Toronto Star

Altria lights up under pandemic

Trend of declining cigarette sales seems to be over.

- Christine Sismondo Twitter: @sismondo

Earlier this year, the Marlboro man announced he was making a comeback.

Well, to be clear, Altria Group Inc., which makes Marlboros, released the news that the trend of declining cigarette sales, which it has experience­d for decades, has come to an end, likely due to COVID-19.

On the face of it, this is unsurprisi­ng news, given that we’ve all heard that people are consuming more cannabis and drinking more alcohol to cope with boredom, stress and loneliness with their drug of choice.

“I don’t have empirical data,” says Natacha Duke, a registered psychother­apist with Cleveland Clinic Canada and Bhatia Psychology Group. “But I can say from my clinical experience that smoking has increased, the same way that alcohol use and problemati­c eating behaviour has increased during the pandemic, as well as other types of habits that might not be best for our health.

“I think it’s partly due to this sense of Groundhog Day, especially now that it’s almost a year into this,” she continues. “The boredom is real.”

That said, the pandemic hasn’t necessaril­y affected smoking rates in a uniform and predictabl­e way around the world. In the United Kingdom, it looks as if people went the other way, with record numbers of people quitting smoking in 2020, some of whom were motivated by concerns over lung damage and negative COVID-19 outcomes.

So which way are Canadians going? Well, we don’t have all the numbers yet. One Canadian survey on tobacco was delayed due to the pandemic and another, more general, community health survey has been completed, but we won’t see the results until spring.

While we wait, there are two sets of data that might give us a clue. The first is a Statistics Canada survey that offers a snapshot of how people were coping at the outset of the pandemic: late March and early April 2020. Canadians were polled about changes in their tobacco consumptio­n and three per cent reported they were smoking more, but three per cent said they were smoking less. So is it a wash?

“The thing about COVID-19 is that it really depends on when you do the survey,” says David Hammond, professor and university research chair at the School of Public Health at the University of Waterloo. “In 2020, in most parts of Canada, basically it was hard lockdowns in March and April and then opening in the summer, and then back to hard lockdowns again towards the end of the year, so it matters when people tried to measure consumptio­n.”

The Retail Commodity Survey from Statistics Canada gives us a wider lens, in that it offers tobacco sales from most of 2020, which can be compared with 2019’s numbers. Tobacco sales are up for 2020, but we should be cautious about making too much of that, given that these aren’t the numbers most researcher­s use.

Plus, there are all sorts of reasons consumptio­n could appear higher at certain points, including switching to cigarettes from vapes, stockpilin­g and the fact that the pandemic changed the way a lot of people shop, especially for drugs like tobacco, alcohol and cannabis.

“Legal cannabis sales look to have increased, but one question is: ‘What’s happening to illegal sales?’ ” says Hammond. “COVID-19 may have given a big boost to legal cannabis stores, since maybe people didn’t want to go meet some dude in the alley, especially once retailers were allowed to ship directly to consumers.”

Since a lot of people buy their cigarettes from the “unregulate­d” market (also called counterfei­t cigarettes, which are cheaper), the cannabis sales hypothesis might be applicable to tobacco as well. People might have found contraband sources cut off or too inconvenie­nt during the lockdowns. There are a lot of factors complicati­ng things or, as Hammond says, “the short, easy answer is that there’s no short, easy answer.”

There are solutions for people looking to curb their use, however. Duke suggests smokers seek out the help of a therapist or call the Smoker’s Helpline, which has a lot of great resources. And Duke says it’s not just boredom that is causing a range of problemati­c behaviours, since stress, anxiety and loneliness are other significan­t factors that the pandemic is exacerbati­ng.

If you’ve ever read Allen Carr’s “Easy Way to Stop Smoking” though, you know that cigarettes only give the illusion of reducing stress. Cigarettes actually feed tension and anxiety and make the problems worse. So, instead of lighting up, Duke suggests a little soul-searching.

“I think it’s really important right now to pause and identify and acknowledg­e what you’re feeling, whether you are bored or lonely or anxious or stressed,” she advises.

“If we don’t acknowledg­e what we’re feeling, we can’t take steps to improve it in healthy ways and think about some healthier coping strategies.”

And, finally, to wrap up this complicate­d story, we leave you with a little good news on the smoking front: Although the national surveys aren’t complete, Hammond says that the University of Waterloo’s research indicates one specific group is smoking less since the pandemic began: adolescent­s.

“As part of our research, we’ve done surveys with youth every year for four years,” says Hammond.

“And our data suggests that smoking among young people has continued to decline at a similar rate as in previous years, so we think that there could be some real difference­s between young people and adult smokers.”

The reason? It could be as simple as the fact that teen smoking is social and, of late, they’ve had a lot less unsupervis­ed social time. This could have a big impact on public health in the future if these adolescent­s never take up smoking at all.

A silver lining? Maybe. There are no short easy answers, but it’s certainly a possibilit­y.

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 ?? DREAMSTIME/TRIBUNE NEWS SERVICE ?? The trend of declining cigarette sales appears to have come to an end, possibly because people are turning to their vices — probably because of COVID-19.
DREAMSTIME/TRIBUNE NEWS SERVICE The trend of declining cigarette sales appears to have come to an end, possibly because people are turning to their vices — probably because of COVID-19.
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 ??  ?? Natacha Duke and David Hammond
Natacha Duke and David Hammond

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