Smoking and Quality of Life - Is there really an association? Evidence from a Nepalese sample

Tobacco smoking has a negative impact on human health. Thus, it seems plausible for it to affect perceived quality of life as well. Information in this regard is lacking in Nepalese context. Thus, a comparative study was designed to assess association of cigarette smoking with Health Related Quality of Life (HRQoL). This study was conducted among 125 current and never cigarette smokers who attended a teaching hospital in peri-urban area of Capital city of Nepal from December 2015 to June 2016. The data regarding their socio-demographic characteristic, tobacco history and HRQoL was collected using a self administered questionnaire. QoL assessment was made with the help of valid, translated version of WHO QOL-BREF. Results showed current smokers on an average used 4 sticks of cigarettes per day. Significant proportions of current smokers also consumed alcohol compared to never smokers (p <0.05). Mean difference of both overall QoL score and domain scores among both study groups were relatively small and thus, failed to reach statistical significance. On the other hand, the socio-demographic characteristics like male gender, currently earning and attaining more than higher secondary education were predictors of better HRQoL scores. According to study results, relationship between smoking status and self reported QoL is unclear. Thus, the policy makers should also focus on wider determinants of ill health and well being and not just smoking status. Further research is still needed to understand the effect of tobacco on self perceived health related quality of life.

[1]  S. Mehata,et al.  A nationally representative study on socio-demographic and geographic correlates, and trends in tobacco use in Nepal , 2019, Scientific Reports.

[2]  M. Trapero-Bertran,et al.  Smoking, health-related quality of life and economic evaluation , 2018, The European Journal of Health Economics.

[3]  S. Demarest,et al.  Gender and educational differences in the association between smoking and health-related quality of life in Belgium. , 2017, Preventive medicine.

[4]  P. Siersema,et al.  Smoking is Associated with Higher Disease-related Costs and Lower Health-related Quality of Life in Inflammatory Bowel Disease , 2016, Journal of Crohn's & colitis.

[5]  A. Díaz,et al.  Differences in Health-Related Quality of Life Between New Mexican Hispanic and Non-Hispanic White Smokers. , 2016, Chest.

[6]  T. Dwyer,et al.  Smoking status and health-related quality of life: a longitudinal study in young adults , 2016, Quality of Life Research.

[7]  J. Spertus,et al.  Association of Smoking Status With Angina and Health-Related Quality of Life After Acute Myocardial Infarction , 2015, Circulation. Cardiovascular quality and outcomes.

[8]  U. Aryal,et al.  Perceived benefits and health risks of cigarette smoking among young adults: insights from a cross-sectional study , 2015, Tobacco induced diseases.

[9]  Yue-chune Lee,et al.  The relationship between smoking status and health-related quality of life among smokers who participated in a 1-year smoking cessation programme in Taiwan: a cohort study using the EQ-5D , 2015, BMJ Open.

[10]  Yue-chune Lee,et al.  The relationship between smoking status and health-related quality of life among smokers who participated in a 1-year smoking cessation programme in Taiwan : a cohort study using the EQ-5 D , 2015 .

[11]  I. Danovitch,et al.  Quality of life and smoking. , 2014, The American journal on addictions.

[12]  S. Timalsina,et al.  Quality of life among people living with acquired immune deficiency syndrome receiving anti-retroviral therapy: a study from Nepal , 2013, HIV/AIDS.

[13]  M. Petzold,et al.  Perceived risks and benefits of cigarette smoking among Nepalese adolescents: a population-based cross-sectional study , 2013, BMC Public Health.

[14]  S. Nakaji,et al.  Smoking habits and health-related quality of life in a rural Japanese population , 2011, Quality of Life Research.

[15]  J. D. M. Díez,et al.  Relationship Between Tobacco Consumption and Health-related Quality of Life in Adults Living in a Large Metropolitan Area , 2010, Lung.

[16]  J. Wardle,et al.  Social patterning of individual health behaviours: The case of cigarette smoking , 2009 .

[17]  V. Salomaa,et al.  The effect of smoking in midlife on health-related quality of life in old age: a 26-year prospective study. , 2008, Archives of internal medicine.

[18]  P. Martikainen,et al.  Smoking and SF-36 health functioning. , 2006, Preventive medicine.

[19]  J. Bellido-Casado,et al.  The SF-36 Questionnaire as a measurement of health-related quality of life: assessing short- and medium-term effects of exposure to tobacco versus the known long-term effects. , 2004, European journal of internal medicine.

[20]  E. Matsushima,et al.  Quality of life and lifestyle among city dwellers participating in the medical programs , 2004, Psychiatry and clinical neurosciences.

[21]  David H. Wilson,et al.  The health-related quality of life of male and female heavy smokers , 2004, Sozial- und Präventivmedizin/Social and Preventive Medicine.

[22]  Y. Ogushi,et al.  Association of health-related quality of life with health examination including organic functions and lifestyles in Japanese employees , 2004, Quality of Life Research.

[23]  J. B. Martínez,et al.  Impaired quality of life of healthy young smokers. , 2004, Chest.

[24]  Poul Erik Petersen,et al.  The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. , 2003, Community dentistry and oral epidemiology.

[25]  R. Collins,et al.  Nicotine & Tobacco Research , 2001 .

[26]  P. Amouyel,et al.  Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis. , 1998, The Journal of nutrition.

[27]  J. Silcock,et al.  A comparison of smokers' and ex-smokers' health-related quality of life. , 1997, Journal of public health medicine.