PURPOSE: Among European countries, Greece ranks first in cigarette consumption per person, with the smoking prevalence rising above 40% .The purpose of this study is to highlight special characteristics of smokers referring to a smoking cessation clinic of a large municipal hospital, in relation to the smoking ban implemented in Greece during the last two years.
METHODS: Three hundred fifty nine (359) smokers -159 (44,29%) men and 200 (55,71%) women participated in Evangelismos Hospital smoking cessation program during the last two and a half years. A thorough smoking history was obtained focusing on smoking use ,dependence and motivation to quit .Medical history was also obtained, with particular interest in already diagnosed mood disorders. Spirometry was performed in all individuals. Data were analyzed using descriptive statistics and Pearson correlation analysis.
RESULTS: **During the last two years smokers presenting at the smoking cessation clinic increased by 14,5 %. The mean age was decreased, especially during the last year, from 49,59±0,96 to 45,32±3,58 . Cigarette consumption (packyeras)was significantly smaller in 2011 (39,25±3,58) compared to 2010 (39,08±3,58). In addition smokers presenting with mood disorders,especially depression increased by 25,67 % during the last two years. Interestingly increased cigarette consumption in men is strongly correlated with decreased prevalence of depression (Pearson Correlation Coefficient -0,99 , p-value double sided 0,064) and positively correlated with small airway disease, demonstrated with spirometry (Pearson Correlation Coefficient 0,99 , p-value double sided 0,023). **Results expressed as mean value ± standard error
CONCLUSIONS: Greek population shows an increased tendency to cut down on smoking during the last two years of smoking ban implementation. Depression prevalence in men smokers is inversely correlated to cigarette consumption which is linearly correlated to small airway disease presentation.
CLINICAL IMPLICATIONS: People referring to our smoking cessation clinic are increasing during the last two years of Greek smoking ban implementation. Futher study of the correlation and comorbidity of mood disorders and pulmonary function testing abnormalities may reveal new aspects of the smoking epidemic.
DISCLOSURE: The following authors have nothing to disclose: Marios Kougias, Georgia Makrantoni, George Boulbasakos, Evangelos Balis, Konstantinos Kotsifas, Michael Koveos, George Tatsis
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