A study on the characteristics of smoking quitting population and smoking control strategies in Hong Kong from 2010 to 2021_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

LIU Zhenyu ¹ , CHEN Shumin ¹ , CHANG Jin ¹ ,  WANG Yingying ¹ ,  YANG Jinsheng ¹ , CHEN Min ²

1. China Academy of Chinese Medical Sciences, Beijing 100700, P. R. China;
2. Hong Kong Pok Oi Hospital, Hongkong 999077, P. R. China;

Corresponding?author：

WANG Yingying, Email: yyw261206@126.com; YANG Jinsheng, Email: zml@ibucm.com

Keywords：

Smoking cessation; characteristics of people who quit smoking; improve abstinence rates; tobacco withdrawal syndrome

DOI：

10.7507/1671-6205.202304029

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore ways so as to improve smoking cessation rates by studying relevant cases in Hong Kong.Methods Patients attending the clinical pilot project in Hong Kong from 2010 to 2022 were retrospectively surveyed and analyzed. Information such as patients' general information, reasons for smoking for the first time, situations that enable smoking, barriers to smoking cessation, and withdrawal symptoms were obtained using a pre-designed case report form and analyzed.Results A total of 10436 patients, 6936 males and 3500 females, were included. Influenced by friends (67.70%), relieving mental stress (33.12%) and curiosity (30.52%) were the main reasons for smoking for the first time; depression (57.14%), after meals (49.08%) and nervousness (41.26%) were the situations that enable smoking; the main barriers to smoking cessation were physiologic dependence (87.06%) friends or colleagues smoking (37.03%) and compulsiveness to use tobacco (32.45%), top withdrawal symptoms smoking stoppage were craving for cigarettes (50.33%), restlessness (38.33%), and difficulty concentrating (26.63%).Conclusions The proportion of patients actively choosing to quit smoking is high in Hong Kong, and smoking cessation methods should be publicized to prompt smokers to take effective measures to quit. A majority of people are influenced by friends to smoke for the first time; thus, adolescent smoking behavior should be supervised to reduce first-time smokers. Moreover, as the most difficult thing to overcome in the process of quitting smoking is psychological addiction, behavioral interventions must be promoted to improve the rate of successful quitting, Steps should be taken to enable the management of withdrawal symptoms to prevent relapse.

Citation： LIU Zhenyu, CHEN Shumin, CHANG Jin, WANG Yingying, YANG Jinsheng, CHEN Min. A study on the characteristics of smoking quitting population and smoking control strategies in Hong Kong from 2010 to 2021. Chinese Journal of Respiratory and Critical Care Medicine, 2023, 22(10): 722-726. doi: 10.7507/1671-6205.202304029 Copy

1.	何權瀛. 如何理解煙草依賴是一種慢性病. 中國呼吸與危重監護雜志, 2011, 10(2): 105-106.
2.	Smoking Cessation: A Report of the Surgeon General—Executive Summary. US Dept of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020.
3.	Thiravetyan B, Vathesatogkit P. Long-term effects of cigarette smoking on all-cause mortality and cardiovascular outcomes in Thai population: results from a 30-year cohort study. Asia Pac J Public Health, 2022, 34(8): 761-769.
4.	Thomson B, Emberson J, Lacey B, et al. Association between smoking, smoking cessation, and mortality by race, ethnicity, and sex among US adults. JAMA Netw Open, 2022, 5(10): e2231480.
5.	Song QY, Zhou T, Sun D, et al. Panoramic smoking burden and genetic susceptibility in relation to all-cause and cause-specific mortality: a prospective study in UK Biobank. Addiction, 2022, 117(4): 1062-1070.
6.	Rey-Brandariz J, Pérez-Ríos M, Santiago-Pérez MI, et al. Trends in smoking-attributable mortality in Spain: 1990 - 2018. Eur J Public Health, 2022, 32(6): 919-925.
7.	劉朝, 肖丹, 王辰. 戒煙是慢性阻塞性肺疾病防治的最有效措施. 中華結核和呼吸雜志, 2017, 40(12): 894-897.
8.	Rigotti NA, Kruse GR, Livingstone-Banks J, et al. Treatment of tobacco smoking: a review. JAMA, 2022, 327(6): 566-577.
9.	劉朝, 楊金生, 吳遠, 等. 基于因子分析和聚類分析的香港針灸戒煙人群分類與特點. 中華中醫藥雜志, 2017, 32(3): 1009-1014.
10.	Babb S, Malarcher A, Schauer G, et al. Quitting smoking among adults - United States, 2000-2015. MMWR Morb Mortal Wkly Rep, 2017, 65(52): 1457-1464.
11.	楊焱, 南奕, 屠夢吳, 等. 《2015中國成人煙草調查報告》概要. 中華健康管理學雜志, 2016, 10(2): 85-87.
12.	孫月, 姬忠飛, 吳小翎. 中國吸煙者戒煙意愿Meta分析. 中國健康教育, 2018, 34(10): 879-881+897.
13.	肖丹, 王辰. 預防戒煙者復吸. 中華全科醫師雜志, 2009, 8(6): 368.
14.	許浦生, 李美怡, 蕭鯤, 等. 我國戒煙門診現狀綜述. 現代醫院, 2022, 22(3): 432-435.
15.	葉小春, 張韶輝. 使用藥物戒煙成功率高. 江蘇衛生保健, 2020(10): 31.
16.	江葦. 15歲及以上男性居民吸煙和戒煙意愿、行為及控煙探討. 重慶醫科大學, 2019.
17.	王辰, 肖丹, 池慧. 《中國吸煙危害健康報告2020》概要. 中國循環雜志, 2021, 36(10): 937-952.
18.	Cheng X, Guo X, Jin CG. Social determinants of smoking among school adolescents in Beijing, China. Tob Induc Dis, 2022, 20: 73.
19.	肖琳, 馮國澤, 姜垣, 等. 中國初中學生煙草使用及其影響因素研究. 中華流行病學雜志, 2017, 38(5): 567-571.
20.	Groom AL, Vu TT, Landry RL, et al. The influence of friends on teen vaping: a mixed-methods approach. Int J Environ Res Public Health, 2021, 18(13): 6784.
21.	Bricker JB, Peterson AV Jr, Andersen MR, et al. Childhood friends who smoke: do they influence adolescents to make smoking transitions? Addict Behav, 2006, 31(5): 889-900.
22.	Scalici F, Schulz PJ. Parents' and peers' normative influence on adolescents' smoking: results from a Swiss-Italian sample of middle schools students. Subst Abuse Treat Prev Policy, 2017, 12(1): 5.
23.	Ho SY, Chen J, Leung LT, et al. Adolescent smoking in Hong Kong: prevalence, psychosocial correlates, and prevention. J Adolesc Health, 2019, 64(6S): S19-S27.
24.	中華人民共和國國家衛生和計劃生育委員會. 中國臨床戒煙指南(2015年版). 中華健康管理學雜志, 2016, 10(2): 88-95.
25.	Prochaska JJ, Benowitz NL. The past, present, and future of nicotine addiction therapy. Annu Rev Med, 2016, 67: 467-486.
26.	Turner JR, Gold A, Schnoll R, et al. Translational research in nicotine dependence. Cold Spring Harb Perspect Med, 2013, 3(3): a012153.
27.	Ashare RL, Falcone M, Lerman C. Cognitive function during nicotine withdrawal: implications for nicotine dependence treatment. Neuropharmacology, 2014, 76 Pt B(0 0): 581-591.
28.	陳淑敏, 劉振宇, 吉佳, 等. 耳穴貼壓聯合經皮穴位電刺激干預戒煙: 隨機對照試驗. 中國針灸, 2022, 42(11): 1235-1235.

1. 何權瀛. 如何理解煙草依賴是一種慢性病. 中國呼吸與危重監護雜志, 2011, 10(2): 105-106.
2. Smoking Cessation: A Report of the Surgeon General—Executive Summary. US Dept of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020.
3. Thiravetyan B, Vathesatogkit P. Long-term effects of cigarette smoking on all-cause mortality and cardiovascular outcomes in Thai population: results from a 30-year cohort study. Asia Pac J Public Health, 2022, 34(8): 761-769.
4. Thomson B, Emberson J, Lacey B, et al. Association between smoking, smoking cessation, and mortality by race, ethnicity, and sex among US adults. JAMA Netw Open, 2022, 5(10): e2231480.
5. Song QY, Zhou T, Sun D, et al. Panoramic smoking burden and genetic susceptibility in relation to all-cause and cause-specific mortality: a prospective study in UK Biobank. Addiction, 2022, 117(4): 1062-1070.
6. Rey-Brandariz J, Pérez-Ríos M, Santiago-Pérez MI, et al. Trends in smoking-attributable mortality in Spain: 1990 - 2018. Eur J Public Health, 2022, 32(6): 919-925.
7. 劉朝, 肖丹, 王辰. 戒煙是慢性阻塞性肺疾病防治的最有效措施. 中華結核和呼吸雜志, 2017, 40(12): 894-897.
8. Rigotti NA, Kruse GR, Livingstone-Banks J, et al. Treatment of tobacco smoking: a review. JAMA, 2022, 327(6): 566-577.
9. 劉朝, 楊金生, 吳遠, 等. 基于因子分析和聚類分析的香港針灸戒煙人群分類與特點. 中華中醫藥雜志, 2017, 32(3): 1009-1014.
10. Babb S, Malarcher A, Schauer G, et al. Quitting smoking among adults - United States, 2000-2015. MMWR Morb Mortal Wkly Rep, 2017, 65(52): 1457-1464.
11. 楊焱, 南奕, 屠夢吳, 等. 《2015中國成人煙草調查報告》概要. 中華健康管理學雜志, 2016, 10(2): 85-87.
12. 孫月, 姬忠飛, 吳小翎. 中國吸煙者戒煙意愿Meta分析. 中國健康教育, 2018, 34(10): 879-881+897.
13. 肖丹, 王辰. 預防戒煙者復吸. 中華全科醫師雜志, 2009, 8(6): 368.
14. 許浦生, 李美怡, 蕭鯤, 等. 我國戒煙門診現狀綜述. 現代醫院, 2022, 22(3): 432-435.
15. 葉小春, 張韶輝. 使用藥物戒煙成功率高. 江蘇衛生保健, 2020(10): 31.
16. 江葦. 15歲及以上男性居民吸煙和戒煙意愿、行為及控煙探討. 重慶醫科大學, 2019.
17. 王辰, 肖丹, 池慧. 《中國吸煙危害健康報告2020》概要. 中國循環雜志, 2021, 36(10): 937-952.
18. Cheng X, Guo X, Jin CG. Social determinants of smoking among school adolescents in Beijing, China. Tob Induc Dis, 2022, 20: 73.
19. 肖琳, 馮國澤, 姜垣, 等. 中國初中學生煙草使用及其影響因素研究. 中華流行病學雜志, 2017, 38(5): 567-571.
20. Groom AL, Vu TT, Landry RL, et al. The influence of friends on teen vaping: a mixed-methods approach. Int J Environ Res Public Health, 2021, 18(13): 6784.
21. Bricker JB, Peterson AV Jr, Andersen MR, et al. Childhood friends who smoke: do they influence adolescents to make smoking transitions? Addict Behav, 2006, 31(5): 889-900.
22. Scalici F, Schulz PJ. Parents' and peers' normative influence on adolescents' smoking: results from a Swiss-Italian sample of middle schools students. Subst Abuse Treat Prev Policy, 2017, 12(1): 5.
23. Ho SY, Chen J, Leung LT, et al. Adolescent smoking in Hong Kong: prevalence, psychosocial correlates, and prevention. J Adolesc Health, 2019, 64(6S): S19-S27.
24. 中華人民共和國國家衛生和計劃生育委員會. 中國臨床戒煙指南(2015年版). 中華健康管理學雜志, 2016, 10(2): 88-95.
25. Prochaska JJ, Benowitz NL. The past, present, and future of nicotine addiction therapy. Annu Rev Med, 2016, 67: 467-486.
26. Turner JR, Gold A, Schnoll R, et al. Translational research in nicotine dependence. Cold Spring Harb Perspect Med, 2013, 3(3): a012153.
27. Ashare RL, Falcone M, Lerman C. Cognitive function during nicotine withdrawal: implications for nicotine dependence treatment. Neuropharmacology, 2014, 76 Pt B(0 0): 581-591.
28. 陳淑敏, 劉振宇, 吉佳, 等. 耳穴貼壓聯合經皮穴位電刺激干預戒煙: 隨機對照試驗. 中國針灸, 2022, 42(11): 1235-1235.

Chinese Journal of Respiratory and Critical Care Medicine

A study on the characteristics of smoking quitting population and smoking control strategies in Hong Kong from 2010 to 2021

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content