significantly associated with exposure in lower income residential and downtown areas.
  • Multiunit housing was significantly associated with exposure across all neighborhoods.


Source: Holmes et al. (2019). Drifting Tobacco Smoke Exposure among Young Adults in Multiunit Housing. Journal of Community Health, Sep 18. [Epub ahead of print]


Did You Know? Youngest Teens (11-14) More Supportive of Tobacco 21


Tobacco 21 (T21) is a population-based strategy to prevent tobacco initiation. A majority of U.S. youths support T21; however, the extent to which individual, interpersonal, and community factors influence T21 support is uncertain. A newly published study examined predictors of T21 support among U.S. youth. Data from the 2015 National Youth Tobacco Survey were analyzed.


Findings included:

·         Among nonusers, students least receptive to peer influence, those youngest in age (11-14 years) and those who believe tobacco is dangerous had higher odds of T21 support.

·         Among users, lower odds of T21 support were observed among those who purchased tobacco and accessed tobacco through social sources or other means in the past 30 days.

·         Younger tobacco users (11-14 years), black, non-Hispanic users, e-cigarette users, and users who believe that tobacco is dangerous had higher odds of T21 support.


The researchers concluded that low receptivity to peer influence and lack of access to tobacco products are associated with T21 support.

Source: Glover-Kudon et al. (2019). Association of Peer Influence and Access to Tobacco Products With U.S. Youths’ Support of Tobacco 21 Laws, 2015. Journal of Adolescent Health, 65(2), 202-209.