Cigarette smoking across three Maltese generations

Cigarette smoking, currently the single most preventable cause of disease and death, is very common in the Maltese Islands. Various aspects of smoking among three different Maltese generations were investigated using a standardized questionnaire among 200 randomly chosen subjects from each of three age groups (16-21yrs, 40-45 yrs and 60-65 yrs). They were asked to answer questions regarding duration, amount, mode and effects of smoking and their attempts at quitting. They were also asked to undergo spirometry and expired CO measurement. 66.1% of 16-21 yr olds, 59% of 40-45 yr olds and 75% of 60-65 yr olds chosen participated in the study. 27.7% of the participants were smokers - this comprised 31.1% of the 16-21 yr olds, 34.8% in the 40-45 yr olds and 19.2% in the 60-65 yr older age subset. (p = 0.0105). As a total study population 35 % of the males and 21% of the females (p = 0.0013) were regular smokers. In the 16 ­21 year olds 43.6% of the males smoked vs 20% of the females, while the gender differences for the other two groups were 32.7% males vs 36.5% females in the 40-45 year olds and 28.1% males vs 6.5% females in the oldest age group. The mean cigarette consumption in the 16-21 yr olds was significantly less than the other two age groups studied (p=0.0076). Females were more likely to be heavier smokers in the 40-45 yr olds. There was no significant geographical distribution in smoking and the less skilled workers and unemployed were more likely to be smokers (p=0.0001). 43.9% of the 16-21 year olds tried to stop smoking while 73.2% and 82.8% of the two older age groups tried even harder (p=0.0013). Only 5.3 % of smokers sought medical help to try and stop smoking. Smokers had more chest symptomatology (p<0.0001) but only the oldest age-group of smokers had decreased PEFR 19% of smokers suffered from asthma, 29% from ischaemic heart disease and 16% were diabetics. The Maltese are quite heavy smokers across all ages and gender and most are not seeking medical help to try and stop the habit.peer-reviewe