Due to the COVID-19 pandemic, declared in March of 2020, there have been many lifestyle changes which have likely influenced tobacco smoking behavior. Such lifestyle changes include lockdowns, stay at home orders, reduction in social cues related to smoking, increased stress, and boredom among other things. This study utilized a cross-sectional survey which looked into these behaviors, primarily perceived risk to COVID-19, and determined if there is an association between perceived risk and education level/race. Education level is a proxy for income and material resources, therefore making it more likely that people with lower levels of education have fewer resources and higher perceived risk to negative effects of COVID-19. Additionally, people of color are often marginalized in the medical community along with being the target of heavy advertising by tobacco companies which have likely impacted risk to COVID-19 as well.

Our thesis revolved around the Maryvale community and was centered by a Photovoice project that was a Youth Participatory Action Research method. Being a project led by the youth we continued their stories and expanded off of the topics that we discussed in our Photovoice meetings. In our thesis podcast we discussed the expectation and reality of moving to a new country, the colorism our community as well as other communities face, and the health disparities that are present within underrepresented communities. We were able to expand on these topics and tie it back to the conversations we had with each other four years prior to doing our podcast and how little or how much these topics have changed and evolved.