COVID-19 Pandemisinin Sigara Kullanımı Üzerindeki Etkileri

Yıl 2021, Cilt: 13 Sayı: S1, 468 - 473, 30.08.2021

Zerrin Gamsızkan , Abdulkadir Kaya , Mehmet Ali Sungur , Mert Can Tuncel , Funda Özdemir , Gizem Gül Baştan Alpin Derya Çınar

https://doi.org/10.18521/ktd.973971

Cited By: 2

Öz

Amaç: Bu çalışmanın amacı, pandemi döneminde sigara içme alışkanlıklarının özelliklerinde meydana gelen değişiklikleri incelemektir.
Materyal ve Metod:
Bu çalışma Düzce Üniversitesi Tıp Fakültesi Sigara Bırakma Polikliniğine Haziran 2020-Ocak 2021 tarihleri arasında sigara bırakmak için başvuran hastalar ile benzer yaş, cinsiyet ve eğitim özelliklerine sahip kontrol grubu hastalar üzerinde yapılmıştır.
Bulgular: Pandemi döneminde sigarayı bırakan 165 hastadan oluşan çalışma grubu ve 163 hastadan oluşan kontrol grubu çalışmaya dahil edildi. Pandemi döneminde sigarayı bırakan hastaların sigarayı bırakmaya devam edenlere göre anlamlı düzeyde daha az denediği saptandı (p<0.04). Pandemi döneminde sigarayı bırakan hastaların fagerström sigara bağımlılığı ölçeği puanları, sigara içmeye devam eden hastalara göre anlamlı derecede düşük bulundu (p<0,001). Pandemi döneminde sigarayı bırakan ve içmeye devam eden hastalar arasında psikolojik dayanıklılık ölçeği toplam puanı ve tüm alt gruplar açısından anlamlı fark bulundu (p<0,001).
Sonuç: Çalışmamızın sonuçları, sigara içenlerin COVID-19 ile sigara arasındaki olumsuz ilişkiden ve daha fazla bırakma davranışından etkilenmesi nedeniyle pandemi döneminde sigarayı bırakma çabalarının arttığını göstermektedir. Sağlık kuruluşlarına başvuran her hastanın sigara içme davranışı açısından sorgulanmasını ve hastaların psikolojik dayanıklılıklarının değerlendirilmesini öneriyoruz.

Anahtar Kelimeler

Sigara, Sigara bırakma, COVID-19, Psikolojik dayanıklılık

Effects of the COVID-19 Pandemic on Smoking

Öz

Objective The aim of this study is to examine the changes in characteristics of smoking habits during the pandemic period.
Methods This study was conducted on the patients who admitted to Düzce University Medical Faculty Smoking Cessation Outpatient Clinic between June 2020 and January 2021 and a control group with similar age, gender, and educational background characteristics. Results The study group with 165 patients who quit smoking during the pandemic period and the control group with 163 patients were included in the study. It was detected that patients who quit smoking during the pandemic period had attempted to quit smoking significantly less compared to those who continue smoking (p <0.04). The fagerström cigarette addiction scale scores of the patients who quit smoking during the pandemic period were found to be significantly lower than the patients who continued to smoke (p <0.001). A significant difference was found between patients who quit smoking during the pandemic period and patients who continued to smoke, in terms of psychological resilience scale total score and all subgroups (p <0.001).
Conclusion The results of our study show that the rate of efforts to quit smoking increased during the pandemic period, because smokers were affected by the negative relationship between COVID-19 and smoking, and more cessation behavior. We suggest that every patient who admitted to health institutions should be questioned in terms of smoking behavior and the psychological resilience of the patients should be evaluated.

Anahtar Kelimeler

Smoking, Smoking cessation, COVID-19, Psycholocial resilience

Kaynakça

• 1. Patanavanich R, Glantz SA. Smoking Is AssociatedWith COVID-19 Progression: A Meta-analysis. Nicotine Tob Res. 2020;22(9):1653-6.
• 2. Pettigrew S, Jun M, Roberts I, Bullen C, Nallaiah K, Rodgers A. PreferencesforTobaccoCessation Information and Support During Covid-19. J Addict Med. 2020;14(6): e362-e365.
• 3. Tajlil A, Ghaffari S, Pourafkari L, Mashayekhi S, Roshanravan N. Nicotine and smoking in the COVID-19 era. J Cardiovasc Thorac Res. 2020;12(2):136-9.
• 4. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. China Medical Treatment Expert Group for Covid-19. Clinical Characteristics of CoronavirusDisease 2019 in China. N Engl J Med. 2020; 382(18):1708-20.
• 5. Kashyap VK, Dhasmana A, Massey A, Kotnala S, Zafar N, Jaggi M, et al. Smokingand COVID-19: AddingFueltotheFlame. Int J Mol Sci. 2020;21(18):6581.
• 6. Kamiński M, Muth A, Bogdański P. Smoking, Vaping, and Tobacco Industry During COVID-19 Pandemic: Twitter Data Analysis. Cyber psychol Behav Soc Netw. 2020;23(12):811-7.
• 7. West R. Tobacco smoking: Healthimpact, prevalence, correlates and interventions. PsycholHealth. 2017;32(8):1018-36.
• 8. Tsourtos G, Foley K, Ward P, Miller E, Wilson C, Barton C, Lawn S. Using a nominal group technique t oapproach consensus on a resilience intervention for smoking cessation in a lower socioeconomic population. BMC Public Health. 2019;27;19(1):1577.
• 9. Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991;86(9):1119-27.
• 10. Uysal MA, Kadakal F, Karşidağ C, Bayram NG, Uysal O, Yilmaz V. Fagerström test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks. 2004;52:115-21
• 11. Işık Ş. Psikolojik Dayanıklılık Ölçeği’nin geliştirilmesi: Geçerlik ve güvenirlik çalışması. The Journal of Happiness & Well-Being, 2016; 4(2):165-82
• 12. Kayhan Tetik B, Gedik Tekinemre I, Taş S. The Effect of the COVID-19 Pandemic on Smoking Cessation Success. J Community Health. 2020;8:1–5.
• 13. Tattan-Birch H, Perski O, Jackson S, Shahab L, West R, Brown J. COVID-19, smoking, vapingandquitting: a representative population survey in England. Addiction. 2020;11.
• 14. Elling JM, Crutzen R, Talhout R, de Vries H. Tobaccosmokingandsmokingcessation in times of COVID-19. TobPrevCessat. 2020;6:39.
• 15. Fujiwara M, Inagaki M, Nakaya N, Fujimori M, Higuchi Y, Kakeda K, et al. Smoking among adults with serious psychological distress: Analysis of anonymized datafrom a nationalcross-sectionalsurvey in Japan. J Affect Disord. 2018;239:131-7.
• 16. Kulik MC, Glantz SA. Softening Among U.S. SmokersWithPsychologicalDistress: MoreQuitAttemptsandLowerConsumption as Smoking Drops. Am J PrevMed. 2017;53(6):810-7.
• 17. Patwardhan P. COVID-19: Risk of increase in smoking rates among England's 6 million smokers and relapseamong England's 11 millionex-smokers. BJGP Open. 2020;4(2):bjgpopen20X101067.
• 18. Grogan S, Walker L, McChesney G, Gee I, Gough B, Cordero MI. How has COVID-19 lockdown impacted smoking? A thematic analysis of written accounts from UK smokers. Psychol Health. 2020:1-17.
• 19. Chertok IRA. Perceived risk of infectionandsmokingbehaviorchangeduring COVID-19 in Ohio. Public Health Nurs. 2020;37(6):854-62.
• 20. Maddi SR, Khoshaba, DM, Harvey RH, Fazel M, Resurreccion N. The personality construct of hardiness, V: relationships with the construction of existential meaning in life. Journal of Humanistic Psychology. 2011;51(3):369- 88.
• 21. O'Cathail SM, O'Connell OJ, Long N, Morgan M, Eustace JA, Plant BJ, et al. Association of cigarette smoking with drug use and risk taking behaviour in Irish teenagers. Addict Behav. 2011;36(5):547-50.
• 22. Peretti-Watel P, Halfen S, Grémy I. Risk denial about smoking hazards and readiness to quit among French smokers: an exploratory study. Addict Behav. 2007;32(2):377-83.
• 23. Hassanbeigi A, Askari J, Hassanbeigi D, Pourmovahed Z. (2013). The Relationship between Stress and Addiction. Procedia – Social and Behavioral Sciences. 2013;84:1333–40
• 24. Goldstein AL, Faulkner B, Wekerle C. Therelationshipamonginternalresilience, smoking, alcoholuse, and depression symptoms in emerging adults transitioning out of child welfare. Child Abuse&Neglect. 2013;37(1):22–32.
• 25. Tattan-Birch H, Perski O, Jackson S, Shahab L, West R, Brown J. COVID-19, smoking, vaping and quitting: a representative population survey in England. Addiction. 2020; doi: 10.1111/add.15251.