The association between tobacco use and COVID-19 diagnoses in three Nordic countries: a pooled analysis.

Previous research has suggested an unexpected negative association between smoking and susceptibility to COVID-19. This study, drawing on population-based data from three Nordic countries—Sweden, Norway, and Finland—aims to investigate this association further, capitalizing on diversity introduced b...

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Published in:European Journal of Public Health Vol. 35; no. 1; pp. 101 - 108
Main Authors: Shaaban, Ahmed Nabil, Andersson, Filip, Thiesmeier, Robert, Orsini, Nicola, Peña, Sebastian, Caspersen, Ida Henriette, Magnusson, Cecilia, Karvonen, Sakari, Magnus, Per Minor, Hergens, Maria Pia, Qazi, Basra, Galanti, Maria Rosaria
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Feb2025
Online Access:View this record in EBSCOhost
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      dt: Feb2025
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        atl: The association between tobacco use and COVID-19 diagnoses in three Nordic countries: a pooled analysis.
      aug:
        au:
          Shaaban, Ahmed Nabil
          Andersson, Filip
          Thiesmeier, Robert
          Orsini, Nicola
          Peña, Sebastian
          Caspersen, Ida Henriette
          Magnusson, Cecilia
          Karvonen, Sakari
          Magnus, Per Minor
          Hergens, Maria Pia
          Qazi, Basra
          Galanti, Maria Rosaria
        affil: Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
      sug:
        subj:
          Smoking Complications
          Smoking Complications
          Smoking Complications
          Tobacco, Smokeless Adverse Effects
          COVID-19 Risk Factors
          COVID-19 Diagnosis
          Risk Assessment
          Human
          Association (Research)
          Sweden
          Norway
          Finland
          Male
          Female
          Adult
          Middle Age
          Aged
          Funding Source
          Nicotine
          Nonexperimental Studies
          COVID-19 Epidemiology
          Scandinavia
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Previous research has suggested an unexpected negative association between smoking and susceptibility to COVID-19. This study, drawing on population-based data from three Nordic countries—Sweden, Norway, and Finland—aims to investigate this association further, capitalizing on diversity introduced by different containment measures. The objective of this research was to examine the association between cigarette smoking and snus (smokeless tobacco) use and the risk of confirmed COVID-19 infection. A pooled analysis integrating original data from 547,685 participants across three countries. We used a multiple imputation approach based on conditional probabilities to impute the systematically missing covariates. The associations between tobacco use and COVID-19 infection were assessed, controlling for potential confounding factors. Current cigarette smokers had a lower risk of a confirmed COVID-19 case, whereas there was an increased risk among snus users. Our sensitivity analysis confirmed that the associations between tobacco use and COVID-19 infection risk are robust, remaining consistent regardless of whether covariate imputation was applied. Findings support a negative association between smoking and SARS-CoV-2 infection, but not the hypothesis that nicotine may be protective against the risk of contracting SARS-CoV-2 infection.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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