Perceived Susceptibility to and Seriousness of COVID-19: Associations of Risk Perceptions with Changes in Smoking Behavior.

Perceived Susceptibility to and Seriousness of COVID-19: Associations of Risk Perceptions with Changes in Smoking Behavior.
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DOI:
10.3390/ijerph18147621
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发表时间:
2021-07-17
影响因子:
--
通讯作者:
Prochaska JJ
Prochaska JJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Vogel EA;Henriksen L;Schleicher NC;Prochaska JJ

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在COVID-19大流行期间,研究记录了成年人吸烟的增加和减少。对于一般吸烟者和自己个人来说,在感知病毒的易感性和严重性方面的个体差异可能与吸烟的变化有关。使用健康信念模型(HBM)作为理论框架,我们研究了COVID-19居家期间自我报告的吸烟增加和减少的关联。美国30个大城市每天吸烟的成年人在2020年7月14日至11月30日期间完成了一项在线调查。分析样本(N = 2768)为54.0%的男性和68.3%的白色,其中23.7%的人报告吸烟率增加,11.3%的人报告吸烟率减少(6%的人报告两者都有)。年龄越小、确诊为COVID-19以及大流行相关压力越大,吸烟增加和减少的几率越大。吸烟增加还与吸烟者对尼古丁的依赖程度更高、戒烟欲望更强、对COVID-19的易感性更高和严重性更低有关,而与流行病相关的失业、尼古丁依赖程度更低和自我效能感更高则与吸烟减少有关。在未感染COVID-19的受访者(n = 2418)中,相关性相似,增加了与吸烟增加和减少相关的对COVID-19的更大的个人易感性,而对COVID-19的更大的个人严重性与吸烟增加相关。风险认知的结果主要是在方向上,与HBM相矛盾。大流行期间行为改变的情况很复杂,对尼古丁成瘾来说可能尤其复杂。
During the COVID-19 pandemic, studies have documented increased and decreased cigarette smoking among adults. Individual differences in the perceived susceptibility and seriousness of the virus, for people who smoke in general and for oneself personally, may relate to changes in smoking. Using the Health Belief Model (HBM) as a theoretical framework, we examined associations with self-reported increasing and decreasing smoking a lot during the COVID-19 stay-at-home period. Adults in 30 large U.S. cities who smoked cigarettes daily completed an online survey between 14 July and 30 November 2020. The analytic sample (N = 2768) was 54.0% male and 68.3% white with 23.7% reporting increasing and 11.3% decreasing smoking (6% reported both). Younger age, a diagnosis of COVID-19, and greater pandemic-related stress were associated with greater odds of both increased and decreased smoking. Increased smoking also was associated with heavier nicotine dependence, greater desire to quit, and greater perceived susceptibility and lower perceived seriousness of COVID-19 for people who smoke, while pandemic-related job-loss, lower nicotine dependence, and greater self-efficacy were associated with decreased smoking. Among respondents who had not contracted COVID-19 (n = 2418), correlates were similar with the addition of greater perceived personal susceptibility to COVID-19 associated with both increased and decreased smoking, while greater perceived personal seriousness of COVID-19 was associated with increased smoking. Findings for risk perceptions were largely in directions that contradict the HBM. Circumstances surrounding behavior change during the pandemic are complex and may be especially complex for nicotine addiction.
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