How has the COVID-19 pandemic impacted on smoking and nicotine dependence among people with severe mental ill health? Analysis of linked data from a UK Closing the Gap Cohort

How has the COVID-19 pandemic impacted on smoking and nicotine dependence among people with severe mental ill health? Analysis of linked data from a UK Closing the Gap Cohort
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COVID-19 大流行对严重精神疾病患者的吸烟和尼古丁依赖有何影响?

DOI:
10.1101/2021.02.10.21251467
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发表时间:
2021
期刊:
--
影响因子:
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通讯作者:
Peckham E
Peckham E
中科院分区:
--
文献类型:
--
作者:
Peckham E

文献摘要

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使用精神卫生服务的人的吸烟率较高,这大大加剧了卫生不平等。吸烟可能导致更糟糕的COVID-19结果,但目前尚不清楚吸烟是否改变了使用精神卫生服务的人。我们在大流行之前和期间检查了大量重度精神障碍患者的临床队列中的吸烟模式。我们发现他们对尼古丁的依赖程度很高,吸烟习惯也很重。虽然有些人已经报告戒烟,但吸烟不平等可能已经进一步根深蒂固。精神卫生服务应设法减轻这种可改变的风险和健康状况不佳的根源。
Smoking rates are higher for people who use mental health services which contributes substantially to health inequalities. Smoking can lead to worse COVID-19 outcomes, yet it remains unclear whether smoking has changed for people who use mental health services. We examined smoking patterns in a large clinical cohort of people with SMI before and during the pandemic. We found high levels of nicotine dependence and heavier patterns of smoking. Whilst some people had reported quitting, it is likely that smoking inequalities have become further entrenched. Mental health services should seek to mitigate this modifiable risk and source of poor health.