Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic.
Perceived health risks associated with the use of tobacco and nicotine products during the COVID-19 pandemic.
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DOI：
10.18332/tid/136040
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发表时间：
2021
影响因子：
3.7
通讯作者：
Ward KD
中科院分区：
文献类型：
--
作者：
Yang Y;Lindblom EN;Salloum RG;Ward KD
烟草产品的健康风险可能会在COVID-19大流行期间发生变化。本研究旨在研究烟草使用对COVID-19感染和严重程度的感知风险，以及对烟草使用和整体健康的感知可能与COVID相关的变化。我们于2020年6月对美国成年人进行了一项在线调查（n=2097）。调查涵盖香烟，雪茄，电子烟和水烟。我们还评估了四种烟草产品中任何一种的使用变化。我们使用多变量逻辑回归模型估计与每种风险和每种产品的感知风险一致的几率，并对人口统计学和COVID-19相关变量进行调整。就所有四种烟草产品而言，疫情期间对一般健康的感知风险略高于疫情前（77% vs 79. 5%（香烟）），而COVID-19严重程度的感知风险高于COVID-19感染的感知风险（73. 3% vs 56. 2%（香烟））。所有的风险指标都因烟草产品而异，其中香烟的风险最高，其次是雪茄，其次是电子烟和水烟。女性和高收入或受教育程度的人比他们的同行更有可能认可烟草使用的风险。认为吸烟（OR=1.65; 95%CI：1.20-2.27）和雪茄（OR=1.63; 95%CI：1.17-2.27）对COVID-19严重程度的风险较高的人更有可能减少或停止使用。烟草╱尼古丁的使用被认为会增加COVID-19严重程度的风险，而在大流行期间，烟草╱尼古丁的使用对一般健康的感知风险很高，尤其是香烟。感知风险的变化似乎促使烟草制品使用发生减少危害的变化。
The perceived health risks of tobacco products may change during the ongoing COVID-19 pandemic. This study aimed to examine the perceived risks of tobacco use on COVID-19 infection and severity, and possible COVID-related changes in perceptions of tobacco use and overall health. We conducted an online survey of adults in the United States in June 2020 (n=2097). The survey covered cigarettes, cigars, e-cigarettes, and hookah. We also assessed changes in the use of any of the four tobacco products. Multivariate logistic regression models were used to estimate the odds of agreeing with the perceived risks for each risk and each product, with the adjustment of demographic and COVID-19 related variables. For all four tobacco products, the perceived risks to general health were slightly higher during the pandemic than before the pandemic (77% vs 79.5% for cigarettes) and the perceived risk of COVID-19 severity was larger than the perceived risk of COVID-19 infection (73.3% vs 56.2% for cigarettes). All risk measures varied with tobacco products consistently, with the risks highest for cigarettes, then cigars, followed by e-cigarettes and hookah. Females and people with higher income or education were more likely to endorse the risks of tobacco use than their counterparts. People who perceived higher risks of using cigarettes (OR=1.65; 95% CI: 1.20–2.27) and cigars (OR=1.63; 95% CI: 1.17–2.27) to COVID-19 severity were more likely to have decreased or quit their use. Tobacco/nicotine use was perceived to increase the risk of COVID-19 severity and the perceived risk of tobacco/nicotine use to general health was high during the pandemic, particularly for cigarettes. The change of perceived risks appeared to be prompting harm-reducing changes in tobacco product use.
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