TY - JOUR JF - MJIRI JO - Med J Islam Repub Iran VL - 37 IS - 1 PY - 2023 Y1 - 2023/2/01 TI - The Intention of Waterpipe Tobacco Smoking by Women in the COVID-19 Pandemic and its Contributing Factors: a Nonparametric Path Analysis TT - N2 - Background: People with waterpipe tobacco smoking (WTS) seem to be more at risk for the serious complications of coronavirus disease 2019 (COVID-19). This study aimed at assessing the behavioral intention (BI) of WTS by women in the COVID-19 pandemic and its contributing factors. Methods: This cross-sectional descriptive-correlational study was conducted in 2020 (ie, during the COVID-19 pandemic). Participants were 300 women randomly selected through multistage sampling from comprehensive healthcare centers in Khorramabad, Iran. Data collection instrument was a 42-item questionnaire with 4 main subscales, namely knowledge, attitude, differential association, and BI. Data were collected through both online and phone-based methods and were analyzed using non-parametirc path analysis. Results: The prevalence of WTS among women was 13% (95% CI, 11.06-14.94) and the mean scores of attitude, differential association, and behavioral intention among participants with WTS were significantly higher than participants without WTS (P < 0.001). Moreover, 46.12% (95% CI, 38.12-54.08) of participants with WTS reported intention to quit WTS due to the COVID-19 pandemic and 43.6% (95% CI, 35.66-51.54) of women with WTS and 16.5% (95% CI, 14.20-18.80) of women without WTS believed in the protective effects of WTS against COVID-19. The path analysis model showed that the BI of WTS had a significant inverse relationship with knowledge and a significant direct relationship with attitude and differential association. Conclusion: This study suggests the need for quality educational and counseling interventions for the general public to correct popular misconceptions about the protective effects of WTS against COVID-19. SP - 221 EP - 228 AU - Zare, Soodabeh AU - Kazemnejad, Anoshirvan AU - Hamta, Amir AU - Raeesi Dehkordi, Satemeh AD - Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran KW - Tobacco KW - Smoking KW - Waterpipe KW - COVID-19 KW - Nonparametric Path Analysis UR - http://mjiri.iums.ac.ir/article-1-8096-en.html DO - 10.47176/mjiri.37.30 ER -