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：

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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

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17.	王辰, 肖丹, 池慧. 《中国吸烟危害健康报告2020》概要. 中国循环杂志, 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, 冯国泽, 姜垣, 等. 中国初中学生烟草使用及其影响因素研究. 中华流行病学杂志, 2017, 38(5): 567-571.
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24.	中华人民共和国国家卫生和计划生育委员会. 中国临床戒烟指南(2015年版). 中华健康管理学杂志, 2016, 10(2): 88-95.
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28.	陈淑敏, 刘振宇, 吉佳, 等. 耳穴贴压联合经皮穴位电刺激干预戒烟: 随机对照试验. 中国针灸, 2022, 42(11): 1235-1235.

1. 何权瀛. 如何理解烟草依赖是一种慢性病. 中国呼吸与危重监护杂志, 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. 刘朝, 肖丹, 王辰. 戒烟是慢性阻塞性肺疾病防治的最有效措施. 中华结核和呼吸杂志, 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. 刘朝, 杨金生, 吴远, 等. 基于因子分析和聚类分析的香港针灸戒烟人群分类与特点. 中华中医药杂志, 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. 杨焱, 南奕, 屠梦吴, 等. 《2015中国成人烟草调查报告》概要. 中华健康管理学杂志, 2016, 10(2): 85-87.
12. 孙月, 姬忠飞, 吴小翎. 中国吸烟者戒烟意愿Meta分析. 中国健康教育, 2018, 34(10): 879-881+897.
13. 肖丹, 王辰. 预防戒烟者复吸. 中华全科医师杂志, 2009, 8(6): 368.
14. 许浦生, 李美怡, 萧鲲, 等. 我国戒烟门诊现状综述. 现代医院, 2022, 22(3): 432-435.
15. 叶小春, 张韶辉. 使用药物戒烟成功率高. 江苏卫生保健, 2020(10): 31.
16. 江苇. 15岁及以上男性居民吸烟和戒烟意愿、行为及控烟探讨. 重庆医科大学, 2019.
17. 王辰, 肖丹, 池慧. 《中国吸烟危害健康报告2020》概要. 中国循环杂志, 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, 冯国泽, 姜垣, 等. 中国初中学生烟草使用及其影响因素研究. 中华流行病学杂志, 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. 中华人民共和国国家卫生和计划生育委员会. 中国临床戒烟指南(2015年版). 中华健康管理学杂志, 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. 陈淑敏, 刘振宇, 吉佳, 等. 耳穴贴压联合经皮穴位电刺激干预戒烟: 随机对照试验. 中国针灸, 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

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