Marc A Silva1,2,3,4, Heather G Belanger1,3,4,5, Kristen Dams-O'Connor6, Xinyu Tang7, Tamara McKenzie-Hartman3, Risa Nakase-Richardson1,3,4,8. 1. a Mental Health and Behavioral Sciences Section (MHBSS) , James A. Haley Veterans' Hospital , Tampa , FL , USA. 2. b Dept. of Psychology , University of South Florida , Tampa , FL , USA. 3. c Defense and Veterans Brain Injury Center (DVBIC) Tampa , FL , USA. 4. d Center of Innovation on Disability and Rehabilitation Research (CINDRR) , Health Services Research and Development Service (HSR&D) , Tampa , FL , USA. 5. e Department of Psychiatry and Behavioral Neurosciences , University of South Florida , Tampa , FL , USA. 6. f Brain Injury Research Center of Mount Sinai , New York , NY , USA. 7. g Biostatistics Program, Dept. of Pediatrics , University of Arkansas for Medical Sciences , Little Rock , AR , USA. 8. h Department of Internal Medicine , University of South Florida , Tampa , FL , USA.
Abstract
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.
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.
Entities:
Keywords:
Brain Injuries; Traumatic; military personnel; tobacco smoking; veterans