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COVID-19, smoking, vaping and quitting: a representative population survey in England.
- Source :
-
Addiction (Abingdon, England) [Addiction] 2021 May; Vol. 116 (5), pp. 1186-1195. Date of Electronic Publication: 2020 Sep 28. - Publication Year :
- 2021
-
Abstract
- Aims: To estimate (1) associations between self-reported COVID-19, hand-washing, smoking status, e-cigarette use and nicotine replacement therapy (NRT) use and (2) the extent to which COVID-19 has prompted smoking and vaping quit attempts and more smoking inside the home.<br />Design: Cross-sectional household surveys.<br />Setting and Participants: A representative sample of the population in England from April to May 2020. The sample included 3179 adults aged ≥ 18 years.<br />Measurements: Participants who reported that they definitely or thought they had coronavirus were classified as having self-reported COVID-19. Participants were asked how often they wash their hands after returning home, before preparing foods, before eating or before touching their face. They were also asked whether, due to COVID-19, they had (i) attempted to quit smoking, (ii) attempted to quit vaping and (iii) changed the amount they smoke inside the home.<br />Findings: Odds of self-reported COVID-19 were significantly greater among current smokers [20.9%, adjusted odds ratio (aOR) = 1.34, 95% confidence interval (CI) = 1.04-1.73] and long-term (> 1-year) ex-smokers (16.1%, aOR = 1.33, 95% CI = 1.05-1.68) compared with never smokers (14.5%). Recent (< 1-year) ex-smokers had non-significantly greater odds of self-reported COVID-19 (22.2%, aOR = 1.50, 95% CI = 0.85-2.53). Bayes factors indicated there was sufficient evidence to rule out large differences in self-reported COVID-19 by NRT use and medium differences by e-cigarette use. With the exception of hand-washing before face-touching, engagement in hand-washing behaviours was high (> 85%), regardless of nicotine use. A minority (12.2%) of quit attempts in the past 3 months were reportedly triggered by COVID-19, and approximately one in 10 current e-cigarette users reported attempting to quit vaping because of COVID-19.<br />Conclusions: In England, current smokers and long-term ex-smokers appear to have higher odds of self-reported COVID-19 compared with never smokers in adjusted analyses, but there were no large differences between people who used nicotine replacement therapy or e-cigarettes. Engagement in hand-washing appears to be high, regardless of nicotine or tobacco use. A minority of past-year smokers and current e-cigarette users, respectively, report attempting to quit smoking/vaping due to COVID-19.<br /> (© 2020 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.)
- Subjects :
- Adult
Aged
Bayes Theorem
Cross-Sectional Studies
Electronic Nicotine Delivery Systems statistics & numerical data
England epidemiology
Hand Disinfection
Humans
Middle Aged
SARS-CoV-2
Self Report
Tobacco Use Cessation Devices
Vaping epidemiology
Young Adult
COVID-19 epidemiology
Smoking epidemiology
Smoking Cessation statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1360-0443
- Volume :
- 116
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Addiction (Abingdon, England)
- Publication Type :
- Academic Journal
- Accession number :
- 32918300
- Full Text :
- https://doi.org/10.1111/add.15251