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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Bibliographic Details
Published in:International journal of environmental research and public health 2023-01, Vol.20 (2), p.1153
Main Authors: Reed, Brandon W, Brody, Arthur L, Sanavi, Andre Y, Doran, Neal
Format: Article
Language:English
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
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Summary: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.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph20021153