Perceived Risk of Tobacco Use in COVID-19 Disease Causation and Severity among Healthcare Professionals: A Pan India Online Survey

Authors

  • Bijaya Nanda Naik All India Institute of Medical Sciences, Patna, Bihar, India
  • Chandramani Singh All India Institute of Medical Sciences, Patna, Bihar, India
  • Bijit Biswas All India Institute of Medical Sciences, Patna, Bihar, India
  • Sanjay Pandey All India Institute of Medical Sciences, Patna, Bihar, India
  • Santosh Kumar Nirala All India Institute of Medical Sciences, Patna, Bihar, India
  • Neha Chaudhary All India Institute of Medical Sciences, Patna, Bihar, India

DOI:

https://doi.org/10.5455/njcm.20210607111817

Keywords:

COVID-19, Health Personnel, Tobacco, Risk, Perception

Abstract

Background: Risk perception for a disease significantly influence practice related to it. The study examined the perceived risk of tobacco use in COVID-19 disease causation and severity among healthcare professionals (HCPs) of India.

Methods: We carried out this explorative cross-sectional online survey among 687 HCPs across India during December 2020 using a self-administered, structured ‘google form’ (an online data collection tool). The data were analysed using Statistical Package for Social Sciences (SPSS).

Results: Educational stream (Dental) [adjusted odds ratio (AOR): 3.25] [Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH)] [AOR: 3.00], marital status (currently married and staying with spouse) [AOR: 0.43], perception of tobacco form that increases risk (only smoking) [AOR: 11.64] (both smoking and smokeless) [AOR: 22.25] and current tobacco user [AOR: 1.59] were significant multivariable attributes of perception of tobacco use as risk factor for COVID-19 disease causation (63.0%). Marital status (currently married and staying with spouse) [AOR: 0.50 and perception of tobacco form that increases risk (only smoking) [AOR: 12.93] (both smoking and smokeless) [AOR: 27.78] were identified as independent multivariable attributes of perceived risk for COVID-19 disease severity (77.9%). Perceived risk of tobacco use in COVID-19 disease causation and severity were significantly associated with their tobacco cessation advice-giving behaviour to patients (73.9%) and family members (66.7%).

Conclusion: Three in every five HCPs perceived that tobacco increases risk of COVID-19. Sensitization workshops on several aspects of tobacco control need to be organized for HCPs.

References

Baskaran V, Murray RL, Hunter A, Lim WS, McKeever TM. Effect of tobacco smoking on the risk of developing community acquired pneumonia: A systematic review and meta-analysis. PloS One. 2019;14(7):e0220204.

Jayes L, Haslam PL, Gratziou CG, Powell P, Britton J, Vardavas C, et al. SmokeHaz: Systematic Reviews and Meta-analyses of the Effects of Smoking on Respiratory Health. Chest. 2016;150(1):164-79.

Thakur JS, Garg R, Narain JP, Menabde N. Tobacco use: a major risk factor for non communicable diseases in South-East Asia region. Indian J Public Health. 2011;55(3):155-60.

Health Risks of Smoking Tobacco [Internet]. American Cancer Society. 2020 [cited 2021 May 19]. Available from: https:// www.cancer.org/healthy/stay-away-from-tobacco/health-risks-of-tobacco/health-risks-of-smoking-tobacco.html

COVID-19 and Your Health [Internet]. Centers for Disease Control and Prevention. 2020 [cited 2021 May 19]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html

Changeux J-P, Amoura Z, Rey FA, Miyara M. A nicotinic hypothesis for Covid-19 with preventive and therapeutic implications. C R Biol. 2020;343(1):33-9.

Smoking and COVID-19 [Internet]. World Health Organisation. 2020 [cited 2021 May 19]. Available from: https://www. who.int/news-room/commentaries/detail/smoking-and-covid-19

Jiang C, Chen Q, Xie M. Smoking increases the risk of infectious diseases: A narrative review. Tob Induc Dis. 2020;18:60.

Cattaruzza MS, Zagà V, Gallus S, D’Argenio P, Gorini G. Tobacco smoking and COVID-19 pandemic: old and new issues. A summary of the evidence from the scientific literature. Acta Bio-Medica Atenei Parm. 2020;91(2):106-12.

Gülsen A, Yigitbas BA, Uslu B, Drömann D, Kilinc O. The Effect of Smoking on COVID-19 Symptom Severity: Systematic Review and Meta-Analysis. Pulm Med. 2020;2020:7590207.

Kim S, Kim S. Analysis of the Impact of Health Beliefs and Resource Factors on Preventive Behaviors against the COVID-19 Pandemic. Int J Environ Res Public Health. 2020;17(22):8666.

Popova L, Owusu D, Weaver SR, Kemp CB, Mertz CK, Pechacek TF, et al. Affect, risk perception, and the use of cigarettes and e-cigarettes: a population study of U.S. adults. BMC Public Health. 2018;18(1):395.

Asharani PV, Lau JH, Ai Ling Seet V, Devi F, Wang P, Roystonn K, et al. Smoking-Related Health Beliefs in a Sample of Psychiatric Patients: Factors Associated with the Health Beliefs and Validation of the Health Belief Questionnaire. Int J Environ Res Public Health. 2021;18(4):1571.

WHO | Guidelines for implementation of Article 14 [Internet]. WHO. World Health Organization; 2010 [cited 2021 May 19]. Available from: https://www.who.int/fctc/guidelines/ ado pted/article_14/en/

WHO Coronavirus (COVID-19) Dashboard: Situation by Region, Country, Territory & Area [Internet]. WHO. 2021 [cited 2021 May 25]. Available from: https://covid19.who.int/table

Global Adult Tobacco Survey: India 2016-17 Report [Internet]. Ministry of Health and Family Welfare, Government of India; 2018 [cited 2021 May 12]. Available from: https:// ntcp.nhp.gov.in/assets/document/surveys-reports-publications/Global-Adult-Tobacco-Survey-Second-Round-India-2016-2017.pdf

Sinha DN, Palipudi KM, Gupta PC, Singhal S, Ramasundarahettige C, Jha P, et al. Smokeless tobacco use: a meta-analysis of risk and attributable mortality estimates for India. Indian J Cancer. 2014;51:S73-77.

Jha P, Jacob B, Gajalakshmi V, Gupta PC, Dhingra N, Kumar R, et al. A nationally representative case-control study of smoking and death in India. N Engl J Med. 2008;358(11):1137-47.

Mony PK, Vishwanath NS, Krishnan S. Tobacco use, attitudes and cessation practices among healthcare workers of a city health department in Southern India. J Fam Med Prim Care. 2015;4(2):261-4.

Encouraging People to Stop Smoking [Internet]. World Health Organization; 2001 [cited 2021 May 6]. Available from: https://www.who.int/mental_health/evidence/stop_smoking_whomsdmdp01_4.pdf

Global Adult Tobacco Survey (GATS) Indicator Guidelines: Definition and Syntax [Internet]. World Health Organization; 2009 [cited 2021 May 10]. Available from: https://www. who. int/tobacco/surveillance/en_tfi_gats_indicator_guidelines.pdf

Chertok IRA. Perceived risk of infection and smoking behavior change during COVID-19 in Ohio. Public Health Nurs Boston Mass. 2020;37(6):854-62.

Streck JM, Kalkhoran S, Bearnot B, Gupta PS, Kalagher KM, Regan S, et al. Perceived risk, attitudes, and behavior of cigarette smokers and nicotine vapers receiving buprenorphine treatment for opioid use disorder during the COVID-19 pandemic. Drug Alcohol Depend. 2021;218:108438.

Gambarini G, Galli M, Gambarini E, Di Nardo D, Seracchiani M, Obino FV, et al. Fine Aerosols and Perceived Risk of COVID-19 among Italian Dental Practitioners: An Experimental Survey. J Contemp Dent Pract. 2020;21(6):599-603.

He S, Chen S, Kong L, Liu W. Analysis of Risk Perceptions and Related Factors Concerning COVID-19 Epidemic in Chongqing, China. J Community Health. 2021;46(2):278-85.

Ding Y, Xu J, Huang S, Li P, Lu C, Xie S. Risk Perception and Depression in Public Health Crises: Evidence from the COVID-19 Crisis in China. Int J Environ Res Public Health. 2020; 17(16): 5728.

Suryavanshi N, Kadam A, Dhumal G, Nimkar S, Mave V, Gupta A, et al. Mental health and quality of life among healthcare professionals during the COVID‐19 pandemic in India. Brain Behav. 2020;10(11):e01837.

Elton-Marshall T, Driezen P, Fong GT, Cummings KM, Persoskie A, Wackowski O, et al. Adult perceptions of the relative harm of tobacco products and subsequent tobacco product use: Longitudinal findings from waves 1 and 2 of the population assessment of tobacco and health (PATH) study. Addict Behav. 2020;106:106337.

Yang J, Hammond D, Driezen P, Fong GT, Jiang Y. Health knowledge and perception of risks among Chinese smokers and non-smokers: findings from the Wave 1 ITC China Survey. Tob Control. 2010;19:i18-23.

Mattingly DT, Tompkins LK, Rai J, Sears CG, Walker KL, Hart JL. Tobacco use and harm perceptions among Appalachian youth. Prev Med Rep. 2020;18:101089.

Abdulateef DS, Ali AJ, Abdulateef DS, Mohesh MIG. Smoking Knowledge, Attitude, and Practices Among Health Care Professionals from Sulaymaniyah City/Iraq. Tob Use Insights. 2016;9:1-6.

Mostafa N, Momen M. Effect of physicians’ smoking status on their knowledge, attitude, opinions and practices of smoking cessation in a University Hospital, in Egypt. J Egypt Public Health Assoc. 2017;92(2):96-106.

Downloads

Published

2021-06-30

How to Cite

1.
Naik BN, Singh C, Biswas B, Pandey S, Nirala SK, Chaudhary N. Perceived Risk of Tobacco Use in COVID-19 Disease Causation and Severity among Healthcare Professionals: A Pan India Online Survey. Natl J Community Med [Internet]. 2021 Jun. 30 [cited 2024 May 5];12(06):140-7. Available from: https://www.njcmindia.com/index.php/file/article/view/373

Issue

Section

Original Research Articles