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Perceived risk, attitudes, and behavior of cigarette smokers and nicotine vapers receiving buprenorphine treatment for opioid use disorder during the COVID-19 pandemic.
Streck, Joanna M; Kalkhoran, Sara; Bearnot, Benjamin; Gupta, Priya S; Kalagher, Kelly M; Regan, Susan; Wakeman, Sarah; Rigotti, Nancy A.
  • Streck JM; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospita
  • Kalkhoran S; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Bearnot B; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Gupta PS; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Kalagher KM; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
  • Regan S; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Wakeman S; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Rigotti NA; Tobacco Research and Treatment Center, Division of General Internal Medicine Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA; Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Drug Alcohol Depend ; 218: 108438, 2021 01 01.
Article in English | MEDLINE | ID: covidwho-943046
ABSTRACT

BACKGROUND:

Cigarette smoking may increase the risk of COVID-19 complications, reinforcing the urgency of smoking cessation in populations with high smoking prevalence such as individuals with opioid use disorder (OUD). Whether the COVID-19 pandemic has altered perceptions, motivation to quit, or tobacco use among cigarette smokers and nicotine e-cigarette vapers with OUD is unknown.

METHODS:

A telephone survey was conducted in March-July 2020 of current cigarette smokers or nicotine vapers with OUD who were stable on buprenorphine treatment at five Boston (MA) area community health centers. The survey assessed respondents' perceived risk of COVID-19 due to smoking or vaping, interest in quitting, quit attempts and change in tobacco consumption during the pandemic.

RESULTS:

222/520 patients (43 %) completed the survey, and 145 were asked questions related to COVID-19. Of these, 61 % smoked cigarettes only, 13 % vaped nicotine only, and 26 % were dual users. Nearly 80 % of participants believed that smoking and vaping increased their risk of COVID-19 infection or complications. Smokers with this belief reported an increased interest in quitting (AOR 4.6, 95 % CI1.7-12.4). Overall, 49 % of smokers and 42 % of vapers reported increased interest in quitting due to the pandemic; 24 % and 20 %, respectively, reported attempting to quit since the pandemic. However, 35 % of smokers and 27 % of vapers reported increasing smoking and vaping, respectively, during the pandemic.

CONCLUSIONS:

Most patients with OUD believed that smoking and vaping increased their vulnerability to COVID-19, half reported increased interest in quitting, but others reported increasing smoking and vaping during the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Buprenorphine / Attitude / Pandemics / Vaping / Cigarette Smoking / COVID-19 / Narcotic Antagonists / Opioid-Related Disorders Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: Drug Alcohol Depend Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Buprenorphine / Attitude / Pandemics / Vaping / Cigarette Smoking / COVID-19 / Narcotic Antagonists / Opioid-Related Disorders Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: North America Language: English Journal: Drug Alcohol Depend Year: 2021 Document Type: Article