Journal
BRAIN INJURY
Volume 32, Issue 8, Pages 994-999Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/02699052.2018.1468576
Keywords
Brain Injuries; Traumatic; tobacco smoking; military personnel; veterans
Categories
Funding
- Department of Veterans Affairs
- Department of Health and Human Services, National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)
- VHA Central Office VA TBI Model System Program of Research
- General Dynamics Information Technology (GDIT)/General Dynamics Health Solutions (GDHS) from the Defense and Veterans Brain Injury Center (DVBIC), Defense Health Agency (DHA) [W91YTZ-13-C-0015]
- U.S. Department of Defense Congressionally Directed Medical Research Programs
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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.
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