Naik Bijaya Nanda, Pandey Sanjay, Singh Chandramani, Nirala Santosh Kumar, Kumar Purusottam, Verma Manisha
Department of Community and Family Medicine (CFM), All India Institute of Medical Sciences (AIIMS), Patna, India.
Addict Health. 2021 Jul;13(3):194-204. doi: 10.22122/ahj.v13i3.1262.
COVID-19 presented an unprecedented situation in which behavioural factors including tobacco use were believed to increase the risk of morbidity and mortality. The objective of the present study was to find the tobacco use pattern among the COVID-19 patients and the perceived risk of developing severe COVID-19 following tobacco use.
This hospital-based, cross-sectional, analytical study was conducted among 300 COVID-19 patients at the All India Institute of Medical Sciences (AIIMS), Patna, India, during November and December 2020 using a semi-structured, pretested questionnaire. Descriptive and univariate analyses were performed using statistical software and the results were presented as proportion and percentage.
About 27% and 16% of the COVID-19 patients were ever and current tobacco users, respectively. Quit attempts were found to have increased during the COVID-19 pandemic. A majority (65%) of current tobacco users had reduced their amount of tobacco use. Nearly 2 in every 3 patients perceived high risk of developing severe COVID-19 following tobacco use. Perceived risk was significantly higher among tobacco non-users, patients who were aware of the ill health effects of tobacco use, and patients who had noticed anti-tobacco messages or had been advised to quit tobacco. Among the current tobacco users, a significantly higher proportion of patients who perceived high risk of developing severe COVID-19 following tobacco use had made quit attempts or had reduced tobacco consumption during the pandemic (76.7% vs. 40%; P = 0.032).
A high proportion of COVID-19 patients believed that tobacco use aggravated the COVID-19 condition. Increased quit attempts and reduction in tobacco consumption during this pandemic is a positive sign for tobacco control.
新型冠状病毒肺炎（COVID-19）带来了前所未有的情况，人们认为包括吸烟在内的行为因素会增加发病和死亡风险。本研究的目的是了解COVID-19患者的吸烟模式以及吸烟后感染重症COVID-19的感知风险。
2020年11月至12月期间，在印度巴特那全印度医学科学研究所（AIIMS）对300例COVID-19患者进行了这项基于医院的横断面分析研究，使用经过预测试的半结构化问卷。使用统计软件进行描述性和单变量分析，结果以比例和百分比表示。
分别有27%和16%的COVID-19患者曾经吸烟和目前吸烟。发现在COVID-19大流行期间戒烟尝试有所增加。大多数（65%）目前的吸烟者减少了吸烟量。近三分之二的患者认为吸烟后感染重症COVID-19的风险很高。在不吸烟者、意识到吸烟对健康有害的患者以及注意到反吸烟信息或被建议戒烟的患者中，感知风险显著更高。在目前的吸烟者中，认为吸烟后感染重症COVID-19风险很高的患者中，在大流行期间进行戒烟尝试或减少烟草消费的比例显著更高（76.7%对40%；P=0.032）。
很大一部分COVID-19患者认为吸烟会加重COVID-19病情。在这次大流行期间，戒烟尝试增加和烟草消费减少对烟草控制来说是一个积极信号。
