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Covid-19 and Hookah Smoking Cessation Among Women in Southern Iran: A Cross-Sectional Study Publisher



Alavi A1 ; Kader Z2 ; Mohseni S3 ; Aghamolaei T4 ; Shahbazi Sighaldeh S5 ; Shahabi N6 ; Dadipoor S7
Authors
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Authors Affiliations
  1. 1. Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  2. 2. The Centre for Interdisciplinary Studies of Children, Families and Society, Faculty of Community and Health Sciences, University of the Western Cape, Bellville, South Africa
  3. 3. Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  4. 4. Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  5. 5. Reproductive Health Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Iran
  6. 6. Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  7. 7. Tobacco and Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Source: Journal of Ethnicity in Substance Abuse Published:2022


Abstract

Hookah smoking does not only transmit COVID-19 but also intensifies the symptoms of the disease. Thus, the present research aimed to explore the association between COVID-19 and hookah cessation among female smokers. The institutional-based cross-sectional study was conducted nine months after the onset of the COVID-19 pandemic. Face-to-face interviews were held between November 2020 and January 2021 to explore the pattern of hookah smoking among 561 female hookah smokers in Bandar Abbas in the south of Iran. The daily, weekly and monthly rates of hookah smoking showed a statistically significant decrease in the during COVID-19 era (p <.001). Thirteen percent of women managed to cease hookah smoking successfully during the pandemic. The odds ratio of hookah cessation was higher in single women (95% CI 1.09-5.23) as well as women with a high socioeconomic status (SES) (95% CI 4.28-24.01). It was also higher among women who initiated hookah smoking at an older age (95% CI 29-68) and among those with no hookah smoking family member (95% CI 301- 943). Fear of COVID-19 infection was the leading factor involved in hookah cessation or reduction. Entertainment was the leading barrier to successful hookah cessation behavior. It is believed that COVID-19 has directly and indirectly contributed to the reduced or ceased hookah smoking behavior. One of the reasons for the reduction of hookah smoking was the fear of aggravated symptoms and reasons for cessation included closure of coffee shops and removal of all hookahs from the city. © 2022 Taylor & Francis Group, LLC.
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