Behavioral and Community Health Sciences Program, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA, United States.
Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States.
Front Public Health. 2021 Dec 8;9:745925. doi: 10.3389/fpubh.2021.745925. eCollection 2021.
The COVID-19 pandemic has disrupted much of day-to-day life in the US and around the world. Smokers have a higher risk of adverse outcomes due to COVID-19. This study investigated the impact of COVID-19 on risky behaviors and health changes in lower income African-American smokers eligible for Low dose computed tomography (LDCT) screening, who may be more adversely impacted by the COVID-19 pandemic. A total of 22 African-American daily smokers who were eligible for LDCT screening participated in this study. The mean age of participants was 61.2 years old (SD = 4.7), 77.3% of the smokers were female, all participants had an income below $20,000, and 63.6% were on Medicaid. Descriptive statistics were used to provide summary information on demographics, COVID-19, and health status. Results showed that participants increased cigarette smoking, spent more time on screens, increased sugary drink consumption, consumed more vegetables and fruits, and engaged in more gardening activities during the COVID-19 pandemic. However, participants also decreased physical activity time and slept less during the pandemic. In general, more than one-third of participants gained more body weight and reported increased stress and anxiety. Our results suggest that African-American smokers who qualify for LDCT screening should be encouraged to consider strategies not only for smoking cessation, but also risky behavior control and management.
新冠疫情对美国和世界各地的日常生活造成了很大的干扰。吸烟者因感染新冠病毒而产生不良后果的风险更高。 本研究旨在探讨新冠疫情对低收入非裔美国烟民风险行为和健康变化的影响，这些烟民有资格接受低剂量计算机断层扫描（LDCT）筛查，他们可能会受到新冠疫情的更不利影响。共有 22 名有资格接受 LDCT 筛查的非裔美国日常吸烟者参与了这项研究。参与者的平均年龄为 61.2 岁（标准差=4.7），77.3%的吸烟者为女性，所有参与者的收入均低于 20000 美元，63.6%的人参加了医疗补助计划。描述性统计数据用于提供人口统计学、新冠疫情和健康状况的摘要信息。结果表明，参与者在新冠疫情期间增加了吸烟量，花在屏幕前的时间更多了，增加了含糖饮料的摄入量，更多地食用了蔬菜和水果，并参与了更多的园艺活动。然而，参与者在疫情期间也减少了体育锻炼时间和睡眠时间。总的来说，超过三分之一的参与者体重增加，并报告压力和焦虑增加。我们的研究结果表明，有资格接受 LDCT 筛查的非裔美国吸烟者应该被鼓励考虑不仅要戒烟，还要控制和管理风险行为的策略。
