Silva Marc A, Belanger Heather G, Dams-O'Connor Kristen, Tang Xinyu, McKenzie-Hartman Tamara, Nakase-Richardson Risa
a Mental Health and Behavioral Sciences Section (MHBSS) , James A. Haley Veterans' Hospital , Tampa , FL , USA.
b Dept. of Psychology , University of South Florida , Tampa , FL , USA.
Brain Inj. 2018;32(8):994-999. doi: 10.1080/02699052.2018.1468576. Epub 2018 Apr 30.
To identify prevalence and predictors of tobacco smoking among veterans and military service members (V/SM) with traumatic brain injury (TBI) admitted for rehabilitation.
Participants were drawn from the VA TBI Model Systems multicentre longitudinal research study. Tobacco smoking was assessed both preinjury and at 1- or 2-year post-TBI follow-up for 336 participants.
Smoking prevalence was 32% preinjury and 28% at follow-up. Most participants had a stable smoking pattern but 12% of preinjury non-smokers became smokers at follow-up. Preinjury smoking was the strongest predictor of post-TBI smoking. Higher cognitive function also predicted smoking at follow-up. In univariate analyses, smoking was predicted by lower education, preinjury mental health (MH) history, selected TBI severity metrics, and higher functional status at rehabilitation hospital discharge (Disability Rating Scale [DRS] and motor subscale of the Functional Independence Measure [FIM]).
Study findings may help clinicians and administrators recognize who is at high risk for smoking following TBI, to plan for in-hospital and postdischarge screening and interventions.
确定因创伤性脑损伤（TBI）入院接受康复治疗的退伍军人和军事人员（V/SM）中吸烟的患病率及预测因素。
参与者来自退伍军人事务部创伤性脑损伤模型系统多中心纵向研究。对336名参与者在受伤前以及创伤性脑损伤后1年或2年随访时进行吸烟情况评估。
受伤前吸烟患病率为32%，随访时为28%。大多数参与者吸烟模式稳定，但12%的受伤前非吸烟者在随访时变成了吸烟者。受伤前吸烟是创伤性脑损伤后吸烟的最强预测因素。较高的认知功能也预测了随访时的吸烟情况。在单变量分析中，吸烟与较低的教育水平、受伤前心理健康（MH）史、选定的创伤性脑损伤严重程度指标以及康复医院出院时较高的功能状态（残疾评定量表[DRS]和功能独立性测量[FIM]的运动子量表）有关。
研究结果可能有助于临床医生和管理人员识别创伤性脑损伤后吸烟风险高的人群，以便规划住院期间和出院后的筛查及干预措施。
