{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T10:19:41Z","timestamp":1770545981699,"version":"3.49.0"},"reference-count":57,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2021,11,24]],"date-time":"2021-11-24T00:00:00Z","timestamp":1637712000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study explored the perceived change in tobacco use during the COVID-19 pandemic and its associated factors among older adults residing in Rohingya refugee camps, also referred to as Forcibly Displaced Myanmar Nationals in Bangladesh. The study followed a cross-sectional design and was conducted in October 2020 among 416 older adults aged 60 years and above. A purposive sampling technique was applied to identify eligible participants, and face-to-face interviews were conducted using a pre-tested semi-structured questionnaire to collect the data. Participants were asked if they noted any change in their tobacco use patterns (smoking or smokeless tobacco) during the COVID-19 pandemic compared to pre-pandemic. Binary logistic regression models determined the factors associated with the perceived change in tobacco use. More than one in five participants (22.4%) were current tobacco users, of whom 40.8% reported a perceived increase in tobacco use during the COVID-19 pandemic. Adjusted analysis revealed that participants who were concerned about COVID-19 had significantly (p &lt; 0.05) lower odds of perceived increase in tobacco use (aOR = 0.22, 95% CI: 0.06\u20130.73), while older adults who were overwhelmed by COVID-19 (aOR = 0.26, 95% CI: 0.06\u20131.18) and communicated less frequently with others during the pandemic than before (aOR = 0.19, 95% CI: 0.03\u20131.20) had marginally significantly (p &lt; 0.1) lower odds of perceived increase in tobacco use during this pandemic. Relevant stakeholders, policymakers, and practitioners need to focus on strengthening awareness-raising initiatives as part of an emergency preparedness plan to control tobacco use during such a crisis period.<\/jats:p>","DOI":"10.3390\/ijerph182312349","type":"journal-article","created":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T05:23:02Z","timestamp":1638163382000},"page":"12349","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Perceived Change in Tobacco Use and Its Associated Factors among Older Adults Residing in Rohingya Refugee Camps during the COVID-19 Pandemic in Bangladesh"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6100-6076","authenticated-orcid":false,"given":"Sabuj Kanti","family":"Mistry","sequence":"first","affiliation":[{"name":"ARCED Foundation, Dhaka 1216, Bangladesh"},{"name":"Centre for Primary Health Care and Equity, University of New South Wales, Kensington, NSW 2052, Australia"},{"name":"BRAC James P Grant School of Public Health, BRAC University, Dhaka 1213, Bangladesh"},{"name":"Department of Public Health, Daffodil International University, Dhaka 1207, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5442-7147","authenticated-orcid":false,"given":"ARM Mehrab","family":"Ali","sequence":"additional","affiliation":[{"name":"ARCED Foundation, Dhaka 1216, Bangladesh"},{"name":"Global Research and Data Support, Innovations for Poverty Action, New Haven, CT 06510, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uday Narayan","family":"Yadav","sequence":"additional","affiliation":[{"name":"Centre for Primary Health Care and Equity, University of New South Wales, Kensington, NSW 2052, Australia"},{"name":"National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, ACT 2600, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7048-1266","authenticated-orcid":false,"given":"Md. Nazmul","family":"Huda","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Western Sydney University, Sydney, NSW 2560, Australia"},{"name":"The School of Liberal Arts and Social Sciences, Independent University, Dhaka 1229, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saruna","family":"Ghimire","sequence":"additional","affiliation":[{"name":"Department of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH 45056, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5517-8557","authenticated-orcid":false,"given":"Md. Ashfikur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Development Studies Discipline, Khulna University, Khulna 9208, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sompa","family":"Reza","sequence":"additional","affiliation":[{"name":"Institute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rumana","family":"Huque","sequence":"additional","affiliation":[{"name":"Department of Economics, University of Dhaka, Dhaka 1000, Bangladesh"},{"name":"ARK Foundation, Gulshan, Dhaka 1212, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-7966","authenticated-orcid":false,"given":"Muhammad Aziz","family":"Rahman","sequence":"additional","affiliation":[{"name":"School of Health, Federation University Australia, Berwick, VIC 3350, Australia"},{"name":"Department of Non-Communicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka 1216, Bangladesh"},{"name":"Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,24]]},"reference":[{"key":"ref_1","unstructured":"WHO (2020, December 09). 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