Smoking and E-Cigarette Use Among U.S. Adults During the COVID-19 Pandemic.

Smoking and E-Cigarette Use Among U.S. Adults During the COVID-19 Pandemic.
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DOI:
10.1016/j.amepre.2021.08.018
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发表时间:
2022-03
影响因子:
5.5
通讯作者:
Rigotti NA
Rigotti NA
中科院分区:
医学2区
文献类型:
--
作者:
Kalkhoran SM;Levy DE;Rigotti NA

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由于人们担心烟草使用是导致COVID-19严重疾病的风险因素,因此了解尼古丁和烟草使用模式对预防工作非常重要。这项研究旨在了解美国成年人使用可燃香烟和电子烟的变化。2020年8月,美国国家民意研究中心(National Opinion Research Center)的AmeriSpeak Panel对全国代表性的18岁以上成年人样本进行了横断面调查,这些成年人报告了过去6个月使用可燃香烟或电子烟的情况。多变量逻辑回归评估了自听说COVID-19以来与产品使用增加和戒烟尝试相关的因素。共有1024名过去6个月的吸烟者/电子烟使用者接受了调查。在吸烟者中,45%的人表示吸烟没有变化,33%的人表示在听说COVID-19后吸烟增加了。压力越大,吸烟就越多。在电子烟用户中,41%的人表示电子烟的使用没有变化,23%的人表示电子烟的使用增加了。共有26%的吸烟者和41%的电子烟使用者因COVID-19而试图戒烟。较高的COVID-19感知风险与尝试戒烟有关(AOR=2.37, 95% CI=1.59, 3.55)和电子烟(AOR=3.14, 95% CI=1.73, 5.70)。卷烟和电子烟的使用模式因COVID-19大流行而有所不同。大多数吸烟者和电子烟用户认为,使用产品会增加与covid -19相关的健康风险,这与试图戒烟有关。一些吸烟者,尤其是那些压力较大的吸烟者,增加了产品的使用量。主动向吸烟者和电子烟使用者提供戒烟支持,可能有助于缓解COVID-19大流行期间与压力相关的产品使用增加。
With concerns about tobacco use being a risk factor for severe disease from COVID-19, understanding nicotine- and tobacco-use patterns is important for preventive efforts. This study aims to understand changes in combustible cigarette and E-cigarette use among U.S. adults. In August 2020, a cross-sectional survey of a nationally representative sample of adults aged ≥18 years in the National Opinion Research Center's AmeriSpeak Panel who reported past 6–month use of combustible cigarettes or E-cigarettes was conducted. Multivariable logistic regression assessed the factors associated with increased product use and quit attempts since hearing about COVID-19. A total of 1,024 past 6–month cigarette smokers/E-cigarette users were surveyed. Among cigarette smokers, 45% reported no change in cigarette smoking, and 33% reported increased cigarette smoking since hearing about COVID-19. Higher stress was associated with increased cigarette smoking. Among E-cigarette users, 41% reported no change in E-cigarette use, and 23% reported increasing E-cigarette use. A total of 26% of cigarette smokers and 41% of E-cigarette users tried to quit because of COVID-19. Higher perceived risk of COVID-19 was associated with attempts to quit combustible cigarettes (AOR=2.37, 95% CI=1.59, 3.55) and E-cigarettes (AOR=3.14, 95% CI=1.73, 5.70). Cigarette and E-cigarette use patterns varied in response to the COVID-19 pandemic. Most cigarette smokers and E-cigarette users perceived product use as increasing COVID-19‒related health risks, and this was associated with attempts to quit. Some cigarette smokers, especially those reporting higher stress, increased product use. Proactive provision of cessation support to smokers and E-cigarette users may help mitigate the stress-related increases in product use during the COVID-19 pandemic.
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