{"doi":"10.1177/00333549251372048","title":"Pandemic-Related Worries and Stressors and Use of Tobacco and Alcohol Among Postpartum Women in the United States Early in the COVID-19 Pandemic","abstract":"OBJECTIVES: Pandemic-related worries and stressors were common during the COVID-19 pandemic. The objective of this study was to examine pandemic-related worries and stressors in relation to tobacco and alcohol use among postpartum women in the United States early in the COVID-19 pandemic. METHODS: From May through June 2020, 792 postpartum women in the United States completed an electronic survey, the COVID-19: Health in Pregnancy and Postpartum Study. The survey assessed pandemic-related worries by using a summary score of 10 items and pandemic-related stressors by using 4 items. The primary outcomes were tobacco and alcohol use. Secondary outcomes were increased amounts of tobacco and alcohol during the pandemic among participants who used tobacco and/or alcohol. We used logistic regression models to examine the association of pandemic-related worries and stressors with each outcome. RESULTS: Among postpartum women, 24.4% used tobacco and 27.8% used alcohol. Pandemic-related worries were associated with higher odds of tobacco use (adjusted odds ratio [AOR] = 1.08; 95% CI, 1.04-1.13), alcohol use (AOR = 1.09; 95% CI, 1.05-1.13), and using both tobacco and alcohol postpartum (AOR = 1.13; 95% CI, 1.07-1.20). Both worries and stressors were associated with increased tobacco use (AOR for worries = 1.08; 95% CI, 1.01-1.16; AOR for stressors = 2.00; 95% CI, 1.33-3.00) but not with increased alcohol use. CONCLUSIONS: The association between pandemic-related worries and stressors and tobacco use underscores the need for health promotion interventions among postpartum women to reduce tobacco use. Developing pandemic-related interventions now for use in future pandemics to alleviate pandemic-related worries and stressors experienced by postpartum women is warranted.","journal":"Public Health Reports","year":2025,"id":579520,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7934,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":510379,"name":"Jihong Liu","orcid":"0000-0001-8685-3036","position":1,"is_corresponding":false},{"id":353056,"name":"Peiyin Hung","orcid":"0000-0002-1529-0819","position":2,"is_corresponding":false},{"id":347017,"name":"Anwar T. Merchant","orcid":"0000-0003-1045-5079","position":3,"is_corresponding":false},{"id":342054,"name":"Anthony J. Alberg","orcid":"0000-0002-3777-0266","position":4,"is_corresponding":false},{"id":1489686,"name":"Xuanxuan Zhu","orcid":"0009-0000-3056-1894","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T02:58:30.282164Z","pmid":"41165289","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}