Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic

Introduction The perceived health risks of tobacco products may change during the ongoing COVID-19 pandemic. This study aimed to examine the perceived risks of tobacco use on COVID-19 infection and severity, and possible COVID-related changes in perceptions of tobacco use and overall health. Method...

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Main Authors: Yong Yang, Eric N. Lindblom, Ramzi G. Salloum, Kenneth D. Ward
Format: Article
Language:English
Published: European Publishing 2021-06-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Perceived-health-risks-associated-with-the-use-of-tobacco-and-nnicotine-products,136040,0,2.html
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author Yong Yang
Eric N. Lindblom
Ramzi G. Salloum
Kenneth D. Ward
author_facet Yong Yang
Eric N. Lindblom
Ramzi G. Salloum
Kenneth D. Ward
author_sort Yong Yang
collection DOAJ
description Introduction The perceived health risks of tobacco products may change during the ongoing COVID-19 pandemic. This study aimed to examine the perceived risks of tobacco use on COVID-19 infection and severity, and possible COVID-related changes in perceptions of tobacco use and overall health. Methods We conducted an online survey of adults in the United States in June 2020 (n=2097). The survey covered cigarettes, cigars, e-cigarettes, and hookah. We also assessed changes in the use of any of the four tobacco products. Multivariate logistic regression models were used to estimate the odds of agreeing with the perceived risks for each risk and each product, with the adjustment of demographic and COVID-19 related variables. Results For all four tobacco products, the perceived risks to general health were slightly higher during the pandemic than before the pandemic (77% vs 79.5% for cigarettes) and the perceived risk of COVID-19 severity was larger than the perceived risk of COVID-19 infection (73.3% vs 56.2% for cigarettes). All risk measures varied with tobacco products consistently, with the risks highest for cigarettes, then cigars, followed by e-cigarettes and hookah. Females and people with higher income or education were more likely to endorse the risks of tobacco use than their counterparts. People who perceived higher risks of using cigarettes (OR=1.65; 95% CI: 1.20–2.27) and cigars (OR=1.63; 95% CI: 1.17–2.27) to COVID-19 severity were more likely to have decreased or quit their use. Conclusions Tobacco/nicotine use was perceived to increase the risk of COVID-19 severity and the perceived risk of tobacco/nicotine use to general health was high during the pandemic, particularly for cigarettes. The change of perceived risks appeared to be prompting harm-reducing changes in tobacco product use.
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spelling doaj.art-a772d2600d5843cda556231ba509e7882022-12-21T23:41:47ZengEuropean PublishingTobacco Induced Diseases1617-96252021-06-0119June1810.18332/tid/136040136040Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemicYong Yang0Eric N. Lindblom1Ramzi G. Salloum2Kenneth D. Ward3School of Public Health, The University of Memphis, Memphis, United StatesO’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, United StatesDepartment of Health Outcomes and Policy, University of Florida, Gainesville, United StatesSchool of Public Health, The University of Memphis, Memphis, United StatesIntroduction The perceived health risks of tobacco products may change during the ongoing COVID-19 pandemic. This study aimed to examine the perceived risks of tobacco use on COVID-19 infection and severity, and possible COVID-related changes in perceptions of tobacco use and overall health. Methods We conducted an online survey of adults in the United States in June 2020 (n=2097). The survey covered cigarettes, cigars, e-cigarettes, and hookah. We also assessed changes in the use of any of the four tobacco products. Multivariate logistic regression models were used to estimate the odds of agreeing with the perceived risks for each risk and each product, with the adjustment of demographic and COVID-19 related variables. Results For all four tobacco products, the perceived risks to general health were slightly higher during the pandemic than before the pandemic (77% vs 79.5% for cigarettes) and the perceived risk of COVID-19 severity was larger than the perceived risk of COVID-19 infection (73.3% vs 56.2% for cigarettes). All risk measures varied with tobacco products consistently, with the risks highest for cigarettes, then cigars, followed by e-cigarettes and hookah. Females and people with higher income or education were more likely to endorse the risks of tobacco use than their counterparts. People who perceived higher risks of using cigarettes (OR=1.65; 95% CI: 1.20–2.27) and cigars (OR=1.63; 95% CI: 1.17–2.27) to COVID-19 severity were more likely to have decreased or quit their use. Conclusions Tobacco/nicotine use was perceived to increase the risk of COVID-19 severity and the perceived risk of tobacco/nicotine use to general health was high during the pandemic, particularly for cigarettes. The change of perceived risks appeared to be prompting harm-reducing changes in tobacco product use.http://www.tobaccoinduceddiseases.org/Perceived-health-risks-associated-with-the-use-of-tobacco-and-nnicotine-products,136040,0,2.htmlperceived riskcovid-19tobacco/nicotine products
spellingShingle Yong Yang
Eric N. Lindblom
Ramzi G. Salloum
Kenneth D. Ward
Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic
Tobacco Induced Diseases
perceived risk
covid-19
tobacco/nicotine products
title Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic
title_full Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic
title_fullStr Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic
title_full_unstemmed Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic
title_short Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic
title_sort perceived health risks associated with the use of tobacco and nicotine products during the covid 19 pandemic
topic perceived risk
covid-19
tobacco/nicotine products
url http://www.tobaccoinduceddiseases.org/Perceived-health-risks-associated-with-the-use-of-tobacco-and-nnicotine-products,136040,0,2.html
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