Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era.

Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era.
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DOI:
10.3390/ijerph20021153
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发表时间:
2023-01-09
影响因子:
--
通讯作者:
Doran, Neal
Doran, Neal
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Reed, Brandon W.;Brody, Arthur L.;Sanavi, Andre Y.;Doran, Neal

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由于COVID-19是一种呼吸道和心血管疾病,因此了解影响心肺健康的行为(如烟草使用)尤为重要。虽然早期研究表明,随着COVID-19的出现,烟草使用的流行率没有变化,但自大流行开始以来,大流行疲劳、COVID-19传播水平的变化以及疫苗的可用性都发生了变化。目前的研究检查了时间,COVID-19激增和/或疫苗接种状态是否与大流行前24个月内每日和非每日烟草使用的可能性相关。数据来源于4个南加州VA医疗保健系统的医疗保健访视(n = 314,787)的电子健康记录。多项逻辑回归分析表明,报告每日和非每日烟草使用(与不使用)的可能性随着时间的推移而增加。在COVID-19激增期间以及接种COVID-19疫苗的退伍军人中,每日和非每日烟草使用不太常见。我们的研究结果为烟草使用模式的变化提供了新的见解,并在这种流行病的前两年中提供了相关性,了解这些关联可能有助于理解与健康相关的行为,并为COVID-19大流行期间的烟草使用障碍的临床治疗提供信息。
Because COVID-19 is a respiratory and cardiovascular disease, understanding behaviors that impact cardiopulmonary health, such as tobacco use, is particularly important. While early studies suggested no change in prevalence of tobacco use as COVID-19 emerged, pandemic fatigue, shifting levels of COVID-19 transmission, and vaccine availability have all changed since the start of the pandemic. The current study examined whether time, COVID-19 surges, and/or vaccination status were associated with likelihood of daily and non-daily tobacco use over the first 24 months of the pandemic. Data were obtained from electronic health records of healthcare visits (n = 314,787) to four Southern California VA healthcare systems. Multinomial logistic regression analyses indicated that the likelihood of reporting both daily and non-daily tobacco use (versus non-use) increased over time. Daily and non-daily tobacco use were less common at visits that occurred during COVID-19 surges, as well as among veterans vaccinated against COVID-19. Our findings provide new insight into changes of tobacco use patterns and correlates across the first two years of this pandemic, and understanding these associations may facilitate understanding of health-related behaviors and inform clinical treatment of tobacco use disorder during the COVID-19 pandemic.
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