ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Addictive Disorders
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1566356
This article is part of the Research TopicRedefining Acute Psychiatric Care: Strategies for Improved Inpatient ExperiencesView all 8 articles
Survey and Analysis of the Prevalence of Tobacco Use among Patients with Severe Mental Illness at a Tertiary Specialized Psychiatric Medical Center in China
Provisionally accepted
Haibo Zheng1
Chang-Qing Yu1Qiu-Ming Ji1Bing Liu1Yuan-Yuan Liu1Hai-Ying Chen1Yu-Lin Cao1Ji-Fen Gong1
Ting Chen2*- 1Wudong Hospital, Wuhan, China
- 2Wuhan University of Science and Technology, Wuhan, Hubei Province, China
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Background: In China, the coexistence of mental illness and tobacco dependence is a major public health issue. With around 300 million smokers and over one million annual smoking-related deaths, the resulting social and economic burdens are considerable. Methods: A cross-sectional study design was employed to gather data on tobacco use, readiness to quit smoking, and nicotine dependence from a random sample of 738 patients diagnosed with severe mental illness. Data analysis, which included descriptive statistics and multivariate logistic regression analysis, was conducted via SPSS 27.0. Results: The findings revealed that the smoking prevalence among patients with severe mental illness was 52.03%, significantly higher than that of the general population. Multifactorial logistic regression analysis indicated that male gender(OR=10.041, 95% CI: 6.499-15.513), Han ethnicity(OR=3.263, 95% CI: 1.053-10.108), worse economic status (OR=2.540, 95% CI: 1.424-4.529), family history of smoking (OR=6.474, 95% CI: 4.211-9.952), outpatient status(OR=2.294, 95% CI: 1.433-3.674), family history of mental illness (OR=1.756, 95% CI: 1.129-2.731), history of drug exposure(OR=2.074, 95% CI: 1.244-3.458), and history of alcohol consumption(OR=5.216, 95% CI: 3.037-8.960) were independent risk factors for smoking in this patient group. Furthermore, there were significant differences in nicotine dependence levels across different psychiatric diagnoses, with patients diagnosed with schizophrenia and bipolar disorder exhibiting higher levels of nicotine dependence compared to those with paranoid disorder who showed lower levels. Conclusions: The study elucidates the complex nature and critical determinants of tobacco use patterns among individuals with severe mental illness, providing a solid scientific foundation for developing targeted intervention strategies.
Keywords: severe mental illness, Tobacco use, willingness to quit smoking, Nicotine dependence, China
Received: 24 Jan 2025; Accepted: 10 Jul 2025.
Copyright: © 2025 Zheng, Yu, Ji, Liu, Liu, Chen, Cao, Gong and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ting Chen, Wuhan University of Science and Technology, Wuhan, 430081, Hubei Province, China
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