Sun Yuying, Wang Man Ping, Cheung Yee Tak Derek, Ho Sai Yin, Luk Tzu Tsun, Zhao Shengzhi, Wu Yongda Socrates, Wong Bonny Yee-Man, Weng Xue, Chen Jianjiu, Zhang Xiaoyu, Leung Lok Tung, Chak Kin Yeung, Lam Tai Hing
School of Public Health, The University of Hong Kong, Hong Kong SAR, China.
School of Nursing, The University of Hong Kong, Hong Kong SAR, China.
Tob Induc Dis. 2022 Mar 4;20:26. doi: 10.18332/tid/145935. eCollection 2022.
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.
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.
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.
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.
自新冠疫情爆发以来，不同国家的烟草使用情况有所不同，而关于特定烟草产品使用情况的变化却知之甚少。
我们分析了2020年4月至6月四次横断面电话/在线调查的数据，以调查自香港第一波和第二波疫情爆发（2020年2月至4月）以来的此类变化。受访者是我们之前干预研究和调查中在新冠疫情爆发前使用烟草的1595名成年人（83.2%为男性）。我们调查了疫情期间烟草使用、戒烟意愿和戒烟尝试的变化。
约三分之二（65.3%）的受访者表示总体烟草使用量没有变化，而23.1%的人使用量减少（包括戒烟），11.6%的人使用量增加，净减少11.5个百分点。香烟的净减少幅度（14.3个百分点）大于加热烟草制品（HTPs，3.3个百分点）和电子烟（2.5个百分点）。使用量减少主要是由于居家时间延长（63.2%）、健康考虑（52.6%）和佩戴口罩（47.4%），而使用量增加是为了打发时间（75.0%）和释放压力（46.4%）。8%的香烟、HTP和电子烟使用者表示自疫情爆发以来有更高的戒烟意愿。19%的烟草使用者（176/948）在疫情期间尝试戒烟。调查时只有2.9%（46/1569）的人戒烟成功。
香港在新冠疫情前两波爆发后，总体烟草使用量有所下降。与HTP和电子烟使用者相比，香烟使用者减少使用的比例更大。鉴于这四项调查采用的方法不同，未来的研究应以大规模且具有代表性的样本为目标。
