Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era
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 COV...
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Veröffentlicht in: | International journal of environmental research and public health 2023-01, Vol.20 (2), p.1153 |
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description | 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 (
= 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. |
doi_str_mv | 10.3390/ijerph20021153 |
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= 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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20021153</identifier><identifier>PMID: 36673907</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Brachytherapy ; Cardiovascular diseases ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 vaccines ; Disease transmission ; Electronic health records ; Electronic medical records ; Governors ; Health behavior ; Health care ; Hispanic people ; Humans ; Immunization ; Infections ; Pandemics ; Regression analysis ; Surges ; Tobacco ; Tobacco Use - epidemiology ; Vaccination ; Vaccines ; Variables</subject><ispartof>International journal of environmental research and public health, 2023-01, Vol.20 (2), p.1153</ispartof><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-78335b76832036f8fc08edfba2aaf2df67923d2786c9b1ec0b5be7d566d2b2e33</citedby><cites>FETCH-LOGICAL-c418t-78335b76832036f8fc08edfba2aaf2df67923d2786c9b1ec0b5be7d566d2b2e33</cites><orcidid>0000-0001-8575-6744 ; 0000-0003-2825-6318</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859008/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859008/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36673907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reed, Brandon W</creatorcontrib><creatorcontrib>Brody, Arthur L</creatorcontrib><creatorcontrib>Sanavi, Andre Y</creatorcontrib><creatorcontrib>Doran, Neal</creatorcontrib><title>Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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 (
= 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.</description><subject>Age</subject><subject>Brachytherapy</subject><subject>Cardiovascular diseases</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 vaccines</subject><subject>Disease transmission</subject><subject>Electronic health records</subject><subject>Electronic medical records</subject><subject>Governors</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Hispanic people</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infections</subject><subject>Pandemics</subject><subject>Regression analysis</subject><subject>Surges</subject><subject>Tobacco</subject><subject>Tobacco Use - epidemiology</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Variables</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkctLAzEQxoMovq8eJeDFg6t5dJPsRSj1CYIHq0dDkp21KW1Sk13F_96tL9TTDDO_-WaGD6E9So45r8iJn0JaTBghjNKSr6BNKgQpBoLQ1V_5BtrKeUoIVwNRraMNLoTsp-UmehzmHJ03rY8hYwvtK0DA42iNcxHfZzjCd116gnyETajxQ1_24YPGd61pu4zjCyQ89nPAPuB2Anh0-3B9VtAKnyezg9YaM8uw-xW30f3F-Xh0VdzcXl6PhjeFG1DVFlJxXlopFGeEi0Y1jiioG2uYMQ2rGyErxmsmlXCVpeCILS3IuhSiZpYB59vo9FN30dk51A5Cm8xML5Kfm_Smo_H6byf4iX6KL7pSZUWI6gUOvwRSfO4gt3rus4PZzASIXdasP47xnl3uOviHTmOXQv_ekpKMSUnKnjr-pFyKOSdofo6hRC-t03-t6wf2f7_wg397xd8B2Q2VEA</recordid><startdate>20230109</startdate><enddate>20230109</enddate><creator>Reed, Brandon W</creator><creator>Brody, Arthur L</creator><creator>Sanavi, Andre Y</creator><creator>Doran, Neal</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8575-6744</orcidid><orcidid>https://orcid.org/0000-0003-2825-6318</orcidid></search><sort><creationdate>20230109</creationdate><title>Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era</title><author>Reed, Brandon W ; Brody, Arthur L ; Sanavi, Andre Y ; Doran, Neal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-78335b76832036f8fc08edfba2aaf2df67923d2786c9b1ec0b5be7d566d2b2e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Brachytherapy</topic><topic>Cardiovascular diseases</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 vaccines</topic><topic>Disease transmission</topic><topic>Electronic health records</topic><topic>Electronic medical records</topic><topic>Governors</topic><topic>Health behavior</topic><topic>Health care</topic><topic>Hispanic people</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infections</topic><topic>Pandemics</topic><topic>Regression analysis</topic><topic>Surges</topic><topic>Tobacco</topic><topic>Tobacco Use - epidemiology</topic><topic>Vaccination</topic><topic>Vaccines</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reed, Brandon W</creatorcontrib><creatorcontrib>Brody, Arthur L</creatorcontrib><creatorcontrib>Sanavi, Andre Y</creatorcontrib><creatorcontrib>Doran, Neal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reed, Brandon W</au><au>Brody, Arthur L</au><au>Sanavi, Andre Y</au><au>Doran, Neal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2023-01-09</date><risdate>2023</risdate><volume>20</volume><issue>2</issue><spage>1153</spage><pages>1153-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Because COVID-19 is a respiratory and cardiovascular disease, understanding behaviors that impact cardiopulmonary health, such as tobacco use, is particularly important. 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= 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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36673907</pmid><doi>10.3390/ijerph20021153</doi><orcidid>https://orcid.org/0000-0001-8575-6744</orcidid><orcidid>https://orcid.org/0000-0003-2825-6318</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age Brachytherapy Cardiovascular diseases Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 vaccines Disease transmission Electronic health records Electronic medical records Governors Health behavior Health care Hispanic people Humans Immunization Infections Pandemics Regression analysis Surges Tobacco Tobacco Use - epidemiology Vaccination Vaccines Variables |
title | Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era |
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