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Changes in Tobacco Use During the 2020 COVID-19 Lockdown in New Zealand.

Identifieur interne : 000002 ( Main/Corpus ); précédent : 000001; suivant : 000003

Changes in Tobacco Use During the 2020 COVID-19 Lockdown in New Zealand.

Auteurs : Philip Gendall ; Janet Hoek ; James Stanley ; Mathew Jenkins ; Susanna Every-Palmer

Source :

RBID : pubmed:33515223

Abstract

INTRODUCTION

New Zealand's response to the COVID-19 pandemic was one of the most restrictive lockdowns of any country, inevitably causing stress for many people. Because situations that increase stress and anxiety are associated with higher smoking prevalence, we examined self-reported smoking before and during the lockdown, and analyzed factors associated with reported changes in cigarette consumption.

AIMS AND METHODS

We conducted an online panel survey of a demographically representative sample of 2010 adult New Zealanders during the COVID-19 lockdown; the final, weighted sample included 261 daily smokers and 71 weekly smokers. We measured psychological distress and anxiety, as well as situational factors, tobacco consumption, and demographic attributes.

RESULTS

Nearly half of daily smokers reported smoking more during than before the lockdown, on average, an increase of six cigarettes a day; increased daily cigarette consumption was associated with loneliness and isolation. Most weekly smokers reported either that their smoking during the lockdown had not changed or had slightly reduced.

CONCLUSIONS

Smoking cessation services need to anticipate that unexpected disruptions, such as pandemic lockdowns, may be associated with increased daily tobacco consumption, and that this increase may be sustained after lockdown. While public health responses to pandemics predictably focus on immediate and obvious consequences, interventions to support recent quitters and those making quit attempts should also form a key component of pandemic planning.

IMPLICATIONS

As governments introduce unprecedented measures to manage COVID-19, they need also to consider other public health risks, such as increased smoking among current smokers or relapse among recent quitters. Evidence that loneliness was associated with increased smoking during a lockdown suggests a need for cessation out-reach strategies that promote and support smoke-free practices.


DOI: 10.1093/ntr/ntaa257
PubMed: 33515223

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pubmed:33515223

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<name sortKey="Hoek, Janet" sort="Hoek, Janet" uniqKey="Hoek J" first="Janet" last="Hoek">Janet Hoek</name>
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<nlm:affiliation>Department of Public Health, University of Otago, Wellington, New Zealand.</nlm:affiliation>
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<name sortKey="Stanley, James" sort="Stanley, James" uniqKey="Stanley J" first="James" last="Stanley">James Stanley</name>
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<nlm:affiliation>Dean's Department, University of Otago, Wellington, New Zealand.</nlm:affiliation>
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<name sortKey="Jenkins, Mathew" sort="Jenkins, Mathew" uniqKey="Jenkins M" first="Mathew" last="Jenkins">Mathew Jenkins</name>
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<nlm:affiliation>Department of Psychological Medicine, University of Otago, Wellington, New Zealand.</nlm:affiliation>
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<b>INTRODUCTION</b>
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<p>New Zealand's response to the COVID-19 pandemic was one of the most restrictive lockdowns of any country, inevitably causing stress for many people. Because situations that increase stress and anxiety are associated with higher smoking prevalence, we examined self-reported smoking before and during the lockdown, and analyzed factors associated with reported changes in cigarette consumption.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>AIMS AND METHODS</b>
</p>
<p>We conducted an online panel survey of a demographically representative sample of 2010 adult New Zealanders during the COVID-19 lockdown; the final, weighted sample included 261 daily smokers and 71 weekly smokers. We measured psychological distress and anxiety, as well as situational factors, tobacco consumption, and demographic attributes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Nearly half of daily smokers reported smoking more during than before the lockdown, on average, an increase of six cigarettes a day; increased daily cigarette consumption was associated with loneliness and isolation. Most weekly smokers reported either that their smoking during the lockdown had not changed or had slightly reduced.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Smoking cessation services need to anticipate that unexpected disruptions, such as pandemic lockdowns, may be associated with increased daily tobacco consumption, and that this increase may be sustained after lockdown. While public health responses to pandemics predictably focus on immediate and obvious consequences, interventions to support recent quitters and those making quit attempts should also form a key component of pandemic planning.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>IMPLICATIONS</b>
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<p>As governments introduce unprecedented measures to manage COVID-19, they need also to consider other public health risks, such as increased smoking among current smokers or relapse among recent quitters. Evidence that loneliness was associated with increased smoking during a lockdown suggests a need for cessation out-reach strategies that promote and support smoke-free practices.</p>
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