Nyman Amy L, Spears Claire A, Churchill Victoria, Do Vuong V, Henderson Katherine C, Massey Zachary B, Reynolds Reed M, Huang Jidong
Georgia State University, School of Public Health, USA.
Department of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, USA.
Addict Behav Rep. 2021 Dec;14:100394. doi: 10.1016/j.abrep.2021.100394. Epub 2021 Nov 27.
The COVID-19 pandemic may impact cigarette smokers' behaviors. Among smokers, perceptions about the risks of contracting COVID-19 and the severity of COVID-19 illness likely vary, and perceptions may be associated with individual smoking behavior. Our study measured smokers' perceptions of COVID-19 risks and their association with smoking and quitting outcomes.
A sample of 1,223 U.S. adult cigarette smokers participated in an online survey in October-November 2020 to assess their COVID-19-related risk perceptions and changes in smoking, readiness to quit, and quit attempts during the COVID-19 pandemic.
More smokers believed smoking could increase the severity of COVID-19 (43.6%, 95% CI: 40.1, 47.3) than believed smoking makes them more susceptible to COVID-19 (20.0%, 95% CI: 17.2, 23.0.). While there were no associations between perceptions of COVID-19 susceptibility and smoking behaviors or intentions, perceptions of greater smoking-related COVID-19 severity were associated with both higher likelihood of smoking increases (aOR: 2.16, 95% CI: 1.19, 3.93) and greater readiness to quit smoking (aOR: 1.65, 95% CI: 1.18, 2.30). Greater perceptions of general COVID-19 severity were associated with higher likelihood of smoking reductions (aOR: 1.12, 95% CI: 1.02, 1.22), greater readiness to quit smoking (aOR: 1.14, 95% CI: 1.07, 1.22), and higher likelihood of making a quit attempt (aOR: 1.12, 95% CI: 1.04, 1.22).
Smokers' perceptions about COVID-19 severity are related to their smoking behavior and likelihood of making a quit attempt. Providing smokers with accurate information on the relationship between smoking and the severity of COVID-19 may alter smoking behaviors.
新冠疫情可能会影响吸烟者的行为。在吸烟者中，对于感染新冠病毒的风险以及新冠病情严重程度的认知可能存在差异，且这些认知可能与个人吸烟行为有关。我们的研究测量了吸烟者对新冠风险的认知以及它们与吸烟和戒烟结果的关联。
2020年10月至11月，1223名美国成年吸烟者参与了一项在线调查，以评估他们与新冠相关的风险认知以及在新冠疫情期间吸烟情况的变化、戒烟意愿和戒烟尝试。
更多吸烟者认为吸烟会增加新冠病情的严重程度（43.6%，95%置信区间：40.1，47.3），而非认为吸烟会使他们更易感染新冠（20.0%，95%置信区间：17.2，23.0）。虽然对新冠易感性的认知与吸烟行为或意愿之间没有关联，但对吸烟相关新冠严重程度的更高认知与吸烟增加的可能性更高（调整后比值比：2.16，95%置信区间：1.19，3.93）以及更高的戒烟意愿（调整后比值比：1.65，95%置信区间：1.18，2.30）均有关联。对新冠总体严重程度的更高认知与吸烟减少的可能性更高（调整后比值比：1.12，95%置信区间：1.02，1.22）、更高的戒烟意愿（调整后比值比：1.14，95%置信区间：1.07，1.22）以及更高的戒烟尝试可能性（调整后比值比：1.12，95%置信区间：1.04，1.22）有关联。
吸烟者对新冠严重程度的认知与他们的吸烟行为和戒烟尝试可能性有关。向吸烟者提供关于吸烟与新冠严重程度之间关系的准确信息可能会改变吸烟行为。
