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The association between tobacco or nicotine product use behaviors and non-compliance with mask-wearing during the COVID-19 pandemic: a cross-sectional study in Korea

조성일|Kang Heewon|이다은
한국역학회 (Korean Society of Epidemiology)|2022.01|Epidemiology and Health|제44권 |pp. 1-8|DOI 10.4178/epih.e2022087

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COVID-19Health behaviorRespiratory tract infectionsSmoking preventionMasksCommunicable disease control

초록

OBJECTIVES: It is necessary to investigate tobacco or nicotine product (TNP) use which acts as a risk factor for coronavirus disease 2019 (COVID-19) infection. Especially, wearing a mask is difficult to practice while using TNP. Therefore, this study aimed to examine the association between TNP use behaviors and non-compliance with mask-wearing during the COVID-19 pandemic. METHODS: The samples of 208,618 Korean adults from 2020 Community Health Survey in Korea were used. As an independent variable, TNP use behaviors such as TNP use status, changes in TNP use after the COVID-19 outbreak, TNP types, and attempt to quit were analyzed. Logistic regression was performed on gender-stratified participants. RESULTS: Among men, the odds ratio (OR) of current and former TNP users were 2.00 (95% confidence interval [CI], 1.66 to 2.40) and 1.32 (95% CI, 1.09 to 1.60), respectively, compared to never users. In women, OR was 1.50 (95% CI, 1.00 to 2.26) for former users. Cigarette use was more associated with not wearing a mask than non-cigarette tobacco or nicotine product (NCTNP) use (OR, 1.53; 95% CI, 1.12 to 2.08). Men whose TNP use decreased had lower non-compliance (OR, 0.52; 95% CI, 0.36 to 0.74); while women whose TNP use increased had lower non-compliance (OR, 0.13; 95% CI, 0.07 to 0.26). CONCLUSIONS: Current and former users were less likely to wear masks. Cigarette use was more associated with not wearing a mask than NCTNP use. Changes in TNP use showed association for men and women; however, in the opposite direction. Therefore, more attention should be paid to TNP use prevention and cessation support during the epidemic of respiratory infectious diseases. Moreover, it is necessary to identify risk factors of cigarette users in compliance with mask-wearing.

Abstract

OBJECTIVES: It is necessary to investigate tobacco or nicotine product (TNP) use which acts as a risk factor for coronavirus disease 2019 (COVID-19) infection. Especially, wearing a mask is difficult to practice while using TNP. Therefore, this study aimed to examine the association between TNP use behaviors and non-compliance with mask-wearing during the COVID-19 pandemic. METHODS: The samples of 208,618 Korean adults from 2020 Community Health Survey in Korea were used. As an independent variable, TNP use behaviors such as TNP use status, changes in TNP use after the COVID-19 outbreak, TNP types, and attempt to quit were analyzed. Logistic regression was performed on gender-stratified participants. RESULTS: Among men, the odds ratio (OR) of current and former TNP users were 2.00 (95% confidence interval [CI], 1.66 to 2.40) and 1.32 (95% CI, 1.09 to 1.60), respectively, compared to never users. In women, OR was 1.50 (95% CI, 1.00 to 2.26) for former users. Cigarette use was more associated with not wearing a mask than non-cigarette tobacco or nicotine product (NCTNP) use (OR, 1.53; 95% CI, 1.12 to 2.08). Men whose TNP use decreased had lower non-compliance (OR, 0.52; 95% CI, 0.36 to 0.74); while women whose TNP use increased had lower non-compliance (OR, 0.13; 95% CI, 0.07 to 0.26). CONCLUSIONS: Current and former users were less likely to wear masks. Cigarette use was more associated with not wearing a mask than NCTNP use. Changes in TNP use showed association for men and women; however, in the opposite direction. Therefore, more attention should be paid to TNP use prevention and cessation support during the epidemic of respiratory infectious diseases. Moreover, it is necessary to identify risk factors of cigarette users in compliance with mask-wearing.

참고문헌 (34)

  1. Sherman CB, "Health effects of cigarette smoking", Clin Chest Med, 12, pp.643~658 (1991)
  2. "Tobacco" (2022)[URL]
  3. "Daily smokers"[URL]
  4. "Nonmedical determinants of health: tobacco consumption"[URL]
  5. Dai X, "Evolution of the global smoking epidemic over the past half century : strengthening the evidence base for policy action", Tob Control, 31, pp.129~137 (2022)
  6. "WHO framework convention on tobacco control"[URL]
  7. Ahmed N, "Tobacco smoking a potential risk factor in transmission of COVID-19 infection", Pak J Med Sci, 36(COVID19-S4), pp.S104~S107 (2020)
  8. Palipudi K, "Prevalence and sociodemographic determinants of tobacco use in four countries of the World Health Organization : South-East Asia region : findings from the Global Adult Tobacco Survey", Indian J Cancer, 51(Suppl 1), pp.S24~S32 (2014)
  9. Berlin I, "COVID-19 and smoking", Nicotine Tob Res, 22, pp.1650~1652 (2020)
  10. Kazuyuki S, "A study of the effect of wearing face masks in preventing COVID-19 transmission in the United States of America", Public Adm Policy, 24, pp.275~289 (2021)
  11. Matrajt L, "Evaluating the effectiveness of social distancing interventions to delay or flatten the epidemic curve of coronavirus disease", Emerg Infect Dis, 26, pp.1740~1748 (2020)
  12. Korea Disease Control and Prevention Agency, "Handbook of orders to comply with quarantine guidelines for wearing masks and imposing fines for negligence (4th -1 edition)", 11~ (2021)
  13. Cheng VC, "The role of community-wide wearing of face mask for control of coronavirus disease 2019(COVID-19)epidemic due to SARSCoV-2", J Infect, 81, pp.107~114 (2020)
  14. Sun Y, "First report on smoking and infection control behaviours at outdoor hotspots during the COVID-19 pandemic : an unobtrusive observational study", Int J Environ Res Public Health, 18, pp.1031~ (2021)
  15. Bauer T, "Gender differences in smoking behavior", Health Econ, 16, pp.895~909 (2007)
  16. Wang Q, "Income, occupation and education: are they related to smoking behaviors in China?", PLoS One, 13, pp.e0192571~ (2018)
  17. Chandola T, "Socio-demographic predictors of quitting smoking: how important are household factors?", Addiction, 99, pp.770~777 (2004)
  18. Haischer MH, "Who is wearing a mask? Gender-, age-, and location-related differences during the COVID-19 pandemic", PLoS One, 15, pp.e0240785~ (2020)
  19. Badillo-Goicoechea E, "Global trends and predictors of face mask usage during the COVID-19 pandemic", BMC Public Health, 21, pp.2099~ (2021)
  20. Zhang L, "Study on factors of people’s wearing masks based on two online surveys : cross-sectional evidence from China", Int J Environ Res Public Health, 18, pp.3447~ (2021)
  21. Bommele J, "The double-edged relationship between COVID-19stress and smoking : implications for smoking cessation", Tob Induc Dis, 18, pp.63~ (2020)
  22. Kale D, "Associations between vaping and Covid-19 : cross-sectional findings from the HEBECO study", Drug Alcohol Depend, 221, pp.108590~ (2021)
  23. Caponnetto P, "Smoking behavior and psychological dynamics during COVID-19social distancing and stay-at-home policies : a survey", Health Psychol Res, 8, pp.9124~ (2020)
  24. "How often have you worn a face mask outside your home to protect yourself or others from coronavirus (COVID-19)?"[URL]
  25. "The coronavirus: a vast scared majority around the world: according to the snap poll by Gallup International Association"[URL]
  26. Chang HJ, "Mask-wearing behavior during the COVID-19 pandemic : a cross-cultural comparison between the United States and South Korea", Fam Consum Sci Res J, 50, pp.5~26 (2021)
  27. Xu P, "Individual differences in social distancing and mask-wearing in the pandemic of COVID-19 : the role of need for cognition, self-control and risk attitude", Pers Individ Dif, 175, pp.110706~ (2021)
  28. Hwang J, "A qualitative study on the impact of COVID-19 on the behavior and attitudes of smokers and nonsmokers in South Korea", BMC Public Health, 21, pp.1972~ (2021)
  29. Pokhrel P, "Young adult e-cigarette users’ reasons for liking and not liking e-cigarettes : a qualitative study", Psychol Health, 30, pp.1450~1469 (2015)
  30. "Policy study on tobacco regulation and systematic management" (2018)[URL]
  31. Abuhammad S, "Fear of COVID-19 and stigmatization towards infected people among Jordanian people", Int J Clin Pract, 75, pp.e13899~ (2020)
  32. Jackson SE, "COVID-19, smoking and inequalities: a study of 53 002 adults in the UK", Tob Control, 30(e2), pp.e111~e121 (2021)
  33. Kyungsik Kim, "Social and Policy Determinants of COVID-19 Infection Across 23 Countries: An Ecological Study", 예방의학회지, 55(2), pp.144~152 (2022), 대한예방의학회
  34. Gülsen A, "The effect of smoking on COVID-19 symptom severity : systematic review and meta-analysis", Pulm Med, 2020, pp.7590207~ (2020)

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