Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic.

Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic.
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DOI:
10.3390/ijerph182211923
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发表时间:
2021-11-13
影响因子:
--
通讯作者:
Brody AL
Brody AL
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Fatollahi JJ;Bentley S;Doran N;Brody AL

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烟草使用的流行率在压力下增加;然而,在COVID-19大流行的初始阶段,大多数人群的烟草使用率保持不变。以前的工作集中在大流行的最初几个月,而这项研究审查了大流行后期高峰期烟草使用的变化。我们使用了2019年11月至2021年2月期间61,852次访问VA圣地亚哥医疗保健系统的数据,分为大流行前,早期和高峰期。使用多项逻辑回归来测试每日或非每日烟草使用者的几率是否随时间、人口统计学组或特定精神病诊断的存在而变化。年轻的退伍军人在早期和高峰期之间的非日常烟草使用率下降幅度更大,而老年退伍军人的日常使用率从大流行前到早期有所上升,在高峰期恢复到基线水平。物质使用障碍和严重精神疾病诊断的个人更有可能报告烟草使用,但精神病诊断并不能预测随着时间的推移而发生的变化。这些研究结果表明,在公共卫生危机期间,可能有助于改变烟草使用的因素,并可能有助于指导未来有针对性的戒烟工作。
The prevalence of tobacco use increases in times of stress; however, during the initial stage of the COVID-19 pandemic, tobacco use rates stayed the same in most populations. Previous work focused on the initial months of the pandemic, while this study examined the changes in tobacco use during a later peak period of the pandemic. We used data from 61,852 visits to the VA San Diego Healthcare System from November 2019 to February 2021, divided into pre-, early, and peak pandemic periods. Multinomial logistic regression was used to test whether the odds of being a daily or non-daily tobacco user varied over time, by demographic group, or with the presence of specific psychiatric diagnoses. Younger Veterans had a greater reduction in the prevalence of non-daily tobacco use between the early and peak periods, while older Veterans had a rise in daily use from pre- to the early pandemic, which returned to baseline during the peak. Individuals with substance use disorder and serious mental illness diagnoses were more likely to report tobacco use, but psychiatric diagnoses did not predict change over time. These findings demonstrate factors that potentially contribute to changes in tobacco use during a public health crisis and may help guide future targeted cessation efforts.
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