Vol. 13 No. 3 (2020): Colour & Colonialism - Facing the Shadows of the Past

Reasons for smoking among English-speaking adults in Leicester - a pilot study

Kshama R Joshi
De Montfort University, Leicester, UK
Ruta Furmonaviciene
De Montfort University, Leicester, UK
couple in blue statues

Published 2020-08-17


  • cigarette smoking,
  • health impacts,
  • smoking cessation,
  • behavioural therapy

How to Cite

Joshi, K. R., & Furmonaviciene, R. (2020). Reasons for smoking among English-speaking adults in Leicester - a pilot study. Sushruta Journal of Health Policy & Opinion, 13(3). https://doi.org/10.38192/13.3.16


Cigarette smoke contains around 7000 chemicals that are harmful to health and cause premature death. Most smokers acknowledge the harm they are doing to them yet continue to smoke. This pilot study was designed to understand the impact of cigarette smoking, the addictive effect of nicotine, and also to hypothesize a recommendation for smoking cessation. 

Methods: This study recruited English speaking adult participants who were either current, occasional, and ex-smokers from NHS Stop Smoking clinics in Leicester, United Kingdom, using a self-completed questionnaire.

Results: Out of 32 participants, white British and Asian were the top two ethnicities with the majority of males as respondents. Stress, boredom, nervousness, and ‘just like it’, were the main reasons quoted for cigarette smoking.  Irritation & mood swings were the top reasons for craving. The visual stimuli and ‘smell of smoking’ were reported as the top two strong cues. Majority of the participants reported having several health problems mainly due to cigarette smoking such as respiratory cough, feel like tightening of lungs, asthma, high blood pressure, difficulty in losing weight, excess fat accumulation near the waist, poor appetite, fatigue, sleep disturbances, darkened teeth as well as an inability to differentiate between taste.

Conclusion: Our study suggested that cigarette smoking may be more like a habit than an addiction, which unable to relieve stress or boredom but keeps smokers hooked to the habit.


  1. World Health Organization (2020) Tobacco. [Online] WHO. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco [ Accessed 05.07.20].
  2. World Health Organization (2013). WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion, and sponsorship. Geneva: WHO.
  3. Action on Smoking and Health (2016). Smoking statistics: Who smokes and how much? London: ASH; Retrieved from http://www.ash.org.uk/files/documents/ASH_106.pdf
  4. Action on Smoking and Health (ASH) (2013) The Economics of Tobacco. Government of the United Kingdom.
  5. HM Government (2010) Healthy Lives, Healthy People: Our Strategy for public health in England. London: Department of health.
  6. Leicester City Clinical Commissioning Group (2020) Tobacco [WWW] LCCG. Available from: https://www.leicester.gov.uk/media/186431/tobacco-jsna-chapter-2020.pdf [ Accessed 31.07.20].
  7. University of Minnesota (2003) Nicotine Addiction [WWW] University of Minnesota. Available from: http://www1.umn.edu/perio/tobacco/nicaddct.html [Accessed 12.10.2013].
  8. NINEHAM, L. (2010) Habit not addiction that fuels cigarette cravings [WWW] The stop smoking lounge. Available from: http://www.thestopsmokinglounge.com/smoking-hypnosis-news/4846/habit-not-addiction-that-fuels-cigarette-cravings/ [Accessed 11.11.2013].
  9. Ussher M., Brown J., Rajamanoharan A., & West R. (2014). How do prompts for attempts to quit smoking relate to method of quitting and quit success? ANNALS OF BEHAVIORAL MEDICINE,, 358–368.
  10. Fidler J., & West R. (2011). Enjoyment of smoking and urges to smoke as predictors of attempts and success of attempts to stop smoking: A longitudinal study. DRUG AND ALCOHOL DEPENDENCE, 30–34.
  11. TOBIAS, R. et al. (2012) Nicotine Vaccines to Assist with Smoking Cessation: Current Status of Research. Adis international, 72, pp. e1-e16.
  12. DENSCOMBE, M. (2010) The Good Research Guide: For small- scale social research projects. Open University Press, (4).
  13. Qiu, F., Liang, C.-L., Liu, H., Zeng, Y.-Q., Hou, S., Huang, S., … Dai, Z. (2017). Oncotarget 268 www.impactjournals.com/oncotarget Impacts of cigarette smoking on immune responsiveness: Up and down or upside down? Oncotarget, 8(1), 268–284.
  14. DUTTA, N. (2013) World No Tobacco Day2013: 10 dangerous chemicals in cigarettes [WWW] Health. Available from: http://health.india.com/diseases-conditions/world-no-tobacco-day-2013-10-dangerous-chemicals-in-cigarettes/ [Accessed 02/09/2013].
  15. Di Chiara, G. (2000). Role of dopamine in the behavioural actions of nicotine related to addiction. European Journal of Pharmacology, 393(1–3), 295–314. https://doi.org/10.1016/S0014-2999(00)00122-9.
  16. Smith, M. T. (2010). Advances in understanding benzene health effects and susceptibility. Annual Review of Public Health, 31, 133–148.
  17. Gillis, B., Gavin, I. M., Arbieva, Z., King, S. T., Jayaraman, S., & Prabhakar, B. S. (2007). Identification of human cell responses to benzene and benzene metabolites. Genomics, 90(3), 324–333.
  18. Mehta, H., Nazzal, K., & Sadikot, R. T. (2008). Cigarette smoking and innate immunity. Inflammation Research, 57(11), 497–503. https://doi.org/10.1007/s00011-008-8078-6
  19. Kosmider, L., Cox, S., Zaciera, M., Kurek, J., Goniewicz, M. L., McRobbie, H., … Dawkins, L. (2020). Daily exposure to formaldehyde and acetaldehyde and potential health risk associated with use of high and low nicotine e-liquid concentrations. Scientific Reports, 10(1), 1–10. https://doi.org/10.1038/s41598-020-63292-1
  20. Campbell, R. C. J., Stephens, W. E., & Meharg, A. A. (2014). Consistency of arsenic speciation in global tobacco products with implications for health and regulation. Tobacco Induced Diseases, 12(1), 1–8. https://doi.org/10.1186/s12971-014-0024-5
  21. Pappas, R. S., Fresquez, M. R., Watson, C. H., Branch, V., & Services, A. (2016). Filters : Implications for Exposure, 39(1), 45–51. https://doi.org/10.1093/jat/bku115.Cigarette.
  22. Ganguly, K., Levänen, B., Palmberg, L., Åkesson, A., & Lindén, A. (2018). Cadmium in tobacco smokers: A neglected link to lung disease? European Respiratory Review, 27(147), 1–8.
  23. Seeman, J. I., & Carchman, R. A. (2008). The possible role of ammonia toxicity on the exposure, deposition, retention, and the bioavailability of nicotine during smoking. Food and Chemical Toxicology, 46(6), 1863–1881. https://doi.org/10.1016/j.fct.2008.02.021
  24. Mahernia, S., Amanlou, A., Kiaee, G., & Amanlou, M. (2015). Determination of hydrogen cyanide concentration in mainstream smoke of tobacco products by polarography. Journal of Environmental Health Science and Engineering, 13(1), 1–6. https://doi.org/10.1186/s40201-015-0211-1
  25. Zevin, S., Saunders, S., Gourlay, S. G., Jacob, P., & Benowitz, N. L. (2001). Cardiovascular effects of carbon monoxide and cigarette smoking. Journal of the American College of Cardiology, 38(6), 1633–1638. https://doi.org/10.1016/S0735-1097(01)01616-3
  26. Brown, B. G., Borschke, A. J., & Doolittle, D. J. (2003). An Analysis of the Role of Tobacco-Specific Nitrosamines in the Carcinogenicity of Tobacco Smoke. Nonlinearity in Biology, Toxicology, Medicine. https://doi.org/10.1080/15401420391434324
  27. Muggli, M. E., Ebbert, J. O., Robertson, C., & Hurt, R. D. (2008). Waking a sleeping giant: The tobacco industry’s response to the polonium-210 issue. American Journal of Public Health, 98(9), 1643–1650. https://doi.org/10.2105/AJPH.2007.130963
  28. Zagà, V., Lygidakis, C., Chaouachi, K., & Gattavecchia, E. (2011). Polonium and lung cancer. Journal of Oncology, 2011. https://doi.org/10.1155/2011/860103
  29. Bernhard, D., Rossmann, A., & Wick, G. (2005). Metals in cigarette smoke. IUBMB Life, 57(12), 805–809. https://doi.org/10.1080/15216540500459667