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BMC Public Health
Published in: BMC Public Health 1/2023

Open Access 01-12-2023 | Research

Tobacco impact on quality of life, a cross-sectional study of smokers, snuff-users and non-users of tobacco

Authors: Solbrith Wachsmann, Lena Nordeman, Annika Billhult, Gun Rembeck

Published in: BMC Public Health | Issue 1/2023

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Abstract

Background

Tobacco smoking is a major public health issue, and also affects health-related quality of life. There has been considerable debate as to whether oral moist snuff, a form of tobacco placed in the oral cavity between the upper lip and gum as in sublabial administration, can be considered a safe alternative to smoking. The aim of this study was to investigate the association between health-related quality of life and smoking, snuff use, gender and age.

Method

This cross-sectional study included 674 women and 605 men aged 18 to 65 recruited through a Swedish population database. Subjects completed a questionnaire about tobacco use and the 36-item Short Form Health Survey (SF-36). Multivariable logistic regression analyses were performed for the association between health-related quality of life and tobacco use, gender and age. The median perceived health-related quality of life (SF-36) for an age-matched Swedish population was used as the cutoff: above the cutoff indicated better-than-average health coded as 1, or otherwise coded as 0. The independent variables were smoking (pack-decades), snuff-use (box-decades), gender and age in decades. The outcome was presented as the Odds Ratio (OR) with a 95% confidence interval (CI) for each independent variable.

Results

The experience of cigarette smoking is associated with decreased physical functioning (PF), general health (GH), vitality (VT), social functioning (SF) and mental health (MH) as well as both lower physical component summary (PCS) and mental component summary (MCS). Further, the experience of snuff use is associated with bodily pain (BP), lower VT, and lower PCS. In the study population older age is associated with lower PF,GH, VT, MH, PCS and MCS. Female gender is associated with lower PF and VT.

Conclusion

This study shows that smoking is associated with lower health-related quality of life. The results also illuminate the detrimental health effects of using snuff, implying that snuff too is a health hazard. As studies on the bodily effects of snuff are relatively scarce, it is imperative that we continue to address and investigate the impact on the population using snuff on a regular basis.

Trial registration

ClinicalTrials.gov ID NCT05409963 05251022 08/06/22.
Literature
1.
The National Board of Health and Wellnes. Ny studie knyter fler dödsfall och insjuknanden till tobaksrökning. Stockholm: The National Board of Health and Welfare; 2014.
2.
Public Health Agency of Sweden. Tobak- och nikotinanvändning-statistik inom området folkhälsa. Stockholm: Public Health Agency of Sweden; 2020.
3.
Goodchild M, Nargis N, Tursan DE. Global economic cost of smoking-attributable diseases. Tob Control. 2018;27(1):58–64.CrossRefPubMed
4.
Public Health Agency of Sweden. Målområde 11 Tobak- Kunskapsunderlag för Folkhälsopolitisk rapport 2010. Östersund: Public Health Agency of Sweden; 2011.
5.
Engstrom K, Magnusson C, Galanti MR. Socio-demographic, lifestyle and health characteristics among snus users and dual tobacco users in Stockholm County. Sweden BMC public health. 2010;10:619.CrossRefPubMed
6.
7.
Byhamre ML, Araghi M, Alfredsson L, Bellocco R, Engström G, Eriksson M, et al. Swedish snus use is associated with mortality: a pooled analysis of eight prospective studies. Int J Epidemiol. 2021;49(6):2041–50.CrossRefPubMed
8.
Carlsson S, Andersson T, Araghi M, Galanti R, Lager A, Lundberg M, et al. Smokeless tobacco (snus) is associated with an increased risk of type 2 diabetes: results from five pooled cohorts. J Intern Med. 2017;281(4):398–406.CrossRefPubMed
9.
Arefalk G, Hergens MP, Ingelsson E, Arnlöv J, Michaëlsson K, Lind L, et al. Smokeless tobacco (snus) and risk of heart failure: results from two Swedish cohorts. Eur J Prev Cardiol. 2012;19(5):1120–7.CrossRefPubMed
10.
Hirsch JM, Wallstrom M, Carlsson AP, Sand L. Oral cancer in Swedish snuff dippers. Anticancer Res. 2012;32(8):3327–30.PubMed
11.
Wikstrom AK, Cnattingius S, Stephansson O. Maternal use of Swedish snuff (snus) and risk of stillbirth. Epidemiology. 2010;21(6):772–8.CrossRefPubMed
12.
Sullivan M, Wiklund I. Quality of life–a useful measure of quality of health care. Lakartidningen. 1999;96(21):2582.PubMed
13.
World Health Organization. WHO Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Social science & medicine (1982). 1995;41(10):1403–9.
14.
Jiang Y, Hesser JE. Patterns of health-related quality of life and patterns associated with health risks among Rhode Island adults. Health Qual Life Outcomes. 2008;6:49.CrossRefPubMedPubMedCentral
15.
Nordenfelt L. Quality of Life, Health and Happines. Aldershot: Avebury; 1993.
16.
Vogl M, Wenig CM, Leidl R, Pokhrel S. Smoking and health-related quality of life in English general population: implications for economic evaluations. BMC Public Health. 2012;12:203.CrossRefPubMedPubMedCentral
17.
Wilson DH, Chittleborough CR, Kirke K, Grant JF, Ruffin RE. The health-related quality of life of male and female heavy smokers. Soz Praventivmed. 2004;49(6):406–12.CrossRefPubMed
18.
19.
Sullivan M, Karlsson J, Ware JE, Jr. The Swedish SF-36 Health Survey-I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Social science & medicine (1982). 1995;41(10):1349–58.
20.
Lee SW. Regression analysis for continuous independent variables in medical research: statistical standard and guideline of Life Cycle Committee. Life Cycle. 2022;2:e3.CrossRef
21.
Sullivan M, Karlsson J, Taft C. SF-36 Hälsoenkät; Swedish manual and interpretation guide. 2 rev. uppl. Gothenburg: Sahlgrenska University Hospital; 2002.
22.
Beebe TJ, Rey E, Ziegenfuss JY, Jenkins S, Lackore K, Talley NJ, et al. Shortening a survey and using alternative forms of prenotification: impact on response rate and quality. BMC Med Res Methodol. 2010;10:50.CrossRefPubMedPubMedCentral
23.
Eriksen WB, Brage S, Bruusgaard D. Does smoking aggravate musculoskeletal pain? Scand J Rheumatol. 1997;26(1):49–54.CrossRefPubMed
24.
25.
Heikkinen AM, Meurman JH, Sorsa T. Tobacco, snuff and oral health. Duodecim. 2015;131(21):1975–80.PubMed
26.
Gallagher JS, DiVasta AD, Vitonis AF, Sarda V, Laufer MR, Missmer SA. The Impact of Endometriosis on Quality of Life in Adolescents. J Adolesc Health. 2018;63(6):766–72.CrossRefPubMed
27.
Björk E, Gustavsson M, Palmstierna M, Valentin A, Olovsson M, Melin AS. [Endometriosis - new clinical guidelines for better and equal care in Sweden]. Lakartidningen. 2020;117.
28.
29.
Rindner L, Strömme G, Nordeman L, Wigren M, Hange D, Gunnarsson R, et al. Prevalence of somatic and urogenital symptoms as well as psychological health in women aged 45 to 55 attending primary health care: a cross-sectional study. BMC Womens Health. 2017;17(1):128.CrossRefPubMedPubMedCentral
30.
Kenny P, King MT, Hall J. The physical functioning and mental health of informal carers: evidence of care-giving impacts from an Australian population-based cohort. Health Soc Care Community. 2014;22(6):646–59.CrossRefPubMed
31.
Öberg M, Heimer G, Lucas S. Lifetime experiences of violence against women and men in Sweden. Scand J Public Health. 2021;49(3):301–8.CrossRefPubMed
Metadata
Title
Tobacco impact on quality of life, a cross-sectional study of smokers, snuff-users and non-users of tobacco
Authors
Solbrith Wachsmann
Lena Nordeman
Annika Billhult
Gun Rembeck
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-15844-z

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