Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic

The prevalence of tobacco use increases in times of stress; however, during the initial stage of the COVID-19 pandemic, tobacco use rates stayed the same in most populations. Previous work focused on the initial months of the pandemic, while this study examined the changes in tobacco use during a la...

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Autores principales:	Javad J. Fatollahi, Sean Bentley, Neal Doran, Arthur L. Brody
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	tobacco use disorder tobacco dependence cigarette smoking veteran COVID-19 pandemic substance use disorder Medicine R
Acceso en línea:	https://doaj.org/article/ff9d70d7d38b419a89601f522d7929b6
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spelling	oai:doaj.org-article:ff9d70d7d38b419a89601f522d7929b62021-11-25T17:49:34ZChanges in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic10.3390/ijerph1822119231660-46011661-7827https://doaj.org/article/ff9d70d7d38b419a89601f522d7929b62021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11923https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The prevalence of tobacco use increases in times of stress; however, during the initial stage of the COVID-19 pandemic, tobacco use rates stayed the same in most populations. Previous work focused on the initial months of the pandemic, while this study examined the changes in tobacco use during a later peak period of the pandemic. We used data from 61,852 visits to the VA San Diego Healthcare System from November 2019 to February 2021, divided into pre-, early, and peak pandemic periods. Multinomial logistic regression was used to test whether the odds of being a daily or non-daily tobacco user varied over time, by demographic group, or with the presence of specific psychiatric diagnoses. Younger Veterans had a greater reduction in the prevalence of non-daily tobacco use between the early and peak periods, while older Veterans had a rise in daily use from pre- to the early pandemic, which returned to baseline during the peak. Individuals with substance use disorder and serious mental illness diagnoses were more likely to report tobacco use, but psychiatric diagnoses did not predict change over time. These findings demonstrate factors that potentially contribute to changes in tobacco use during a public health crisis and may help guide future targeted cessation efforts.Javad J. FatollahiSean BentleyNeal DoranArthur L. BrodyMDPI AGarticletobacco use disordertobacco dependencecigarette smokingveteranCOVID-19 pandemicsubstance use disorderMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11923, p 11923 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tobacco use disorder tobacco dependence cigarette smoking veteran COVID-19 pandemic substance use disorder Medicine R
spellingShingle	tobacco use disorder tobacco dependence cigarette smoking veteran COVID-19 pandemic substance use disorder Medicine R Javad J. Fatollahi Sean Bentley Neal Doran Arthur L. Brody Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic
description	The prevalence of tobacco use increases in times of stress; however, during the initial stage of the COVID-19 pandemic, tobacco use rates stayed the same in most populations. Previous work focused on the initial months of the pandemic, while this study examined the changes in tobacco use during a later peak period of the pandemic. We used data from 61,852 visits to the VA San Diego Healthcare System from November 2019 to February 2021, divided into pre-, early, and peak pandemic periods. Multinomial logistic regression was used to test whether the odds of being a daily or non-daily tobacco user varied over time, by demographic group, or with the presence of specific psychiatric diagnoses. Younger Veterans had a greater reduction in the prevalence of non-daily tobacco use between the early and peak periods, while older Veterans had a rise in daily use from pre- to the early pandemic, which returned to baseline during the peak. Individuals with substance use disorder and serious mental illness diagnoses were more likely to report tobacco use, but psychiatric diagnoses did not predict change over time. These findings demonstrate factors that potentially contribute to changes in tobacco use during a public health crisis and may help guide future targeted cessation efforts.
format	article
author	Javad J. Fatollahi Sean Bentley Neal Doran Arthur L. Brody
author_facet	Javad J. Fatollahi Sean Bentley Neal Doran Arthur L. Brody
author_sort	Javad J. Fatollahi
title	Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic
title_short	Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic
title_full	Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic
title_fullStr	Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic
title_full_unstemmed	Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic
title_sort	changes in tobacco use patterns among veterans in san diego during the recent peak of the covid-19 pandemic
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ff9d70d7d38b419a89601f522d7929b6
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Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic

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