{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:29:15Z","timestamp":1753892955920,"version":"3.41.2"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T00:00:00Z","timestamp":1723766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Alcohol and tobacco use has been proposed to significantly affect COVID-19 outcomes. The study aimed to estimate the prevalence of alcohol and tobacco use among COVID-19-positive patients and compare it with the general population prevalence rates. It also aimed to assess and determine the association between the severity of COVID-19 illness and the complications with alcohol and tobacco use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>For this, a cross-sectional, retrospective, telephone-based study was conducted using a structured questionnaire among COVID-19 diagnosed patients in the district of Deoghar of the Indian state of Jharkhand. A multinomial logistic regression is done to determine the association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 1,425 patients interviewed, tobacco and alcohol were used by 22.31 and 9.96%, significantly more than the prevalence of tobacco (<jats:italic>Z<\/jats:italic>\u2009=\u20094.9485, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.00001) and alcohol use (<jats:italic>Z<\/jats:italic>\u2009=\u20097.118, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.00001), respectively, in the district (tobacco-11.7% and alcohol-4.8%).<\/jats:p><jats:p>In a regression model, patients with co-morbidity had higher odds of severe [3.34 (1.99\u20135.62)] and moderate [2.95 (1.97\u20134.41)] COVID-19. Young [0.12 (0.04\u20130.38)] and middle-aged individuals [0.23 (0.13\u20130.4)], people below the poverty line 0.28 (0.11\u20130.69) are at lower odds of severe COVID-19. Tobacco users [1.58 (1.16\u20132.14)], alcohol users [1.53 (1.03\u20132.28)], incomplete vaccination [3.24 (1.49\u20137.01)], and patients with comorbidity [3.6 (2.79\u20134.68)] were found to have higher odds of post-COVID-19 complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>People with COVID-19 in our study population had significantly higher tobacco and alcohol use compared to the general population. Tobacco and alcohol use significantly increases the risk of post-COVID-19 complications. The study highlights the need for addiction treatment services to prevent complications during future pandemics.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1415178","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T04:32:58Z","timestamp":1723782778000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and association between alcohol, tobacco, and COVID-19: a study from a tribal predominant district in eastern India"],"prefix":"10.3389","volume":"12","author":[{"given":"Venkata Lakshmi","family":"Narasimha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santanu","family":"Nath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benazir","family":"Alam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bipasa","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shalini","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jagdish","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Varshney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,16]]},"reference":[{"year":"2017","key":"ref1"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1097\/YCO.0000000000000720","article-title":"Effects 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