Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19
Association Between Youth Smoking, Electronic Cigarette Use, and COVID-19
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DOI：
10.1016/j.jadohealth.2020.07.002
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发表时间：
2020-10-01
影响因子：
7.6
通讯作者：
Halpern-Felsher, Bonnie
中科院分区：
文献类型：
--
作者：
Gaiha, Shivani Mathur;Cheng, Jing;Halpern-Felsher, Bonnie
目的：本研究旨在评估青少年吸烟和电子烟（电子烟）使用是否与2019冠状病毒病（COVID-19）症状、检测和诊断相关。方法：2020年5月对13-24岁的青少年和年轻人（n 1/4 4，351）进行了在线全国调查。多变量logistic回归评估了COVID-19相关症状、检测和诊断与仅吸烟、仅电子烟和双重使用、社会人口因素、肥胖和遵守就地庇护之间的关系。结果：仅电子烟使用者中COVID-19诊断的可能性高出5倍（95%置信区间[CI]：1.82-13.96），在曾经的双重用户中可能性高7倍（95% CI：1.98-24.55），在过去30天的双重用户中可能性高6.8倍（95% CI：2.40-19.55）。在过去30天的双重使用者中，测试的可能性是9倍（95% CI：5.43-15.47），在过去30天的电子烟使用者中，测试的可能性是2.6倍（95% CI：1.33-4.87）。在过去30天的双重使用者中，症状的可能性是4.7倍（95%CI：3.07-7.16）。结论：COVID-19与青少年仅使用电子烟以及电子烟和香烟双重使用有关，这表明需要进行筛查和教育。(C)2020年青少年健康和医学协会。All rights reserved.
Purpose: This study aimed to assess whether youth cigarette and electronic cigarette (e-cigarette) use are associated with coronavirus disease 2019 (COVID-19) symptoms, testing, and diagnosis.Methods: An online national survey of adolescents and young adults (n 1/4 4,351) aged 13-24 years was conducted in May 2020. Multivariable logistic regression assessed relationships among COVID-19-related symptoms, testing, and diagnosis and cigarettes only, e-cigarettes only and dual use, sociodemographic factors, obesity, and complying with shelter-in-place.Results: COVID-19 diagnosis was five times more likely among ever-users of e-cigarettes only (95% confidence interval [CI]: 1.82-13.96), seven times more likely among ever-dual-users (95% CI: 1.98-24.55), and 6.8 times more likely among past 30-day dual-users (95% CI: 2.40-19.55). Testing was nine times more likely among past 30-day dual-users (95% CI: 5.43-15.47) and 2.6 times more likely among past 30-day e-cigarette only users (95% CI: 1.33-4.87). Symptoms were 4.7 times more likely among past 30-day dual-users (95% CI: 3.07-7.16).Conclusions: COVID-19 is associated with youth use of e-cigarettes only and dual use of e -cigarettes and cigarettes, suggesting the need for screening and education. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.