Title
Life-time prevalence and risk factors of tobacco/nicotine dependence in male ever-smokers in Japan
Date Issued
01 January 1998
Access level
metadata only access
Resource Type
journal article
Author(s)
Kawakami N.
Takatsuka N.
Shimizu H.
Takai A.
Publisher(s)
Blackwell Publishing Ltd
Abstract
Aims. To estimate the life-time prevalance rate of tobacco/nicotine dependence and demographic variables and smoking habits associated with the disorder in male ever-smokers in Japan. Design. A cross-sectional community-based interview study. Setting. Takayama city, Gifu prefecture, Japan. Participants. A total of 170 male ever-smokers aged 35 years or older selected randomly from a community in Japan were interviewed. The response rate was 85%. Measurements. The WHO Composite International Diagnostic Interview (CIDI) was used to make diagnosis of tobacco/nicotine dependence according to ICD-10, DSM-III-R and DSM-IV. The Fagerstrom Tolerance questionnaire (FTQ) was also administered and those who had a FTQ score of 7 or above were identified. Findings. The life-time prevalence rates of tobacco/nicotine dependence in male ever-smokers were 42%, 26% and 32% according to ICD-10, DSM-III-R and DSM-IV criteria, respectively; 19% had a FTQ score of 7 or above. The ICD-10 diagnosis was significantly and negatively associated with quitting smoking (p < 0.05). Multiple logistic regression analyses indicated that number of cigarettes per day when they smoked the most was significantly associated with higher life-time risks of the disorder according to DSM-III-R, DSM-IV and Fagerstrom's classification (p < 0.05). The length of cigarette smoked was associated with higher life-time risks of ICD-10 and DSM-IV diagnoses, and years of smoking were associated with higher life-time risks of ICD-10, DSM-III-R and DSM-IV diagnoses (p < 0. 05). Younger birth cohorts had higher cumulative rates of the disorder according to DSM-IV (p for trend < 0. 05). Conclusions. Life-time prevalence rates of tobacco/nicotine dependence according to ICD-10, DSM-III-R and DSM-IV in male ever-smokers in Japan were within the range of rates reported in previous US studies; rates of FTQ score of 7 or above were lower. Fagerstrom scores and diagnostic criteria appear to reflect different aspects of dependence.
Start page
1023
End page
1032
Volume
93
Issue
7
Language
English
OCDE Knowledge area
Psiquiatría
Scopus EID
2-s2.0-0031876536
PubMed ID
Source
Addiction
ISSN of the container
09652140
Sources of information:
Directorio de Producción Científica
Scopus