Smoking, distress and COVID-19 in England: Cross-sectional population surveys from 2016 to 2020.
Smoking, distress and COVID-19 in England: Cross-sectional population surveys from 2016 to 2020.
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DOI：
10.1016/j.pmedr.2021.101420
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发表时间：
2021-09
影响因子：
2.8
通讯作者：
Brose L
中科院分区：
文献类型：
--
作者：
Kock L;Brown J;Shahab L;Moore G;Horton M;Brose L
自2019冠状病毒病疫情爆发以来，一般人群的心理健康状况恶化。吸烟与心理健康状况不佳密切相关。吸烟者心理健康的恶化可能会加剧健康不平等。在2016/17年至2020年期间，吸烟者的心理困扰有所增加。在英格兰COVID-19大流行期间，吸烟者心理困扰患病率的变化可能会加剧现有的健康不平等。这项研究审查了与前几年相比，大流行病爆发后吸烟者心理困扰的普遍程度。横断面数据来自2016年、2017年和2020年4月至7月对英格兰吸烟者（18岁以上）（n = 2，927）的代表性调查。Logistic回归估计了2016/2017年和2020年过去一个月的痛苦与年龄之间的关系。加权比例，卡方统计和分层逻辑回归模型分别用于比较2016/2017和2020年社会人口统计学和吸烟特征中中度和重度抑郁的分布。在2016年4月至7月和2017年4月至2020年7月的合并样本之间，过去一年吸烟者中中度和重度抑郁的患病率增加（2016/2017年：中度20.66%，19.02-22.43;重度8.23%，7.16-9.47; 2020年：中度28.79%，95%CI 26.11-31.60; OR = 2.08，95%CI 1.34-3.25;重度11.04%，9.30-13.12; OR = 2.16，1.13-4.07）。虽然没有总体证据表明时间段和年龄之间存在相互作用，但年轻（16-24岁）和中年组（45-54岁）可能经历了中度痛苦的更大增加，而老年组（65岁以上）则增加了严重痛苦。有更多的弱势社会阶层和中度和严重的痛苦，妇女和那些低烟瘾的中度痛苦。在2016年4月至2017年7月和2020年4月至7月期间，英格兰吸烟者的中度和重度痛苦都有所增加。吸烟者的痛苦分布在2016/2017年和2020年之间有所不同，代表了不平等的扩大。
Mental health of the general population has deteriorated since the onset of the COVID-19 pandemic. Smoking is strongly associated with poor mental health. Deterioration in mental health among smokers may exacerbate health inequalities. There were increases in psychological distress in smokers between 2016/17 and 2020. Changes in the prevalence of psychological distress among smokers during the COVID-19 pandemic in England may exacerbate existing health inequalities. This study examined the prevalence of psychological distress among smokers following the onset of the pandemic compared with previous years. Cross-sectional data came from a representative survey of smokers (18+) in England (n = 2,927) between April–July in 2016, 2017 and 2020. Logistic regressions estimated the associations between past-month distress across 2016/2017 and 2020, and age. Weighted proportions, chi-squared statistics and stratified logistic regression models were used to compare the distributions of moderate and severe distress, respectively, within socio-demographic and smoking characteristics in 2016/2017 and 2020. Between the combined April–July 2016 and 2017 sample and April–July 2020 the prevalence of moderate and severe distress among past-year smokers increased (2016/2017: moderate 20.66%, 19.02–22.43; severe 8.23%, 7.16–9.47; 2020: moderate 28.79%, 95%CI 26.11–31.60; OR = 2.08, 95%CI 1.34–3.25; severe 11.04%, 9.30–13.12; OR = 2.16, 1.13–4.07). While there was no overall evidence of an interaction between time period and age, young (16–24 years) and middle-age groups (45–54 years) may have experienced greater increases in moderate distress and older age groups (65+ years) increases in severe distress. There were increases of moderate distress among more disadvantaged social grades and both moderate and severe distress among women and those with low cigarette addiction. Between April–July 2016/2017 and April–July 2020 in England there were increases in both moderate and severe distress among smokers. The distribution of distress among smokers differed between 2016/2017 and 2020 and represents a widening of inequalities.
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DOI：
10.1016/s1031-170x(98)80007-x
发表时间：
1998-09-01
期刊：
Australian College of Midwives Incorporated journal
影响因子：
--
作者：
Bishop, S;Panjari, M;Bell, R
通讯作者：
Bell, R
影响因子：
4.5
作者：
Brose, Leonie S.;Brown, Jamie;McNeill, Ann
通讯作者：
McNeill, Ann
影响因子：
10.5
作者：
Boden, Joseph M.;Fergusson, David M.;Norwood, L. John
通讯作者：
Norwood, L. John
影响因子：
4.5
作者：
Fidler, Jennifer A.;Shahab, Lion;West, Robert
通讯作者：
West, Robert
影响因子：
4.8
作者：
Boland VC;Mattick RP;McRobbie H;Siahpush M;Courtney RJ
通讯作者：
Courtney RJ