Cigarette Smoking and Risk Perceptions During the COVID-19 Pandemic Reported by Recently Hospitalized Participants in a Smoking Cessation Trial.

Cigarette Smoking and Risk Perceptions During the COVID-19 Pandemic Reported by Recently Hospitalized Participants in a Smoking Cessation Trial.
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DOI:
10.1007/s11606-021-06913-3
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发表时间:
2021-12
影响因子:
5.7
通讯作者:
Tindle HA
Tindle HA
中科院分区:
医学2区
文献类型:
--
作者:
Rigotti NA;Chang Y;Regan S;Lee S;Kelley JHK;Davis E;Levy DE;Singer DE;Tindle HA

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吸烟是严重COVID-19疾病的危险因素。了解吸烟者对这一流行病的反应将有助于评估其对公共卫生的影响,并为未来的公共卫生和提供者向吸烟者发出的信息提供信息。评估在COVID-19大流行期间,吸烟者和前吸烟者的风险认知和烟草使用变化。于2020年5月至7月进行的横断面调查(55%应答率),调查对象为694名当前和既往每日吸烟者(平均年龄53岁,40%为男性,78%为白色),他们在COVID-19前住院,并在马萨诸塞州、宾夕法尼亚州和田纳西州的医院参加了戒烟临床试验。自2020年1月以来,烟草消费和戒烟兴趣的变化;自我报告的戒烟和复吸。68%(95%CI,65-72%)的受访者认为吸烟会增加感染COVID-19或更严重病例的风险。在调整后的分析中,在COVID-19已经激增的马萨诸塞州,感知风险高于宾夕法尼亚州和田纳西州,这两个州在调查管理期间已经激增(AOR 1.56,95%CI,1.07-2.28)。更高的COVID-19风险与戒烟兴趣增加相关(AOR 1.72,95% CI 1.01-2.92)。在大流行期间,32%(95% CI,27-37%)的吸烟者增加,37%(95% CI,33-42%)减少,31%(95% CI,26-35%)没有改变他们的香烟消费量。吸烟增加与更高的感知压力相关(AOR 1.49,95%CI 1.16-1.91)。总体而言,在2020年1月(COVID-19前)吸烟的受访者中,11%(95%CI,8-14%)在调查时戒烟(平均6个月后),而28%(95%CI,22-34%)的前吸烟者复吸。更高的COVID-19风险与更高的戒烟几率和更低的复发几率相关。大多数吸烟者认为吸烟会增加COVID-19的风险。吸烟者对大流行的反应各不相同,吸烟增加与压力有关,戒烟增加与感知的COVID-19脆弱性有关。在线版本包含补充材料,可通过10.1007/s11606-021-06913-3获取。
Cigarette smoking is a risk factor for severe COVID-19 disease. Understanding smokers’ responses to the pandemic will help assess its public health impact and inform future public health and provider messages to smokers. To assess risk perceptions and change in tobacco use among current and former smokers during the COVID-19 pandemic. Cross-sectional survey conducted in May–July 2020 (55% response rate) 694 current and former daily smokers (mean age 53, 40% male, 78% white) who had been hospitalized pre-COVID-19 and enrolled into a smoking cessation clinical trial at hospitals in Massachusetts, Pennsylvania, and Tennessee. Perceived risk of COVID-19 due to tobacco use; changes in tobacco consumption and interest in quitting tobacco use; self-reported quitting and relapse since January 2020. 68% (95% CI, 65–72%) of respondents believed that smoking increases the risk of contracting COVID-19 or having a more severe case. In adjusted analyses, perceived risk was higher in Massachusetts where COVID-19 had already surged than in Pennsylvania and Tennessee which were pre-surge during survey administration (AOR 1.56, 95% CI, 1.07–2.28). Higher perceived COVID-19 risk was associated with increased interest in quitting smoking (AOR 1.72, 95% CI 1.01–2.92). During the pandemic, 32% (95% CI, 27–37%) of smokers increased, 37% (95% CI, 33–42%) decreased, and 31% (95% CI, 26–35%) did not change their cigarette consumption. Increased smoking was associated with higher perceived stress (AOR 1.49, 95% CI 1.16–1.91). Overall, 11% (95% CI, 8–14%) of respondents who smoked in January 2020 (pre-COVID-19) had quit smoking at survey (mean, 6 months later) while 28% (95% CI, 22–34%) of former smokers relapsed. Higher perceived COVID-19 risk was associated with higher odds of quitting and lower odds of relapse. Most smokers believed that smoking increased COVID-19 risk. Smokers’ responses to the pandemic varied, with increased smoking related to stress and increased quitting associated with perceived COVID-19 vulnerability. The online version contains supplementary material available at 10.1007/s11606-021-06913-3.
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发表时间: 2018-01-26
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