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Negative Association Between Smoking and Positive Sars-CoV-2 Testing

Results From a Swiss Outpatient Sample Population

Bibliographic Data

ID22076334
AuthorsJuan R Vallarta‐robledo (0000-0002-1145-9517, University of Geneva), Juan R Vallarta-Robledo, José Luís Sandoval (0000-0002-6256-7083, University Hospital of Geneva), Stéphanie Baggio (0000-0002-5347-5937, University Hospital of Geneva), Julien Salamun (University Hospital of Geneva), Frédérique Jacquérioz (0000-0002-6957-0920, University Hospital of Geneva), Hervé Spechbach (0000-0001-7383-8531, University Hospital of Geneva), Idris Guessous (0000-0002-0491-6089, University of Geneva, corresponding author)
Year2021
Volume9
Pages731981-731981
Publication date2021-11-05
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.731981
PMID34805064
OpenAlexW3211788141
LanguageEN
Citations received1
References cited20

To date, most of the evidence suggests that smoking is negatively associated with testing positive for SARS-CoV-2. However, evidence has several methodological limitations. Using an outpatient sample population, we analyzed the association of testing positive for SARS-CoV-2 and smoking considering comorbidities, socioeconomic and demographic factors. Baseline data were obtained from a cohort during the first wave of the pandemic in Geneva, Switzerland (March-April 2020). RT-PCR tests were carried out on individuals suspected of having SARS-CoV-2 according to the testing strategy at that time. Logistic regressions were performed to test the association of smoking and testing positive for SARS-CoV-2 and further adjusted for comorbidities, socioeconomic and demographic factors. The sample included 5,169 participants; 60% were women and the mean age was 41 years. The unadjusted OR for testing positive for SARS-CoV-2 was 0.46 (CI: 0.38–0.54). After adjustment for comorbidities, socioeconomic and demographic factors, smoking was still negatively associated with testing positive for SARS-CoV-2 (OR: 0.44; CI: 0.35–0.77). Women (OR: 0.79; CI: 0.69–0.91), higher postal income (OR: 0.97; CI: 0.95–0.99), having respiratory (OR: 0.68; CI: 0.55–0.84) and immunosuppressive disorders (OR: 0.63; CI: 0.44–0.88) also showed independent negative associations with a positive test for SARS-CoV-2. Smoking was negatively associated with a positive test for SARS-CoV-2 independently of comorbidities, socioeconomic and demographic factors. Since having respiratory or immunosuppressive conditions and being females and healthcare workers were similarly negatively associated with SARS-CoV-2 positive testing, we hypothesize that risk factor-related protective or testing behaviors could have induced a negative association with SARS-CoV-2

Cohort · Cohort study · Disease · Environmental health · Logistic regression · Pandemic · Population · Socioeconomic status · COVID-19 Clinical Research Studies · Demography · Medicine · Respiratory viral infections research · SARS-CoV-2 and COVID-19 Research · Internal Medicine

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Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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