Beliefs about the effects of smoking on corona virus disease 2019 and its impact on the intention to quit and smoking frequencies among university students smokers in Jakarta, Indonesia

Introduction: Several scientific evidence showed that smoking can increase the severity and mortality rate of coronavirus disease 2019 (COVID-19). This indicates that the pandemic is the best time to reduce its frequency or stop the habit, but misinformation that smoking prevents infection has an effect on smokers' behavior. Therefore, this study aims to assess the beliefs about the effects of smoking on COVID-19 as well as to determine their relationship with smoking habits among university student smokers in Jakarta, Indonesia. Methods: This study was carried out in three Universities in Jakarta with a total of 198 respondents, who were selected conveniently. Furthermore, independent variables were derived from the Health Belief Model theory, while the dependent variables include quit intention and smoking frequency. Chi-square and ordinal regression analyses were carried out to determine the association between the variables. Results: The belief that smoking increases the severity of COVID-19 as well as having the determination to stop the habit, had an effect on the respondents' quit intention. Moreover, perceived barriers, such as feeling anxious (adjusted odds ratio [AOR]: 0.34, 95% confidence interval [CI]: 0.19-0.60) and being exposed to information that the habit prevents COVID-19 severity (AOR: 0.45, 95% CI: 0.01-0.71) were protective factors against the decrease in the number of cigarettes smoked daily. Conclusion: Improving digital health literacy, campaigns to clarify the risk of cigarettes, and self-efficacy related to cessation are important efforts to prevent smoking behavior during a pandemic.