Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients

Ibrahim M Gosadi,1 Ebrahim M Abulqusim,2 Abdulrahman I Atiah,2 Bander H Ageeli,2 Doa’a A Alhazmi,2 Marwah A Hamzi,2 Sara Y Somaily2 1Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, 82621, Saudi Arabia; 2Faculty of Medicine, Jazan University, Jazan, 82621, S...

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Main Authors: Gosadi IM, Abulqusim EM, Atiah AI, Ageeli BH, Alhazmi DA, Hamzi MA, Somaily SY
Format: Article
Language:English
Published: Dove Medical Press 2022-09-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/assessment-of-covid-19-symptoms-distribution-according-to-tobacco-prod-peer-reviewed-fulltext-article-IJGM
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author Gosadi IM
Abulqusim EM
Atiah AI
Ageeli BH
Alhazmi DA
Hamzi MA
Somaily SY
author_facet Gosadi IM
Abulqusim EM
Atiah AI
Ageeli BH
Alhazmi DA
Hamzi MA
Somaily SY
author_sort Gosadi IM
collection DOAJ
description Ibrahim M Gosadi,1 Ebrahim M Abulqusim,2 Abdulrahman I Atiah,2 Bander H Ageeli,2 Doa’a A Alhazmi,2 Marwah A Hamzi,2 Sara Y Somaily2 1Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, 82621, Saudi Arabia; 2Faculty of Medicine, Jazan University, Jazan, 82621, Saudi ArabiaCorrespondence: Ibrahim M Gosadi, Faculty of Medicine, Jazan University, P.O. Box: 2349, Jazan, 82621, Saudi Arabia, Tel +966562137711, Email gossady@hotmail.comPurpose: To assess the distribution of COVID-19 symptoms according to the consumption of tobacco products and khat chewing among samples of Saudi Arabian individuals.Methods: This retrospective cohort study was conducted in the Jazan region of Saudi Arabia. Data was collected online via a self-administered questionnaire. The questionnaire measured demographic variables, COVID-19 symptoms and vaccination, comorbidities history, tobacco product consumption, and khat chewing. In addition, logistic regression was performed to assess the association between the clinical presentation of COVID-19 with tobacco product consumption and khat chewing.Results: A total of 1026 subjects were recruited. The mean age of the participants was 31 years, and more than half were male (53%). Among the reported tobacco product consumption, hookah smoking was more frequently reported as a currently consumed tobacco product (14.3%), followed by cigarette smoking (11.5%) and chewing tobacco (3.8%). Thirteen percent (134) were khat chewers at the time of recruitment. The odds of reporting five symptoms or more were higher among patients who have never been tobacco product consumers (OR: 1.6, 95% CI: 1.15– 2.35) while accounting for khat chewing, age, vaccination status, and history of comorbidities. Nonetheless, the difference in symptom distribution with khat chewing status was not statistically significant.Conclusion: The findings of the current investigation suggest the presence of a potential impact of nicotine toxicity in masking pain among the subjects infected with COVID-19. Therefore, it is possible to hypothesize that, with the potential masking effect of nicotine, infected smokers may be less likely to suffer from the symptoms and seek official healthcare services, including diagnostic services.Keywords: COVID-19, tobacco, khat, Jazan, Saudi Arabia
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spelling doaj.art-175f69dd5bf248cba868ba70e10fe94c2022-12-22T01:49:26ZengDove Medical PressInternational Journal of General Medicine1178-70742022-09-01Volume 157299730978265Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 PatientsGosadi IMAbulqusim EMAtiah AIAgeeli BHAlhazmi DAHamzi MASomaily SYIbrahim M Gosadi,1 Ebrahim M Abulqusim,2 Abdulrahman I Atiah,2 Bander H Ageeli,2 Doa’a A Alhazmi,2 Marwah A Hamzi,2 Sara Y Somaily2 1Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, 82621, Saudi Arabia; 2Faculty of Medicine, Jazan University, Jazan, 82621, Saudi ArabiaCorrespondence: Ibrahim M Gosadi, Faculty of Medicine, Jazan University, P.O. Box: 2349, Jazan, 82621, Saudi Arabia, Tel +966562137711, Email gossady@hotmail.comPurpose: To assess the distribution of COVID-19 symptoms according to the consumption of tobacco products and khat chewing among samples of Saudi Arabian individuals.Methods: This retrospective cohort study was conducted in the Jazan region of Saudi Arabia. Data was collected online via a self-administered questionnaire. The questionnaire measured demographic variables, COVID-19 symptoms and vaccination, comorbidities history, tobacco product consumption, and khat chewing. In addition, logistic regression was performed to assess the association between the clinical presentation of COVID-19 with tobacco product consumption and khat chewing.Results: A total of 1026 subjects were recruited. The mean age of the participants was 31 years, and more than half were male (53%). Among the reported tobacco product consumption, hookah smoking was more frequently reported as a currently consumed tobacco product (14.3%), followed by cigarette smoking (11.5%) and chewing tobacco (3.8%). Thirteen percent (134) were khat chewers at the time of recruitment. The odds of reporting five symptoms or more were higher among patients who have never been tobacco product consumers (OR: 1.6, 95% CI: 1.15– 2.35) while accounting for khat chewing, age, vaccination status, and history of comorbidities. Nonetheless, the difference in symptom distribution with khat chewing status was not statistically significant.Conclusion: The findings of the current investigation suggest the presence of a potential impact of nicotine toxicity in masking pain among the subjects infected with COVID-19. Therefore, it is possible to hypothesize that, with the potential masking effect of nicotine, infected smokers may be less likely to suffer from the symptoms and seek official healthcare services, including diagnostic services.Keywords: COVID-19, tobacco, khat, Jazan, Saudi Arabiahttps://www.dovepress.com/assessment-of-covid-19-symptoms-distribution-according-to-tobacco-prod-peer-reviewed-fulltext-article-IJGMcovid-19tobaccokhatjazansaudi arabia
spellingShingle Gosadi IM
Abulqusim EM
Atiah AI
Ageeli BH
Alhazmi DA
Hamzi MA
Somaily SY
Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients
International Journal of General Medicine
covid-19
tobacco
khat
jazan
saudi arabia
title Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients
title_full Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients
title_fullStr Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients
title_full_unstemmed Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients
title_short Assessment of COVID-19 Symptoms Distribution According to Tobacco Products Consumption and Khat Chewing: A Potential Antinociceptive Role of Nicotine Among COVID-19 Patients
title_sort assessment of covid 19 symptoms distribution according to tobacco products consumption and khat chewing a potential antinociceptive role of nicotine among covid 19 patients
topic covid-19
tobacco
khat
jazan
saudi arabia
url https://www.dovepress.com/assessment-of-covid-19-symptoms-distribution-according-to-tobacco-prod-peer-reviewed-fulltext-article-IJGM
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