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High Perceived Susceptibility to and Severity of COVID-19 in Smokers Are Associated with Quitting-Related Behaviors

Author

Listed:
  • Yajie Li

    (School of Nursing, The University of Hong Kong, Hong Kong, China)

  • Tzu Tsun Luk

    (School of Nursing, The University of Hong Kong, Hong Kong, China)

  • Yongda Wu

    (School of Nursing, The University of Hong Kong, Hong Kong, China)

  • Derek Yee Tak Cheung

    (School of Nursing, The University of Hong Kong, Hong Kong, China)

  • William Ho Cheung Li

    (Nethersole School of Nursing, Chinese University of Hong Kong, Hong Kong, China)

  • Henry Sau Chai Tong

    (Hong Kong Council on Smoking and Health, Hong Kong, China)

  • Vienna Wai Yin Lai

    (Hong Kong Council on Smoking and Health, Hong Kong, China)

  • Sai Yin Ho

    (School of Public Health, The University of Hong Kong, Hong Kong, China)

  • Tai Hing Lam

    (School of Public Health, The University of Hong Kong, Hong Kong, China)

  • Man Ping Wang

    (School of Nursing, The University of Hong Kong, Hong Kong, China)

Abstract

A growing body of evidence shows smoking is a risk factor for coronavirus disease (COVID-19). We examined the associations of quitting-related behaviors with perceived susceptibility to and severity of COVID-19 in smokers. We conducted a telephone survey of 659 community-based adult smokers (81.7% male) in Hong Kong, where there was no lockdown. Exposure variables were perceptions that smoking can increase the risk of contracting COVID-19 (perceived susceptibility) and its severity if infected (perceived severity). Outcome variables were quit attempts, smoking reduction since the outbreak of the pandemic, and intention to quit within 30 days. Covariates included sex, age, education, heaviness of smoking, psychological distress, and perceived danger of COVID-19. High perceived susceptibility and severity were reported by 23.9% and 41.7% of participants, respectively. High perceived susceptibility was associated with quit attempts (prevalence ratio (PR) 2.22, 95% CI 1.41–3.49), smoking reduction (PR 1.75, 95% CI 1.21–2.51), and intention to quit (PR 2.31, 95% CI 1.40–3.84). Perceived severity of COVID-19 was associated with quit attempts (PR 1.64, 95% CI 1.01–2.67) but not with smoking reduction or intention to quit. To conclude, the perceived susceptibility to and severity of COVID-19 in smokers were associated with quitting-related behaviors in current smokers, which may have important implications for smoking cessation amid the pandemic.

Suggested Citation

  • Yajie Li & Tzu Tsun Luk & Yongda Wu & Derek Yee Tak Cheung & William Ho Cheung Li & Henry Sau Chai Tong & Vienna Wai Yin Lai & Sai Yin Ho & Tai Hing Lam & Man Ping Wang, 2021. "High Perceived Susceptibility to and Severity of COVID-19 in Smokers Are Associated with Quitting-Related Behaviors," IJERPH, MDPI, vol. 18(20), pages 1-9, October.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10894-:d:658253
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    References listed on IDEAS

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    1. Erin A. Vogel & Lisa Henriksen & Nina C. Schleicher & Judith J. Prochaska, 2021. "Perceived Susceptibility to and Seriousness of COVID-19: Associations of Risk Perceptions with Changes in Smoking Behavior," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    2. Yuying Sun & Tai Hing Lam & Yee Tak Derek Cheung & Man Ping Wang & Yongda Wu & Jianjiu Chen & Xiaoyu Zhang & William H. C. Li & Sai Yin Ho, 2021. "First Report on Smoking and Infection Control Behaviours at Outdoor Hotspots during the COVID-19 Pandemic: An Unobtrusive Observational Study," IJERPH, MDPI, vol. 18(3), pages 1-10, January.
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    Cited by:

    1. Hui Liu & Guichuan Lai & Guiqian Shi & Xiaoni Zhong, 2022. "The Influencing Factors of HIV-Preventive Behavior Based on Health Belief Model among HIV-Negative MSMs in Western China: A Structural Equation Modeling Analysis," IJERPH, MDPI, vol. 19(16), pages 1-11, August.

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