© 2004 by European Journal of Public Health
Smoking |
Nicotine dependence and lifetime amount of smoking in a population sample
Ulrich John1, Christian Meyer1, Ulfert Hapke1 and Hans-Jürgen Rumpf21 University of Greifswald, Institute of Epidemiology and Social Medicine, Addiction Research Center, Greifswald, Germany 2 Medical University of Luebeck, Department of Psychiatry and Psychotherapy, Research Group S:TEP (Substance Abuse: Treatment, Epidemiology and Prevention), Luebeck, Germany
Aim: To determine how the age at starting smoking, any quit attempts and the single nicotine dependence criteria are related to the lifetime amount of smoking. Methods: A population-based sample of 4075 18 to 64-year-olds drawn at random in northern Germany was used. It included 836 former and 1601 current smokers. They were interviewed face-to-face at their homes with the Composite International Diagnostic Interview which provides a nicotine dependence diagnosis (DSM-IV). Also included was the Fagerström Test for Nicotine Dependence. Results: The rates of smokers who started smoking at a young age, who had five or more quit attempts in the past and who fulfilled the single nicotine dependence criteria increased with the lifetime amount of tobacco smoked. Conclusion: Nicotine dependence may be a main impeding factor against efforts to decrease smoker rates.
Keywords: lifetime amount of smoking, nicotine dependence, pack-years, population survey
Received 9 September 2002. Accepted 6 December 2002.
* Correspondence: Prof. Dr. Ulrich John, University of Greifswald, Institute of Epidemiology and Social Medicine, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany, tel. +3834 867700, fax +3834 867701, e-mail: ujohn{at}uni-greifswald.de, http://www.medizin.uni-greifswald.de/epidem
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