Introduction: Hispanic emerging adults (HEAs) are a rapidly growing population in the United States that report high levels of alcohol consumption. Thus, there is a need to examine modifiable factors that can reduce alcohol consumption among this population. The present study addresses gaps by integrating social and cognitive determinants of alcohol use as they may be associated with alcohol use severity in HEAs. We investigated these relationships by a) examining the direct association between traditional gender roles and alcohol use severity among HEA college students, b) examining the indirect associations between traditional gender roles and alcohol use severity via drinking motives (DM), and c) the extent to which nativity status moderates the direct and indirect associations between traditional gender roles and alcohol use severity. Methods: A conditional process analysis was conducted on data from a convenience sample of 423 Hispanic college students from Texas and Florida who completed a cross-sectional online survey. Results: Higher levels of traditional gender roles were associated with higher alcohol use severity. Also, traditional gender roles had statistically significant indirect associations with alcohol use severity via DM-conformity and DM-coping. Lastly, nativity status moderated the direct and indirect associations between traditional gender roles and alcohol use severity whereby stronger associations were found among immigrants. Conclusion: Understanding the interplay of gender roles and drinking motives behind HEA’s alcohol use can help facilitate the development of culturally adapted interventions, especially when considering heterogeneity across nativity status.

Objective: A nationally representative sample of US adults was used to examine the prevalence of COVID-19 cases, testing, symptoms, and vaccine uptake, and associations with tobacco product use. Methods: Data came from the 2021 National Health Interview Survey. The 2021 Sample Adult component included 29,482 participants with a response rate of 50.9%. We investigated COVID-19-related outcomes by tobacco product use status and reported national estimates. Multivariable regression models were performed accounting for demographics (e.g., age, sex, poverty level), serious psychological distress, disability, and chronic health condition. Results: In our regression analyses, odds of self-reported COVID-19 infection were significantly lower for combustible tobacco product users (vs. non-users; Adjusted Odds ratio [AOR=0.73; 95% confidence interval [CI]=0.62-0.85]. Combustible tobacco users also were less likely to report ever testing for COVID-19 (AOR=0.88; 95% CI=0.79-0.98), ever testing positive for COVID-19 (AOR =0.66; 95% CI=0.56-0.77), and ever receiving COVID-19 vaccine (AOR=0.58; 95% CI=0.51-0.66) compared to their non-user peers. Compared to non-users, users of any type of tobacco who contracted COVID-19 had higher odds of losing smell (AOR=1.36; 95%CI=1.04-1.77), which was more pronounced among exclusive e-cigarette users. The odds of receiving vaccine were lower for all current exclusive tobacco product users compared to non-users (AORs= 0.40 to 0.70). Conclusions: Continued monitoring of tobacco product use amid the COVID-19 pandemic is crucial to inform public health policies and programs. In addition, efforts to promote COVID-19 vaccination, especially among tobacco product users, are warranted.