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

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  • Brandon W. Reed

    (Mental Health Care Line, VA San Diego Healthcare System, San Diego, CA 92161, USA
    Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA)

  • Arthur L. Brody

    (Mental Health Care Line, VA San Diego Healthcare System, San Diego, CA 92161, USA
    Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA)

  • Andre Y. Sanavi

    (Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA)

  • Neal Doran

    (Mental Health Care Line, VA San Diego Healthcare System, San Diego, CA 92161, USA
    Department of Psychiatry, University of California San Diego, La Jolla, CA 92093, USA)

Abstract

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.

Suggested Citation

  • Brandon W. Reed & Arthur L. Brody & Andre Y. Sanavi & Neal Doran, 2023. "Associations between Tobacco Use, Surges, and Vaccination Status over Time in the COVID-19 Era," IJERPH, MDPI, vol. 20(2), pages 1-8, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1153-:d:1029461
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    References listed on IDEAS

    as
    1. Javad J. Fatollahi & Sean Bentley & Neal Doran & Arthur L. Brody, 2021. "Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    2. Erin A. Vogel & Lisa Henriksen & Nina C. Schleicher & Judith J. Prochaska, 2021. "Perceived Susceptibility to and Seriousness of COVID-19: Associations of Risk Perceptions with Changes in Smoking Behavior," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    3. Mariaelena Gonzalez & Anna E. Epperson & Bonnie Halpern-Felsher & Deanna M. Halliday & Anna V. Song, 2021. "Smokers Are More Likely to Smoke More after the COVID-19 California Lockdown Order," IJERPH, MDPI, vol. 18(5), pages 1-9, March.
    4. Emily E. Loud & Katia Gallegos-Carrillo & Inti Barrientos-Gutiérrez & Edna Arillo-Santillán & Victoria C. Lambert & Luis Zavala-Arciniega & James F. Thrasher, 2021. "Smoking Behaviors, Mental Health, and Risk Perceptions during the Beginning of the COVID-19 Pandemic among Mexican Adult Smokers," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
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