Journal Article

Prospective associations of COVID-related stress with vaping nicotine and cannabis among high school students: Mediated by vaping susceptibility

Bae, Dayoung, Albers, Larisa, Cho, Junhan, Unger, Jennifer B., Herzig, Shirin Emma, Ramirez, Carla Michelle, Lee, Ryan, Carvajal, Alberto, Soto, Daniel

2025

Overview

Adolescent e-cigarette and cannabis vaping have become significant public health concerns, with rates increasing in recent years. However, there is limited research on the impacts of COVID-related stress on adolescent vaping. This study examined the longitudinal impacts of COVID-related stress on adolescent e-cigarette and cannabis vaping, including the mediating role of vaping susceptibility (which measures a lack of a firm commitment not to use a substance). We examined the prospective associations of COVID-related stress during remote learning (2020–2021) with e-cigarette and cannabis vaping use two years later (2022–2023) through the mediation of vaping susceptibility (2021–2022) among a cohort of students recruited as ninth graders from nine public high schools across Los Angeles County and surveyed annually (N = 1,316). Higher levels of COVID-related stress were prospectively associated with increased susceptibility to vaping e-cigarettes (B = 0.04, p = .02) and cannabis (B = 0.04, p = .02) one year later, which in turn increased the odds of e-cigarette (B = 0.98, p = .003) and cannabis (B = 1.62, p < .001) vaping two years later. This study highlights the critical need for effective, school-based prevention programs to reduce susceptibility to vaping, particularly during periods of heightened stress or future crises.

• Publisher: Public Library of Science,PLOS,Public Library of Science (PLoS)
• Subject: Adolescent / Adolescents / Biology and Life Sciences / Cannabis / Cigarettes / COVID-19 / COVID-19 - complications / COVID-19 - epidemiology / COVID-19 - psychology / Distance education / Distance learning / Electronic cigarettes / Electronic Nicotine Delivery Systems / Epidemics / Female / Health aspects / High school students / Humans / Longitudinal Studies / Male / Marijuana / Marijuana Smoking - psychology / Mediation / Medicine and Health Sciences / Nicotine / People and Places / Physical Sciences / Prospective Studies / Psychological aspects / Public health / Research and Analysis Methods / Risk factors / SARS-CoV-2 / Schools / Smoking and youth / Social Sciences / Stress (Psychology) / Stress in children / Stress, Psychological - epidemiology / Stress, Psychological - psychology / Students / Students - psychology / Susceptibility / Teenagers / United States / Vaping / Vaping - epidemiology / Vaping - psychology