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Unveiling Smoking Behavior Amid the COVID-19 Pandemic: A Cross-Sectional Study in the United Arab Emirates

Abderrahman Belfakih, Ibraheem Mohammed, Dhuha Zbala, Mohamad Chakaki, Sana Al-Karam, S. Al-Sharbatti

Cureus, 2025

463 participants

Abstract

Objectives This study aimed to assess the prevalence of smoking among adults residing in the United Arab Emirates (UAE) during the COVID-19 pandemic. Secondary objectives were to identify self-reported changes in smoking behavior, assess associations between smoking and selected epidemiological factors, and determine key predictors for smoking during this period. Methods The research team designed and distributed a meticulous questionnaire covering sociodemographic characteristics, lung health, medical and family history, and factors associated with smoking. The instrument was validated by two specialist physicians and a faculty member specializing in behavioral science. The questionnaire gathered information on smoking status, changes in smoking habits during the COVID-19 pandemic, and related factors. Results The analysis of 463 participants revealed a smoking prevalence of 28.3% (n = 129/453). During the COVID-19 pandemic, 79.4% (n = 85/107) of smokers who responded to this question reported altering their behavior. Among those who changed their smoking method (n = 11), the primary switch was to vaping. The prevalence of smoking among participants who had contracted COVID-19 was 20% (n = 26/129). Significant age-related differences were observed, with the highest smoking rates found in individuals aged 35 and older at 50.0% (n = 29/58). Prevalence was slightly higher among individuals from non-Eastern Mediterranean regions at 29.1% (n = 39/134) compared to 27.4% (n =…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 463 participants or records.

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