Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong

Introduction Changes in tobacco use since the COVID-19 outbreak differed by countries and little is known about changes in the use of specific tobacco products. Methods We analyzed data from four cross-sectional telephone/online surveys from April to June 2020 to investigate such changes since the...

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Main Authors: Yuying Sun, Man Ping Wang, Yee Tak Derek Cheung, Sai Yin Ho, Tzu Tsun Luk, Shengzhi Zhao, Yongda Socrates Wu, Bonny Yee-Man Wong, Xue Weng, Jianjiu Chen, Xiaoyu Zhang, Lok Tung Leung, Kin Yeung Chak, Tai Hing Lam
Format: Article
Language:English
Published: European Publishing 2022-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Changes-in-tobacco-use-at-the-early-stage-of-the-COVID-19-npandemic-Results-of-four,145935,0,2.html
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author Yuying Sun
Man Ping Wang
Yee Tak Derek Cheung
Sai Yin Ho
Tzu Tsun Luk
Shengzhi Zhao
Yongda Socrates Wu
Bonny Yee-Man Wong
Xue Weng
Jianjiu Chen
Xiaoyu Zhang
Lok Tung Leung
Kin Yeung Chak
Tai Hing Lam
author_facet Yuying Sun
Man Ping Wang
Yee Tak Derek Cheung
Sai Yin Ho
Tzu Tsun Luk
Shengzhi Zhao
Yongda Socrates Wu
Bonny Yee-Man Wong
Xue Weng
Jianjiu Chen
Xiaoyu Zhang
Lok Tung Leung
Kin Yeung Chak
Tai Hing Lam
author_sort Yuying Sun
collection DOAJ
description Introduction Changes in tobacco use since the COVID-19 outbreak differed by countries and little is known about changes in the use of specific tobacco products. Methods We analyzed data from four cross-sectional telephone/online surveys from April to June 2020 to investigate such changes since the 1st and 2nd wave outbreaks (February to April 2020) in Hong Kong. The respondents were 1595 adults (83.2% male) who used tobacco before the COVID-19 outbreak from our previous intervention study and surveys. We investigated the changes in tobacco use, intention to quit and quit attempts during the outbreak. Results About two-thirds (65.3%) of respondents reported no change in overall tobacco use, while 23.1% used less (including cessation) and 11.6% used more, resulting in a net decrease of 11.5 percentage points. A greater net decrease was observed for cigarettes (14.3% points) than heated tobacco products (HTPs, 3.3% points) and electronic cigarettes (e-cigarettes, 2.5% points). Decreased use was mainly due to the more extended stay at home (63.2%), health considerations (52.6%) and mask-wearing (47.4%), while increased use was for passing time (75.0%) and releasing stress (46.4%). Eight percent of cigarette, HTP and e-cigarette users reported a higher intention to quit since the pandemic outbreak. Nineteen percent of tobacco users (176/948) attempted to quit during the pandemic. Only 2.9% (46/1569) were abstinent at the time of the survey. Conclusions Overall tobacco use decreased after the first two waves of the COVID-19 outbreak in Hong Kong. A greater proportion of cigarette users decreased use than HTP and e-cigarette users. Given the different methods used in the four surveys, future studies should aim for a large and representative sample.
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spelling doaj.art-2e116d902c8041009298a410478657ba2022-12-22T02:03:03ZengEuropean PublishingTobacco Induced Diseases1617-96252022-03-0120March1910.18332/tid/145935145935Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong KongYuying Sun0https://orcid.org/0000-0001-9582-4421Man Ping Wang1https://orcid.org/0000-0003-4000-2388Yee Tak Derek Cheung2https://orcid.org/0000-0002-5850-5349Sai Yin Ho3https://orcid.org/0000-0001-9485-0273Tzu Tsun Luk4https://orcid.org/0000-0002-7056-1976Shengzhi Zhao5https://orcid.org/0000-0003-3024-0956Yongda Socrates Wu6https://orcid.org/0000-0003-0226-0984Bonny Yee-Man Wong7https://orcid.org/0000-0002-7642-1528Xue Weng8https://orcid.org/0000-0002-9564-4284Jianjiu Chen9https://orcid.org/0000-0001-6460-6210Xiaoyu Zhang10Lok Tung Leung11Kin Yeung Chak12Tai Hing Lam13https://orcid.org/0000-0002-2033-9971School of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Nursing, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The University of Hong Kong, Hong Kong SAR, ChinaIntroduction Changes in tobacco use since the COVID-19 outbreak differed by countries and little is known about changes in the use of specific tobacco products. Methods We analyzed data from four cross-sectional telephone/online surveys from April to June 2020 to investigate such changes since the 1st and 2nd wave outbreaks (February to April 2020) in Hong Kong. The respondents were 1595 adults (83.2% male) who used tobacco before the COVID-19 outbreak from our previous intervention study and surveys. We investigated the changes in tobacco use, intention to quit and quit attempts during the outbreak. Results About two-thirds (65.3%) of respondents reported no change in overall tobacco use, while 23.1% used less (including cessation) and 11.6% used more, resulting in a net decrease of 11.5 percentage points. A greater net decrease was observed for cigarettes (14.3% points) than heated tobacco products (HTPs, 3.3% points) and electronic cigarettes (e-cigarettes, 2.5% points). Decreased use was mainly due to the more extended stay at home (63.2%), health considerations (52.6%) and mask-wearing (47.4%), while increased use was for passing time (75.0%) and releasing stress (46.4%). Eight percent of cigarette, HTP and e-cigarette users reported a higher intention to quit since the pandemic outbreak. Nineteen percent of tobacco users (176/948) attempted to quit during the pandemic. Only 2.9% (46/1569) were abstinent at the time of the survey. Conclusions Overall tobacco use decreased after the first two waves of the COVID-19 outbreak in Hong Kong. A greater proportion of cigarette users decreased use than HTP and e-cigarette users. Given the different methods used in the four surveys, future studies should aim for a large and representative sample.http://www.tobaccoinduceddiseases.org/Changes-in-tobacco-use-at-the-early-stage-of-the-COVID-19-npandemic-Results-of-four,145935,0,2.htmltobacco usesmokingtobacco productscovid-19surveys and questionnaires
spellingShingle Yuying Sun
Man Ping Wang
Yee Tak Derek Cheung
Sai Yin Ho
Tzu Tsun Luk
Shengzhi Zhao
Yongda Socrates Wu
Bonny Yee-Man Wong
Xue Weng
Jianjiu Chen
Xiaoyu Zhang
Lok Tung Leung
Kin Yeung Chak
Tai Hing Lam
Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong
Tobacco Induced Diseases
tobacco use
smoking
tobacco products
covid-19
surveys and questionnaires
title Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong
title_full Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong
title_fullStr Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong
title_full_unstemmed Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong
title_short Changes in tobacco use at the early stage of the COVID-19 pandemic: Results of four cross-sectional surveys in Hong Kong
title_sort changes in tobacco use at the early stage of the covid 19 pandemic results of four cross sectional surveys in hong kong
topic tobacco use
smoking
tobacco products
covid-19
surveys and questionnaires
url http://www.tobaccoinduceddiseases.org/Changes-in-tobacco-use-at-the-early-stage-of-the-COVID-19-npandemic-Results-of-four,145935,0,2.html
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