Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China

Introduction China has more than 300 million current smokers. There is a controversy over smokers’ risk of COVID-19 infection. Smoking is a risk factor for COVID-19 disease progression, and the outbreak of COVID-19 may change people’s smoking behaviors. This study assessed people’s attitudes towards...

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Main Authors: Yanhui Liao, Jinsong Tang, Anne C.K. Quah, Geoffrey T. Fong, Ann McNeill
Format: Article
Language:English
Published: European Publishing 2022-02-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.tobaccoinduceddiseases.org/Attitudes-towards-smoking-and-COVID-19-and-changes-in-nsmoking-behaviors-before-and,144242,0,2.html
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author Yanhui Liao
Jinsong Tang
Anne C.K. Quah
Geoffrey T. Fong
Ann McNeill
author_facet Yanhui Liao
Jinsong Tang
Anne C.K. Quah
Geoffrey T. Fong
Ann McNeill
author_sort Yanhui Liao
collection DOAJ
description Introduction China has more than 300 million current smokers. There is a controversy over smokers’ risk of COVID-19 infection. Smoking is a risk factor for COVID-19 disease progression, and the outbreak of COVID-19 may change people’s smoking behaviors. This study assessed people’s attitudes towards ‘smoking and COVID-19’ and changes of smoking behaviors before and after the outbreak of COVID-19. Material and Methods A cross-sectional web survey of 11009 adults in China was conducted between 7 May and 3 August 2020. Attitudes towards ‘smoking and COVID-19’ were compared among non-smokers (n=8837), ex-smokers (n=399) and current smokers (n=1773), and changes in smoking behaviors before and after the outbreak of COVID-19 were assessed among current smokers. Results Fewer current smokers (26.2%) agreed with the statement that ‘Current smokers are more likely than ex-smokers or non-smokers to contract COVID-19’ compared with non-smokers (53%) or ex-smokers (41.4%); fewer current smokers (55.9%) agreed with the statement ‘If contracted, current smokers are more likely than ex-smokers or non-smokers to risk disease progression’ compared with nonsmokers (75.5%) or ex-smokers (68.7%). There were no changes in cigarettes smoked per day (mean ± SD: 13.3 ± 9.55 vs 13.4 ± 9.69, p=0.414), percentage of daily smokers (70.8% vs 71.1%, p=0.882) and percentage of smokers with motivation to quit (intend to quit within the next 6 months, 9.4% vs 10.9%, p=0.148) before and after the outbreak of COVID-19. Conclusions The survey found that fewer current smokers agreed that smoking is a risk-factor for COVID-19 compared with non-smokers or ex-smokers. Among current smokers, there were no changes in their cigarette consumption and motivation to quit before and after the outbreak of COVID-19. More efforts are needed to educate smokers about the health risks of smoking, as well as efforts to promote their motivation to quit.
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spelling doaj.art-c7f2adc991204b6c997f2bb652467a342022-12-21T22:05:57ZengEuropean PublishingTobacco Induced Diseases1617-96252022-02-0120February1510.18332/tid/144242144242Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in ChinaYanhui Liao0https://orcid.org/0000-0003-4735-3252Jinsong Tang1https://orcid.org/0000-0002-0805-3786Anne C.K. Quah2https://orcid.org/0000-0002-5303-8884Geoffrey T. Fong3https://orcid.org/0000-0001-9098-6472Ann McNeill4https://orcid.org/0000-0002-6223-4000Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Psychology, University of Waterloo, Waterloo, CanadaDepartment of Addictions, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United KingdomIntroduction China has more than 300 million current smokers. There is a controversy over smokers’ risk of COVID-19 infection. Smoking is a risk factor for COVID-19 disease progression, and the outbreak of COVID-19 may change people’s smoking behaviors. This study assessed people’s attitudes towards ‘smoking and COVID-19’ and changes of smoking behaviors before and after the outbreak of COVID-19. Material and Methods A cross-sectional web survey of 11009 adults in China was conducted between 7 May and 3 August 2020. Attitudes towards ‘smoking and COVID-19’ were compared among non-smokers (n=8837), ex-smokers (n=399) and current smokers (n=1773), and changes in smoking behaviors before and after the outbreak of COVID-19 were assessed among current smokers. Results Fewer current smokers (26.2%) agreed with the statement that ‘Current smokers are more likely than ex-smokers or non-smokers to contract COVID-19’ compared with non-smokers (53%) or ex-smokers (41.4%); fewer current smokers (55.9%) agreed with the statement ‘If contracted, current smokers are more likely than ex-smokers or non-smokers to risk disease progression’ compared with nonsmokers (75.5%) or ex-smokers (68.7%). There were no changes in cigarettes smoked per day (mean ± SD: 13.3 ± 9.55 vs 13.4 ± 9.69, p=0.414), percentage of daily smokers (70.8% vs 71.1%, p=0.882) and percentage of smokers with motivation to quit (intend to quit within the next 6 months, 9.4% vs 10.9%, p=0.148) before and after the outbreak of COVID-19. Conclusions The survey found that fewer current smokers agreed that smoking is a risk-factor for COVID-19 compared with non-smokers or ex-smokers. Among current smokers, there were no changes in their cigarette consumption and motivation to quit before and after the outbreak of COVID-19. More efforts are needed to educate smokers about the health risks of smoking, as well as efforts to promote their motivation to quit.http://www.tobaccoinduceddiseases.org/Attitudes-towards-smoking-and-COVID-19-and-changes-in-nsmoking-behaviors-before-and,144242,0,2.htmlsmokersnon-smokerssmoking behaviorsattitudescovid-19
spellingShingle Yanhui Liao
Jinsong Tang
Anne C.K. Quah
Geoffrey T. Fong
Ann McNeill
Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China
Tobacco Induced Diseases
smokers
non-smokers
smoking behaviors
attitudes
covid-19
title Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China
title_full Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China
title_fullStr Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China
title_full_unstemmed Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China
title_short Attitudes towards smoking and COVID-19, and changes in smoking behaviors before and after the outbreak of COVID-19: A nationwide cross-sectional survey study in China
title_sort attitudes towards smoking and covid 19 and changes in smoking behaviors before and after the outbreak of covid 19 a nationwide cross sectional survey study in china
topic smokers
non-smokers
smoking behaviors
attitudes
covid-19
url http://www.tobaccoinduceddiseases.org/Attitudes-towards-smoking-and-COVID-19-and-changes-in-nsmoking-behaviors-before-and,144242,0,2.html
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