The experience of tobacco withdrawal symptoms among current smokers and ex-smokers in the general population: Findings from nationwide China Health Literacy Survey during 2018-19.

China Health Literacy Survey (CHLS) risk factors smoker smoking tobacco withdrawal symptom

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2022
Historique:
received: 20 08 2022
accepted: 28 12 2022
entrez: 30 1 2023
pubmed: 31 1 2023
medline: 31 1 2023
Statut: epublish

Résumé

To clarify the extent to which smokers in the general population experience tobacco withdrawal symptoms and whether such experience differs in those who continue to smoke and those who stopped smoking. We included relevant questions in the nationally-representative China Health Literacy Survey (CHLS) conducted in 2018-2019. Among 87,028 participants, there were 22,115 ever-smokers aged 20-69 years who provided information on their smoking history and their experience of tobacco withdrawal symptoms. Multivariate logistic regressions were conducted to explore the association between withdrawal symptoms and other variables. Among ever-smokers, there were 19,643 (88.8%) current smokers and 2,472 (11.2%) ex-smokers. Among current smokers, 61.3% reported having tried to quit smoking in the past. Overall, 61.1% of current smokers reported experiencing withdrawal symptoms: 69.9% of those who tried to quit smoking in the past and 47.5% of those who did not. A lower proportion of ex-smokers experienced withdrawal symptoms (46.3%) and the difference remained significant after controlling for demographic characteristics (OR = 1.76, 95% CI 1.62-1.93, The clinical picture of the tobacco withdrawal syndrome is the same in current smokers and in ex-smokers, but ex-smokers are less likely to have experienced it. The experience of discomfort when unable to smoke is common and seems likely to be a major factor contributing to maintaining smoking behavior not just among individuals seeking help with quitting smoking, but among smokers generally.

Identifiants

pubmed: 36713929
doi: 10.3389/fpsyt.2022.1023756
pmc: PMC9880314
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1023756

Informations de copyright

Copyright © 2023 Cui, Li, Liu, Li, Nie, Zhou, Cheng, Li, Qin, Wei, Zhao, Ladmore, Pesola, Chung, Chen, Hajek, Xiao and Wang.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Zi-Yang Cui (ZY)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.
Graduate School of Peking Union Medical College, Beijing, China.

Ying-Hua Li (YH)

China Health Education Center, Beijing, China.

Zhao Liu (Z)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.

Li Li (L)

China Health Education Center, Beijing, China.

Xue-Qiong Nie (XQ)

China Health Education Center, Beijing, China.

Xin-Mei Zhou (XM)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.

An-Qi Cheng (AQ)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.

Jin-Xuan Li (JX)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.
China-Japan Friendship School of Clinical Medicine, Capital Medical University, Beijing, China.

Rui Qin (R)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.
Graduate School of Peking Union Medical College, Beijing, China.

Xiao-Wen Wei (XW)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.
China-Japan Friendship School of Clinical Medicine, Capital Medical University, Beijing, China.

Liang Zhao (L)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.

Daniella Ladmore (D)

Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.

Francesca Pesola (F)

Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.

Kian Fan Chung (KF)

National Heart and Lung Institute, Imperial College London and Royal Brompton and Harefield Hospitals, London, United Kingdom.

Zheng-Ming Chen (ZM)

Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.

Peter Hajek (P)

Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.

Dan Xiao (D)

Department of Tobacco Control and Prevention of Respiratory Diseases, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, China.
WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.
Graduate School of Peking Union Medical College, Beijing, China.

Chen Wang (C)

WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention, Beijing, China.
National Clinical Research Center for Respiratory Diseases, Beijing, China.
Institute of Respiratory Medicine, Chinese Academy of Medical Sciences, Beijing, China.
National Center for Respiratory Medicine, Beijing, China.
Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Classifications MeSH