烟草使用是否会增加感染SARS-CoV-2的风险:来自东印度人群的证据

Arpita Rai, Nishant Mehta, Ansul Kumar, Lakhan Majhee, Pratik Verma, Priyanka Singh, Zeya Ul Haque
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摘要

背景:烟草消费导致免疫和炎症反应改变,从而导致各种呼吸系统疾病,如哮喘和慢性阻塞性肺病,以及心脑血管疾病。研究只是证实了烟草消费对COVID-19严重程度的有害影响。本研究旨在探讨烟草消费与COVID-19发病之间的关系。方法:采用回顾性队列研究,探讨烟草消费与COVID-19的关系。准备了一份简短的封闭式自结构问卷来记录参与者的回答。与会者包括前往印度兰契拉金德拉医学科学研究所(RIMS)进行COVID-19诊断测试的个人。采用SPSS软件(version 24)进行统计分析。卡方检验和logistic回归分析也用于预测COVID-19感染的几率。结果:共获得521份有效问卷并进行分析。此外,256名参与者(49.13%)为COVID-19阳性,57名参与者(10.94%)为吸烟者。与covid -19阴性患者相比,covid -19阳性患者烟草消费的优势比更高(OR=1.78;95% ci 1.01, 3.13)。与以前的吸烟者相比,目前的吸烟者患COVID-19的风险更高(OR=4.8;95% ci 1.39, 16.61)。烟草使用的频率和持续时间也会影响COVID-19的感染率,但这些影响在统计上不显著。结论:与前吸烟者相比,烟草使用者中COVID-19的阳性率明显更高,尤其是目前的烟草使用者。然而,在本研究中,性别和职业对COVID-19发病率没有显著影响。
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Does Tobacco Use Enhance the Risk of SARS-CoV-2 Infection: Evidence from Eastern Indian Population
Background: Tobacco consumption causes altered immune and inflammatory responses which lead to various respiratory diseases such as asthma and chronic obstructive pulmonary disease, as well as cardiovascular and cerebrovascular disorders. Studies have only confirmed the harmful effects of tobacco consumption on the severity of COVID-19. The present study aimed to explore the association between tobacco consumption and the initiation of COVID-19. Methods: This retrospective cohort study was conducted to explore the relationship between tobacco consumption and COVID-19. A brief closed-ended, self-structured questionnaire was prepared to record participants’ responses. The Participants included the individuals who visited Rajendra Institute of Medical Sciences (RIMS), Ranchi, India for the COVID-19 diagnostic test. The statistical analysis was performed using SPSS software (version 24). The chi-square test and logistic regression analysis were also used to predict the odds of getting infected with COVID-19. Findings: A total of 521 valid responses were obtained and subjected to analysis. Moreover, 256 participants (49.13%) were COVID-19 positive and 57 participants (10.94%) were tobacco users. The odds ratio of tobacco consumption was higher in COVID-19-positive patients compared to COVID-19-negatives (OR=1.78; 95% CI 1.01, 3.13). The current tobacco users had a higher risk of developing COVID-19 as compared to the former users (OR=4.8; 95% CI 1.39, 16.61). The frequency and duration of tobacco use also affected the COVID-19 infectivity rate but these were statistically insignificant. Conclusion: The COVID-19 positivity rate was significantly higher in tobacco users, especially in current tobacco users as compared to former users. Nevertheless, gender and occupation had no significant effect on COVID-19 incidence in this study.
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