Abstract
BackgroundTobacco smoking is a recognized risk factor for many chronic diseases and previous study evidences have indicated that smokers receive smoking cessation service after the diagnosis of chronic diseases increases successful rate in quitting. But the prevalence of tobacco related chronic diseases (TCD) among smokers, as well as the role of TCD diagnosis in smoking cessation is still unclear in China.MethodsFrom June 2016 to December 2017, we sampled 36, 698 residents aged over 18 years by a three stage sampling in Songjiang district, Shanghai. We conducted a cross-sectional study to understand the prevalence of TCD among smokers, and the role of TCD diagnosis in smoking cessation among ex-smokers as well as the smoking cessation attempt among current smokers.ResultsOver all, the prevalence of current smoking is 19.78% (48.36% for male and 0.22% for female). 15.93% of smokers have stopped smoking successfully (1, 376/8, 636). The prevalence of ten selected TCDs among smokers range from 0.63% (Chronic Obstructive Pulmonary Disease, COPD) to 36.31% (hypertension). All of 1, 376 ex-smokers had at least one kind of TCD, and 52.33% of them stop smoking after the diagnosis of TCD, the time interval between TCD diagnosis and smoking cessation ranges from 0 to 65 years, with a median of 9 years. Smokers with TCD had higher prevalence of quit smoking, and current smokers with TCD had higher smoking cessation attempt proportion.ConclusionsThe prevalence of current smoking is still very high among male residents in rural area of Shanghai, and the occurrence of TCD even non-lethal one could provide an opportunity for doctors to assist the smoking cessation among smokers.
Highlights
Tobacco smoking is a recognized risk factor for many chronic diseases and previous study evidences have indicated that smokers receive smoking cessation service after the diagnosis of chronic diseases increases successful rate in quitting
The majority of residents were married (92.83, 95% Confidence Interval (CI): (92.57–93.10%)), and over 80% of residents had an education under junior high school, more than 50% of residents’ monthly income were over 2500 RMB and 58.58% of residents were retired at the investigation time, see Table 1
Residents aged 18 to 29 years had the lowest prevalence of smoking, whereas residents aged 60 to 69 years had the highest prevalence of smoking, and the prevalence of smoking in other 4 age groups ranged from 16.58 to 23.66%, the prevalence of smoking was statistically significant in different age groups
Summary
Tobacco smoking is a recognized risk factor for many chronic diseases and previous study evidences have indicated that smokers receive smoking cessation service after the diagnosis of chronic diseases increases successful rate in quitting. The prevalence of tobacco related chronic diseases (TCD) among smokers, as well as the role of TCD diagnosis in smoking cessation is still unclear in China. China is the largest producer and biggest consumer of tobacco in the world, which produce a heavy burden of tobacco related chronic diseases (TCD). Previous studies demonstrating the role of hospital smoking cessation service in promoting smoking cessation among smokers, and evidence has indicated that smokers receive smoking cessation service increases successful rate in quitting [13, 14]. The role of TCD diagnosis in promoting smoking cessation among smokers is still unclear in China
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