Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study

Introduction This study examined the association between smoking status and death from COVID-19. Methods This study used nationwide cohort data collected from the Korean National Health Insurance Service, linking to information on all individuals who tested positive for severe acute respiratory syn...

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Main Author: Jae Woo Choi
Format: Article
Language:English
Published: European Publishing 2023-07-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Association-between-smoking-status-and-death-from-COVID-19-in-South-Korea-A-nationwide,168672,0,2.html
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author Jae Woo Choi
author_facet Jae Woo Choi
author_sort Jae Woo Choi
collection DOAJ
description Introduction This study examined the association between smoking status and death from COVID-19. Methods This study used nationwide cohort data collected from the Korean National Health Insurance Service, linking to information on all individuals who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The smoking status of subjects who participated twice in national health screenings between 2015 and 2018 was measured. This study investigated death from COVID-19 among those who tested positive from 1 January to 30 May 2020. Results This study included 4259 patients who tested positive for SARS-CoV-2 in Korea. After adjusting for all potential confounding factors, current smokers (adjusted odds ratio, AOR=3.75; 95% CI: 1.23–11.36) and recent quitters (AOR=3.74; 95% CI: 1.12–12.53) were associated with an increased risk of death from COVID-19 compared to never smokers. Compared with current smokers, long-term quitters (AOR=0.33; 95% CI: 0.11–0.95) and never smokers (AOR=0.27; 95% CI: 0.09–0.81) were associated with a reduced risk of death from COVID-19. Conclusions Smoking was associated with an increased risk of death among patients with COVID-19. Given the lower possibility of death in long-term quitters with COVID-19, continuous smoking cessation among smokers or recent quitters is needed.
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spelling doaj-art-4618ffe1ca984985873d5df5e0ae42952025-01-24T15:26:36ZengEuropean PublishingTobacco Induced Diseases1617-96252023-07-0121July1810.18332/tid/168672168672Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort studyJae Woo Choi0https://orcid.org/0000-0002-7428-8858Community Care Research Center, Health Insurance Research Institute, National Health Insurance Service, Wonju, Republic of KoreaIntroduction This study examined the association between smoking status and death from COVID-19. Methods This study used nationwide cohort data collected from the Korean National Health Insurance Service, linking to information on all individuals who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The smoking status of subjects who participated twice in national health screenings between 2015 and 2018 was measured. This study investigated death from COVID-19 among those who tested positive from 1 January to 30 May 2020. Results This study included 4259 patients who tested positive for SARS-CoV-2 in Korea. After adjusting for all potential confounding factors, current smokers (adjusted odds ratio, AOR=3.75; 95% CI: 1.23–11.36) and recent quitters (AOR=3.74; 95% CI: 1.12–12.53) were associated with an increased risk of death from COVID-19 compared to never smokers. Compared with current smokers, long-term quitters (AOR=0.33; 95% CI: 0.11–0.95) and never smokers (AOR=0.27; 95% CI: 0.09–0.81) were associated with a reduced risk of death from COVID-19. Conclusions Smoking was associated with an increased risk of death among patients with COVID-19. Given the lower possibility of death in long-term quitters with COVID-19, continuous smoking cessation among smokers or recent quitters is needed.https://www.tobaccoinduceddiseases.org/Association-between-smoking-status-and-death-from-COVID-19-in-South-Korea-A-nationwide,168672,0,2.htmlsmokingcovid-19koreannationwide cohort study
spellingShingle Jae Woo Choi
Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study
Tobacco Induced Diseases
smoking
covid-19
korean
nationwide cohort study
title Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study
title_full Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study
title_fullStr Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study
title_full_unstemmed Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study
title_short Association between smoking status and death from COVID-19 in South Korea: A nationwide cohort study
title_sort association between smoking status and death from covid 19 in south korea a nationwide cohort study
topic smoking
covid-19
korean
nationwide cohort study
url https://www.tobaccoinduceddiseases.org/Association-between-smoking-status-and-death-from-COVID-19-in-South-Korea-A-nationwide,168672,0,2.html
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