Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)

Background: The aim of this study was to assess smoking prevalence among Greek adults and in sub-populations with specific sociodemographic and lifestyle determinants. Moreover, to explore the association between smoking and weight status and specific stress-related states. Methods: Data from 3,820...

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Main Authors: George Michas, Emmanuella Magriplis, Renata Micha, Michail Chourdakis, Antonis Koutelidakis, George Dimitriadis, Demosthenes Panagiotakos, Antonis Zampelas
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Hellenic Journal of Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1109966622000677
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author George Michas
Emmanuella Magriplis
Renata Micha
Michail Chourdakis
Antonis Koutelidakis
George Dimitriadis
Demosthenes Panagiotakos
Antonis Zampelas
author_facet George Michas
Emmanuella Magriplis
Renata Micha
Michail Chourdakis
Antonis Koutelidakis
George Dimitriadis
Demosthenes Panagiotakos
Antonis Zampelas
author_sort George Michas
collection DOAJ
description Background: The aim of this study was to assess smoking prevalence among Greek adults and in sub-populations with specific sociodemographic and lifestyle determinants. Moreover, to explore the association between smoking and weight status and specific stress-related states. Methods: Data from 3,820 adults (47.5% males), included in the Hellenic National Nutrition and Health Survey, were used. Information was obtained on sociodemographic, lifestyle, anthropometric factors, and stress-related states. Results were obtained using survey-specific analysis. Results: Smoking prevalence was 33.5% in total and was significantly higher in males 39.1% (95%CI: 36.3%–41.8%) compared to females 29.4% (95%CI: 27.4%–31.6%; p < 0.001). Smoking prevalence was higher among those that slept <6 h, consumed daily coffee and alcohol, as well as chronic stress and depressive symptomatology. Moreover, 72.9% of Greek adults were exposed to passive smoke. The odds of having chronic stress, depressive symptomatology, sleep problems, and financial difficulties were higher for current smokers, whereas the odds for overweight/obesity increased only among ex-smokers. Chronic pain was associated with both current and ex-smoking status. Conclusions: This study highlights important sociodemographic and lifestyle factors associated with smoking and underlines associations of ever-smoking with weight status and stress-related states, providing health policymakers valuable information for more effective results.
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spelling doaj.art-d8850d2c17c24edaaf5ae22f6b1115322022-12-22T04:25:55ZengElsevierHellenic Journal of Cardiology1109-96662022-09-01671927Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)George Michas0Emmanuella Magriplis1Renata Micha2Michail Chourdakis3Antonis Koutelidakis4George Dimitriadis5Demosthenes Panagiotakos6Antonis Zampelas7Department of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, GreeceDepartment of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, GreeceDepartment of Food Science and Nutrition, School of Agricultural Sciences, University of Thessaly, 43 100, Karditsa, GreeceSchool of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54 124 Thessaloniki, GreeceDepartment of Food Science and Nutrition, University of Aegean, Mytilini, Greece2ndDepartment of Internal Medicine, Research Institute and Diabetes Center, National and Kapodistrian University of Athens, “Attikon” University Hospital, Haidari, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education Harokopio University, Athens, Eleftheriou Venizelou 70, 176 76 Athens, GreeceDepartment of Food Science and Human Nutrition, Agricultural University of Athens, Iera Odos 75, 118 55 Athens, Greece; Corresponding author. Human Nutrition Department of Food Science and Human Nutrition Agricultural University of Athens Iera Odos 75, Athens 11855, Greece. Tel: + 30 210 5294701Background: The aim of this study was to assess smoking prevalence among Greek adults and in sub-populations with specific sociodemographic and lifestyle determinants. Moreover, to explore the association between smoking and weight status and specific stress-related states. Methods: Data from 3,820 adults (47.5% males), included in the Hellenic National Nutrition and Health Survey, were used. Information was obtained on sociodemographic, lifestyle, anthropometric factors, and stress-related states. Results were obtained using survey-specific analysis. Results: Smoking prevalence was 33.5% in total and was significantly higher in males 39.1% (95%CI: 36.3%–41.8%) compared to females 29.4% (95%CI: 27.4%–31.6%; p < 0.001). Smoking prevalence was higher among those that slept <6 h, consumed daily coffee and alcohol, as well as chronic stress and depressive symptomatology. Moreover, 72.9% of Greek adults were exposed to passive smoke. The odds of having chronic stress, depressive symptomatology, sleep problems, and financial difficulties were higher for current smokers, whereas the odds for overweight/obesity increased only among ex-smokers. Chronic pain was associated with both current and ex-smoking status. Conclusions: This study highlights important sociodemographic and lifestyle factors associated with smoking and underlines associations of ever-smoking with weight status and stress-related states, providing health policymakers valuable information for more effective results.http://www.sciencedirect.com/science/article/pii/S1109966622000677Nutrition health surveySmoking prevalenceStressEpidemiologyLifestyle
spellingShingle George Michas
Emmanuella Magriplis
Renata Micha
Michail Chourdakis
Antonis Koutelidakis
George Dimitriadis
Demosthenes Panagiotakos
Antonis Zampelas
Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
Hellenic Journal of Cardiology
Nutrition health survey
Smoking prevalence
Stress
Epidemiology
Lifestyle
title Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
title_full Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
title_fullStr Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
title_full_unstemmed Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
title_short Prevalence and factors associated with smoking in a nationally representative sample of Greek adults: The Hellenic National Nutrition and Health Survey (HNNHS)
title_sort prevalence and factors associated with smoking in a nationally representative sample of greek adults the hellenic national nutrition and health survey hnnhs
topic Nutrition health survey
Smoking prevalence
Stress
Epidemiology
Lifestyle
url http://www.sciencedirect.com/science/article/pii/S1109966622000677
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