关于主观认知衰退的COVID-19感染和吸烟行为的对比比较
Zhigang Xie1, Beomyoung Cho2, Mariel German3
1Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida.
American journal of preventive medicine
|November 3, 2025
概括
无论吸烟状态如何,COVID-19感染史与主观认知衰退的增加有关. 这强调了在COVID-19后的护理策略中需要综合戒烟和认知培训.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 主观认知衰退 (SCD) 是痴呆风险的一个关键指标.
- 以前的研究表明,吸烟和SCD,COVID-19感染和SCD之间存在联系.
- COVID-19和吸烟对SCD的综合影响尚不清楚.
研究的目的:
- 为了调查COVID-19感染史和SCD之间的关联是否根据吸烟行为而有所不同.
- 分析COVID-19,吸烟和认知衰退之间的相互作用.
主要方法:
- 对2023年行为风险因素监测系统数据 (35个州和波多黎各) 的横截面分析.
- 包括45岁以上的成年人,他们有认知能力下降,COVID-19病史和吸烟 (香烟/电子烟) 的数据.
- 使用多变量日志双项回归来估计SCD的调整流行率,检查相互作用术语.
主要成果:
- 分析了超过146,000名成年人.
- COVID-19幸存者报告SCD患病率较高 (aPR=1.21) 与非感染个体相比,无论吸烟.
- 与没有COVID-19史的吸烟者相比,目前有COVID-19史的吸烟者显示出较高的SCD流行率和功能限制.
结论:
- 过去的COVID-19感染史与SCD患病率的增加有关,这与吸烟或使用电子烟无关.
- 应考虑戒烟干预措施和认知培训作为综合后COVID-19护理.
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