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Comorbidity and smoking.

J R Hughes1

  • 1Department of Psychiatry of the University of Vermont, Burlington, 05401-1419, USA. john.hughes@uvm.edu

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
|January 5, 2002
PubMed
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Behavioral and psychological conditions significantly impact smoking initiation, dependence, and cessation. Treating these comorbidities may improve smoking cessation success, highlighting a crucial link for public health.

Area of Science:

  • Psychiatry
  • Behavioral Science
  • Public Health

Background:

  • Behavioral, psychological, and psychiatric conditions are linked to smoking behaviors.
  • Subclinical syndromes, more prevalent than diagnosed disorders, significantly influence smoking.
  • Comorbidity prospectively predicts smoking, and smoking predicts comorbidity.

Purpose of the Study:

  • To examine the strength and consistency of associations between comorbidity and smoking.
  • To investigate if the smoking-comorbidity link is increasing over time.
  • To assess the validity of proposed mechanisms and the impact of treating comorbidity on smoking cessation.

Main Methods:

  • Prospective study designs were utilized.
  • Analysis focused on the bidirectional relationship between smoking and comorbidity.

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  • Investigated potential mediating variables, including genetics and psychosocial factors.

    • Main Results:

    • Comorbidity is a significant predictor of smoking initiation, dependence, and cessation.
    • Evidence suggests a two-way relationship where smoking also predicts comorbidity.
    • Preliminary data indicate plausible biological and genetic mechanisms underlying this association.

    Conclusions:

    • The association between comorbidity and smoking is robust and warrants further investigation.
    • Treating comorbid conditions may be a viable strategy to improve smoking cessation outcomes.
    • Expanding the concept of comorbidity to psychosocial factors like poverty could offer new intervention avenues.