Sabbagh, Heba JafarAbdelaziz, WafaaQuritum, MaryamAlKhateeb, Nada AbuBakrAbourdan, JoudQureshi, NafeesaQureshi, ShabnumHamoud, Ahmed H. N.Mahmoud, NadaOdeh, RubaAl-Khanati, Nuraldeen MaherJaber, RawiahBalkhoyor, Abdulrahman LoaieShabi, MohammedFolayan, Morenike OluwatoyinAlade, OmololaGomaa, NohaAlnahdi, RaqiyaMahmoud, Nawal A.El Wazziki, HananeAlnaas, ManalSamodien, BahiaMahmoud, Rawa A.Abu Assab, NourSaad, SherinAlhachim, Sondos G.El Tantawi, Maha2022-08-192022-08-192022Sabbagh, H. J., Abdelaziz, W., Quritum, M., AlKhateeb, N. A., Abourdan, J., Qureshi, N. ... El Tantawi, M. (2022). Cigarettes' use and capabilities-opportunities-motivation-for-behavior model: A multi-country survey of adolescents and young adults. Frontiers in Public Health, 10. http://doi.org/10.3389/fpubh.2022.875801296-2565http://doi.org/10.3389/fpubh.2022.875801https://hdl.handle.net/20.500.12511/9659The use of cigarettes among adolescents and young adults (AYA) is an important issue. This study assessed the association between regular and electronic-cigarettes use among AYA and factors of the Capability-Motivation-Opportunity-for-Behavior-change (COM-B) model. A multi-country survey was conducted between August-2020 and January-2021, Data was collected using the Global-Youth-Tobacco-Survey and Generalized-Anxiety-Disorder-7-item-scale. Multi-level logistic-regression-models were used. Use of regular and electronic-cigarettes were dependent variables. The explanatory variables were capability-factors (COVID-19 status, general anxiety), motivation-factors (attitude score) and opportunity-factors (country-level affordability scores, tobacco promotion-bans, and smoke free-zones) controlling for age and sex. Responses of 6,989-participants from 25-countries were used. Those who reported that they were infected with COVID-19 had significantly higher odds of electronic-cigarettes use (AOR = 1.81, P = 0.02). Normal or mild levels of general anxiety and negative attitudes toward smoking were associated with significantly lower odds of using regular-cigarettes (AOR = 0.34, 0.52, and 0.75, P < 0.001) and electronic-cigarettes (AOR = 0.28, 0.45, and 0.78, P < 0.001). Higher affordability-score was associated with lower odds of using electronic-cigarettes (AOR = 0.90, P = 0.004). Country-level-smoking-control policies and regulations need to focus on reducing cigarette affordability. Capability, motivation and opportunity factors of the COM-B model were associated with using regular or electronic cigarettes.enAttribution 4.0 Internationalinfo:eu-repo/semantics/openAccessSmokingAnxietyMPOWERAdolescentsYoung AdultsArticle1010.3389/fpubh.2022.875801Q10008370890000012-s2.0-8513549173235937229Q1