Laboratory of Hygiene, Social & Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece; Division of Oncology, Department of Medicine, University of Washington, Seattle, WA, USA.
Laboratory of Hygiene, Social & Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.
Public Health. 2023 May;218:160-172. doi: 10.1016/j.puhe.2023.02.007. Epub 2023 Feb 20.
COVID-19 and the implementation of lockdowns have impacted daily lives worldwide. This systematic review and meta-analysis aimed to investigate the impact of lockdowns on the smoking and vaping behaviours of adults during the pandemic.
This was a systematic review and meta-analysis.
A systematic literature search was conducted up to 28 April 2022 in the following databases: PubMed, Embase and Web of Science.
In total, 77 studies met the inclusion criteria for this review. In 34 studies, an increase in smoking behaviour was reported for the majority of participants; however, in 21 and 18 studies, 'no change' and 'decrease' in smoking were the predominant responses, respectively. The results from the meta-analysis, which examined the change in the number of cigarettes smoked per day, showed no difference between the pre- and post-lockdown periods: 0.81 weighted mean difference (95% confidence interval, -0.59 to 2.21). Regarding vaping, three of seven studies reported an increase in smoking for the majority of participants, whereas 'no change' and 'decrease' were the predominant answers in the other four studies.
The results show that lockdowns led most participants to increase smoking/vaping, whereas a decrease or cessation of smoking/vaping was only reported in the minority of participants. Attention should be given to the non-communicable diseases that could arise as a result of the increase in smoking/vaping during lockdowns, and further research in this area is needed.
COVID-19 疫情及封锁措施的实施对全球日常生活造成了影响。本系统评价和荟萃分析旨在研究封锁对大流行期间成年人吸烟和吸电子烟行为的影响。
本研究为系统评价和荟萃分析。
截至 2022 年 4 月 28 日，我们在以下数据库中进行了系统文献检索：PubMed、Embase 和 Web of Science。
共有 77 项研究符合本综述的纳入标准。在 34 项研究中，大多数参与者报告吸烟行为增加；然而，在 21 项和 18 项研究中，分别以“无变化”和“减少”为主要反应。对每日吸烟量变化进行荟萃分析的结果显示，封锁前后无差异：0.81 加权均数差（95%置信区间，-0.59 至 2.21）。关于吸电子烟，7 项研究中有 3 项报告大多数参与者的吸烟量增加，而另外 4 项研究中则以“无变化”和“减少”为主要反应。
结果表明，封锁导致大多数参与者增加吸烟/吸电子烟，而只有少数参与者报告吸烟/吸电子烟减少或停止。应关注封锁期间吸烟/吸电子烟增加可能导致的非传染性疾病，并在这一领域开展进一步研究。
