Impact of COVID-19 lockdown on smoking (waterpipe and cigarette) and participants' BMI across various sociodemographic groups in Arab countries in the mediterranean region

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dc.authoridRadwan Qasrawi / 0000-0002-8758-1420en_US
dc.authorscopusidRadwan Qasrawi / 57212263325en_US
dc.authorwosidRadwan Qasrawi / AAA-6245-2019en_US
dc.contributor.authorAl Sabbah, H.
dc.contributor.authorAssaf, E. A.
dc.contributor.authorTaha, Z.
dc.contributor.authorQasrawi, R.
dc.contributor.authorİsmail, L. C.
dc.contributor.authorAl Dhaheri, A. S.
dc.contributor.authorAl-Mannai, M.
dc.date.accessioned2022-12-02T07:34:59Z
dc.date.available2022-12-02T07:34:59Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Mühendislik ve Doğa Bilimleri Fakültesi, Bilgisayar Mühendisliği Bölümüen_US
dc.description.abstractINTRODUCTION Tobacco smokers are at high risk of developing severe COVID-19. Lockdown was a chosen strategy to deal with the spread of infectious diseases; nonetheless, it influenced people’s eating and smoking behaviors. The main objective of this study is to determine the impact of the COVID-19 lockdown on smoking (waterpipe and cigarette) behavior and its associations with sociodemographic characteristics and body mass index. METHODS The data were derived from a large-scale retrospective cross-sectional study using a validated online international survey from 38 countries (n=37207) conducted between 17 April and 25 June 2020. The Eastern Mediterranean Region (WHO-EMR countries) data related to 10 Arabic countries that participated in this survey have been selected for analysis in this study. A total of 12433 participants were included in the analysis of this study, reporting their smoking behavior and their BMI before and during the COVID-19 lockdown. Descriptive and regression analyses were conducted to examine the association between smoking practices and the participant’s country of origin, sociodemographic characteristics, and BMI (kg/m2 ). RESULTS Overall, the prevalence rate of smoking decreased significantly during the lockdown from 29.8% to 23.5% (p<0.05). The percentage of females who smoke was higher than males among the studied population. The highest smoking prevalence was found in Lebanon (33.2%), and the lowest was in Oman (7.9%). In Egypt, Kuwait, Lebanon, and Saudi Arabia, the data showed a significant difference in the education level of smokers before and during the lockdown (p<0.05). Smokers in Lebanon had lower education levels than those in other countries, where the majority of smokers had a Bachelor’s degree. The findings show that the BMI rates in Jordan, Lebanon, Oman, and Saudi Arabia significantly increased during the lockdown (p<0.05). The highest percentages of obesity among smokers before the lockdown were in Oman (33.3%), followed by Bahrain (28.4%) and Qatar (26.4%), whereas, during the lockdown, the percentage of obese smokers was highest in Bahrain (32.1%) followed by Qatar (31.3%) and Oman (25%). According to the logistic regression model, the odds ratio of smoking increased during the pandemic, whereas the odds ratio of TV watching decreased. This finding was statistically significant by age, gender, education level, country of residence, and work status. CONCLUSIONS Although the overall rates of smoking among the studied countries decreased during the lockdown period, we cannot attribute this change in smokingbehavior to the lockdown. Smoking cessation services need to anticipate that unexpected disruptions, such as pandemic lockdowns, may be associated with changes in daily tobacco consumption. Public health authorities should promote the adoption of healthy lifestyles to reduce the long-term negative effects of the lockdown.en_US
dc.identifier.citationAl Sabbah, H., Assaf, E. A., Taha, Z., Qasrawi, R., Ismail, L. C., Al Dhaheri, A. S., ... & Al-Mannai, M. (2022). Impact of COVID-19 lockdown on smoking (waterpipe and cigarette) and participants' BMI across various sociodemographic groups in Arab countries in the Mediterranean Region. Tobacco Induced Diseases, 20(November), 1-16.en_US
dc.identifier.doi10.18332/tid/155007en_US
dc.identifier.urihttp://dx.doi.org/10.18332/tid/155007
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3398
dc.identifier.volume98en_US
dc.identifier.wosWOS:000885470500001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorQasrawi, Radwan
dc.language.isoenen_US
dc.relation.ispartofTOBACCO INDUCED DISEASESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCovıd-19en_US
dc.subjectCigarette Smokingen_US
dc.subjectWaterpipe Smokingen_US
dc.subjectBody Mass İndexen_US
dc.subjectArab Countriesen_US
dc.titleImpact of COVID-19 lockdown on smoking (waterpipe and cigarette) and participants' BMI across various sociodemographic groups in Arab countries in the mediterranean regionen_US
dc.typeArticleen_US

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