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Association Between Smoking and COVID-19 Severity: Evidence from Bangladesh.
Mohsin, Faroque Md; Tonmon, Tajrin Tahrin; Nahrin, Ridwana; Tithy, Sharmin Ahmed; Ame, Farzana Akter; Ara, Ismot; Alam, S K Tasnuva; Pervej, Abu Muhammad Abdullah; Shahjalal, Md; Hawlader, Mohammad Delwer Hossain.
  • Mohsin FM; Civil Surgeon Office, Azimpur, Dhaka, 1205, Bangladesh.
  • Tonmon TT; Department of Public Health, North South University, Bashundhara, Dhaka, 1229, Bangladesh.
  • Nahrin R; Civil Surgeon Office, Azimpur, Dhaka, 1205, Bangladesh.
  • Tithy SA; Department of Public Health, North South University, Bashundhara, Dhaka, 1229, Bangladesh.
  • Ame FA; Civil Surgeon Office, Azimpur, Dhaka, 1205, Bangladesh.
  • Ara I; Community Medicine, Shaheed Suhrawardy Medical College, Dhaka, 1207, Bangladesh.
  • Alam SKT; Azimpur School Health Clinic, Azimpur, Dhaka, 1205, Bangladesh.
  • Pervej AMA; Anaesthesiology, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR), Dhaka, 1207, Bangladesh.
  • Shahjalal M; Civil Surgeon Office, Azimpur, Dhaka, 1205, Bangladesh.
  • Hawlader MDH; Department of Public Health, North South University, Bashundhara, Dhaka, 1229, Bangladesh.
J Multidiscip Healthc ; 14: 1923-1933, 2021.
Article in English | MEDLINE | ID: covidwho-1334844
ABSTRACT

PURPOSE:

Previous studies have explored several risk factors for coronavirus disease 2019 (COVID-19) severity, but there is still a lack of association with smoking. Our study aims to find out the association between smoking and COVID-19 severity. SUBJECTS AND

METHODS:

This comparative study was conducted among hospitalized severely and critically ill COVID-19 patients, as well as asymptomatic, mild, and moderate patients from the list of the city corporation (Dhaka, Bangladesh), as confirmed by reverse-transcription polymerase chain reaction (RT-PCR). A total of 2022 adults aged ≥18 years were enrolled in this study.

RESULTS:

The mean age of the patients was 41.17 years; 66.96% of the patients were male, 57.02% were aged above 35 years, and 81.50% of the patients had ever been married; and 33.09% cases were mild and 14.99% were severe. Among the patients, 29.4% were ever-smokers. Smoking status, duration, and frequency, and the presence of comorbidities were significantly associated with COVID-19 severity (p<0.001). Ever-smokers were 1.35 times (95% CI 0.74-2.45), 1.30 times (95% CI 0.58-2.87), and 2.45 times (95% CI 1.07-5.61) more likely to be mild, severe, and critical cases in comparison to non-smokers.

CONCLUSION:

This study revealed a strong association between smoking and COVID-19 severity that calls for mass awareness and cessation campaigns from governments and voluntary organizations.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: J Multidiscip Healthc Year: 2021 Document Type: Article Affiliation country: JMDH.S317603

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: J Multidiscip Healthc Year: 2021 Document Type: Article Affiliation country: JMDH.S317603