From the Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; Tobacco Research & Treatment Center, Massachusetts General Hospital, Boston, Massachusetts; The Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Tobacco Research & Treatment Center, Massachusetts General Hospital, Boston, Massachusetts; The Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Am J Prev Med. 2022 Mar;62(3):341-349. doi: 10.1016/j.amepre.2021.08.018. Epub 2021 Oct 6.
With concerns about tobacco use being a risk factor for severe disease from COVID-19, understanding nicotine- and tobacco-use patterns is important for preventive efforts. This study aims to understand changes in combustible cigarette and E-cigarette use among U.S. adults.
In August 2020, a cross-sectional survey of a nationally representative sample of adults aged ≥18 years in the National Opinion Research Center's AmeriSpeak Panel who reported past 6-month use of combustible cigarettes or E-cigarettes was conducted. Multivariable logistic regression assessed the factors associated with increased product use and quit attempts since hearing about COVID-19.
A total of 1,024 past 6-month cigarette smokers/E-cigarette users were surveyed. Among cigarette smokers, 45% reported no change in cigarette smoking, and 33% reported increased cigarette smoking since hearing about COVID-19. Higher stress was associated with increased cigarette smoking. Among E-cigarette users, 41% reported no change in E-cigarette use, and 23% reported increasing E-cigarette use. A total of 26% of cigarette smokers and 41% of E-cigarette users tried to quit because of COVID-19. Higher perceived risk of COVID-19 was associated with attempts to quit combustible cigarettes (AOR=2.37, 95% CI=1.59, 3.55) and E-cigarettes (AOR=3.14, 95% CI=1.73, 5.70).
Cigarette and E-cigarette use patterns varied in response to the COVID-19 pandemic. Most cigarette smokers and E-cigarette users perceived product use as increasing COVID-19‒related health risks, and this was associated with attempts to quit. Some cigarette smokers, especially those reporting higher stress, increased product use. Proactive provision of cessation support to smokers and E-cigarette users may help mitigate the stress-related increases in product use during the COVID-19 pandemic.
由于担心使用烟草是 COVID-19 严重疾病的风险因素，了解尼古丁和烟草使用模式对于预防工作很重要。本研究旨在了解美国成年人中可燃香烟和电子烟使用的变化情况。
2020 年 8 月，对国家意见研究中心 AmeriSpeak 小组中年龄≥18 岁的全国代表性成年人样本进行了一项横断面调查，这些成年人报告过去 6 个月内使用过可燃香烟或电子烟。多变量逻辑回归评估了自听说 COVID-19 以来与产品使用增加和戒烟尝试相关的因素。
共调查了 1024 名过去 6 个月内吸烟/电子烟使用者。在吸烟者中，45%的人报告吸烟习惯没有改变，33%的人报告自听说 COVID-19 以来增加了吸烟。较高的压力与吸烟增加有关。在电子烟使用者中，41%的人报告电子烟使用没有改变，23%的人报告增加了电子烟使用。共有 26%的吸烟者和 41%的电子烟使用者因 COVID-19 而试图戒烟。更高的 COVID-19 感知风险与尝试戒烟可燃香烟（AOR=2.37，95%CI=1.59，3.55）和电子烟（AOR=3.14，95%CI=1.73，5.70）相关。
针对 COVID-19 大流行，香烟和电子烟的使用模式有所不同。大多数吸烟者和电子烟使用者认为产品使用会增加与 COVID-19 相关的健康风险，这与戒烟尝试有关。一些吸烟者，尤其是那些报告压力较高的人，增加了产品的使用。积极向吸烟者和电子烟使用者提供戒烟支持可能有助于减轻 COVID-19 大流行期间与压力相关的产品使用增加。
