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Impact of Tobacco Use on Herpes Simplex Virus Infections: Findings from a National Survey
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  • Jiafeng zhang,
  • Shuangxia Zhang,
  • Huiquan Wang,
  • Meng Sun,
  • Yunxia Zhu,
  • Lin Zhou
Jiafeng zhang
Shanghai Changzheng Hospital
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Shuangxia Zhang
Beijing You'an Hospital Affiliated to Capital Medical University
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Huiquan Wang
Shanghai Changzheng Hospital
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Meng Sun
Naval Medical University
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Yunxia Zhu
Beijing You'an Hospital Affiliated to Capital Medical University
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Lin Zhou
Shanghai Changzheng Hospital

Corresponding Author:lynnzhou36@126.com

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Abstract

Background: Herpes Simplex Virus (HSV) infections, primarily caused by HSV-1 and HSV-2, are prevalent worldwide and carry significant health implications. The impact of tobacco use on HSV infections, however, remains underexplored. Methods: This cross-sectional study utilized the National Health and Nutrition Examination Survey (NHANES) database (2009-2016) to investigate the link between Tobacco use and HSV infections among U.S. adults. Smoking status, volume, and serum cotinine levels were analyzed, alongside demographic and behavioral factors. Propensity score matching (PSM) was employed to adjust for confounders such as sexual behavior. Results: Our study involved 5,693 participants to explore the relationship of tobacco use and HSV infection. We found that smokers, particularly current smokers, have a significantly increased risk of both HSV-1 and HSV-2 infections compared to non-smokers. Specifically, the adjusted odds ratio (OR) for HSV-1 in current smokers was 1.36 (95% CI: 1.16-1.59, p<0.001), and for HSV-2, it was 2.37 (95% CI: 1.88-3, p<0.001). The risk escalates with the intensity of smoking. Elevated serum cotinine levels correlated with an increased risk of HSV infection[HSV-1:1.13 (95% CI:1.09~1.18, p<0.001); HSV-2:1.33 (95% CI:1.25~1.41, p<0.001)]. After propensity score matching (PSM) for factors such as age, gender, sexual behavior, and condom use, these associations remained significant. Conclusion: Tobacco use is significantly associated with an increased risk of HSV infections, highlighting the importance of reducing tobacco exposure in public health strategies against HSV. Further longitudinal studies are warranted to establish causality and explore underlying mechanisms.
01 Aug 2024Submitted to Journal of Medical Virology
02 Aug 2024Submission Checks Completed
02 Aug 2024Assigned to Editor
02 Aug 2024Review(s) Completed, Editorial Evaluation Pending
06 Aug 2024Reviewer(s) Assigned
13 Sep 2024Editorial Decision: Revise Minor
14 Sep 20241st Revision Received
23 Sep 2024Submission Checks Completed
23 Sep 2024Assigned to Editor
23 Sep 2024Review(s) Completed, Editorial Evaluation Pending
24 Sep 2024Reviewer(s) Assigned
20 Oct 2024Editorial Decision: Accept