Stress Increases the Association between Cigarette Smoking and Mental Disorders, as Measured by the COVID-19-Related Worry Scale, in the Miami Adult Studies on HIV (MASH) Cohort during the Pandemic.
Stress Increases the Association between Cigarette Smoking and Mental Disorders, as Measured by the COVID-19-Related Worry Scale, in the Miami Adult Studies on HIV (MASH) Cohort during the Pandemic.
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DOI：
10.3390/ijerph19138207
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发表时间：
2022-07-05
影响因子：
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通讯作者：
Baum, Marianna K.
中科院分区：
文献类型：
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作者：
Diaz-Martinez, Janet;Delgado-Enciso, Ivan;Campa, Adriana;Tamargo, Javier A.;Martin, Haley R.;Johnson, Angelique;Siminski, Suzanne;Gorbach, Pamina M.;Baum, Marianna K.
背景：吸烟与精神障碍(MD)有关。吸烟的人感染新冠肺炎的风险更高，并出现更严重的疾病症状。本研究旨在调查在新冠肺炎大流行之前和期间吸烟与MD的关系，以及在马萨诸塞州队列中吸烟是否受到新冠肺炎相关应激的影响。方法：采用前瞻性设计，使用新冠肺炎相关焦虑量表在大流行期间(2020年7/8月)收集的数据，以及参与者在大流行前的最后一次队列访问(2019年12月)收集的数据。结果：在我们抽样调查的314名参与者中，58.6%的人感染了艾滋病毒，39.2%的人患有MD，52.5%的人以前吸烟，47.8%的人在大流行期间吸烟。与没有MD的参与者相比，患有MD的参与者吸烟的可能性是在疾病大流行之前(AOR=2.02，95%CI：1.21-3.37，p=0.007)和期间(AOR=2.1，95%CI：1.24-3.56，p=0.006)的两倍；并且经历了由与新冠肺炎相关的担忧量表测量的更高的压力水平(8.59vs.7.65[5.0-10.0]；p=0.026)。有MD和高压力水平的参与者每月吸烟的天数(20.1[0-30]天)多于压力水平较低的参与者(9.2[0-30]天，p=0.021)，也多于高压力水平的参与者，但没有MD的参与者(2.6[0-30]天，p<；0.001)。结论：在MASH大流行期间，吸烟在MASH队列中减少，但在MD和较高压力水平的参与者中吸烟增加。
Background: Smoking has been associated with mental disorders (MD). People who smoke are at a higher risk of contracting COVID-19 and experiencing more severe symptoms of the illness. This study aimed to investigate the relationship between cigarette smoking and MD before and during the COVID-19 pandemic and whether it was influenced by COVID-19-related stress in the MASH cohort. Methods: An ambispective design was used with data collected during the pandemic (July/August 2020) by the COVID-19-Related Worry Scale, a parameter for stress, and data collected at the participants’ last cohort visit before the pandemic (December 2019). Results: In our sample of 314 participants, 58.6% were living with HIV, 39.2% had MD, 52.5% smoked before, and 47.8% smoked during the pandemic. Participants with MD were twice as likely to smoke cigarettes both before (aOR = 2.02, 95% CI: 1.21–3.37, p = 0.007) and during the pandemic (aOR = 2.10, 95% CI: 1.24–3.56, p = 0.006); and experienced higher levels of stress measured by the COVID-19-Related Worry Scale (8.59 [5.0–10.0] vs. 7.65 [5.0–10.0]; p = 0.026) compared to those without MD. Participants with MD and high levels of stress smoked more days per month (20.1 [0–30] days) than those with lower levels of stress (9.2 [0–30] days, p = 0.021), and more than those with high levels of stress, but no MD (2.6 [0–30] days, p < 0.001). Conclusions: Cigarette smoking decreased in the MASH cohort during the pandemic, but increased in participants with MD and higher levels of stress.
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