Prevalence and predictors of tobacco smoking in veterans and service members following traumatic brain injury rehabilitation: a VA TBIMS study.
| Autor: | Silva, Marc A., Belanger, Heather G., Dams-O’Connor, Kristen, Tang, Xinyu, McKenzie-Hartman, Tamara, Nakase-Richardson, Risa |
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| Předmět: |
SMOKING
COGNITION LIFE skills LONGITUDINAL method MATHEMATICAL models MEDICAL cooperation MEDICAL screening MENTAL health RESEARCH PSYCHOLOGY of military personnel STATISTICS TIME PSYCHOLOGY of veterans THEORY EDUCATIONAL attainment DISCHARGE planning DISEASE prevalence SEVERITY of illness index REHABILITATION for brain injury patients |
| Zdroj: | Brain Injury; 2018, Vol. 32 Issue 8, p994-999, 6p |
| Abstrakt: | Objective: To identify prevalence and predictors of tobacco smoking among veterans and military service members (V/SM) with traumatic brain injury (TBI) admitted for rehabilitation. Methods: Participants were drawn from the VA TBI Model Systems multicentre longitudinal research study. Tobacco smoking was assessed both preinjury and at 1- or 2-year post-TBI follow-up for 336 participants. Results: Smoking prevalence was 32% preinjury and 28% at follow-up. Most participants had a stable smoking pattern but 12% of preinjury non-smokers became smokers at follow-up. Preinjury smoking was the strongest predictor of post-TBI smoking. Higher cognitive function also predicted smoking at follow-up. In univariate analyses, smoking was predicted by lower education, preinjury mental health (MH) history, selected TBI severity metrics, and higher functional status at rehabilitation hospital discharge (Disability Rating Scale [DRS] and motor subscale of the Functional Independence Measure [FIM]). Conclusion: Study findings may help clinicians and administrators recognize who is at high risk for smoking following TBI, to plan for in-hospital and postdischarge screening and interventions. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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