Smoking and epilepsy in national health interview survey: a cross-sectional study

ObjectiveThis study aimed to examine the association between smoking and epilepsy in a nationwide cross-sectional analysis of US adults.MethodsData from the National Health Interview Survey (NHIS) conducted between 2021 and 2022 were utilized, encompassing 57,088 participants aged 18–85 years with d...

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Main Authors: Xiaoping Huang, Qi Liu, Qingya Zhao, Qianqian Ji, Yiqiang Zhan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Human Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2025.1508526/full
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author Xiaoping Huang
Qi Liu
Qingya Zhao
Qianqian Ji
Yiqiang Zhan
author_facet Xiaoping Huang
Qi Liu
Qingya Zhao
Qianqian Ji
Yiqiang Zhan
author_sort Xiaoping Huang
collection DOAJ
description ObjectiveThis study aimed to examine the association between smoking and epilepsy in a nationwide cross-sectional analysis of US adults.MethodsData from the National Health Interview Survey (NHIS) conducted between 2021 and 2022 were utilized, encompassing 57,088 participants aged 18–85 years with documented tobacco usage and self-reported epilepsy. Logistic regression models were employed to evaluate the relationship between smoking and epilepsy. The assessment of tobacco usage encompassed smoking status, cigarette smoking, pipe-filled tobacco smoking, and smokeless tobacco usage.ResultsThe overall prevalence of self-reported epilepsy in the sample was 1.76%, with smokers constituting 46.03% of cases. Individuals with epilepsy exhibited higher smoking rates compared to those without epilepsy. In the multivariate logistic regression model, smoking demonstrated a significant association with self-reported epilepsy (OR = 1.26, 95% CI: 1.07–1.47, P = 0.005). Subsequent stratified analyses showed consistent associations between smoking and self-reported epilepsy in all sex and ethnic subgroups.ConclusionsOur findings suggest that smoking is independently associated with self-reported epilepsy among US adults. Further investigation into the biological mechanisms underlying this association is warranted, contingent upon the validation of these results in an external population.
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spelling doaj-art-afce13fd0d9f49a293e8b9ea005f324a2025-08-20T03:12:04ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612025-05-011910.3389/fnhum.2025.15085261508526Smoking and epilepsy in national health interview survey: a cross-sectional studyXiaoping Huang0Qi Liu1Qingya Zhao2Qianqian Ji3Yiqiang Zhan4Department of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, ChinaDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, ChinaDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, ChinaDepartment of Epidemiology, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, ChinaInstitute of Environmental Medicine, Karolinska Institute, Stockholm, SwedenObjectiveThis study aimed to examine the association between smoking and epilepsy in a nationwide cross-sectional analysis of US adults.MethodsData from the National Health Interview Survey (NHIS) conducted between 2021 and 2022 were utilized, encompassing 57,088 participants aged 18–85 years with documented tobacco usage and self-reported epilepsy. Logistic regression models were employed to evaluate the relationship between smoking and epilepsy. The assessment of tobacco usage encompassed smoking status, cigarette smoking, pipe-filled tobacco smoking, and smokeless tobacco usage.ResultsThe overall prevalence of self-reported epilepsy in the sample was 1.76%, with smokers constituting 46.03% of cases. Individuals with epilepsy exhibited higher smoking rates compared to those without epilepsy. In the multivariate logistic regression model, smoking demonstrated a significant association with self-reported epilepsy (OR = 1.26, 95% CI: 1.07–1.47, P = 0.005). Subsequent stratified analyses showed consistent associations between smoking and self-reported epilepsy in all sex and ethnic subgroups.ConclusionsOur findings suggest that smoking is independently associated with self-reported epilepsy among US adults. Further investigation into the biological mechanisms underlying this association is warranted, contingent upon the validation of these results in an external population.https://www.frontiersin.org/articles/10.3389/fnhum.2025.1508526/fullepilepsysmoketobaccoNHIScross-sectional study
spellingShingle Xiaoping Huang
Qi Liu
Qingya Zhao
Qianqian Ji
Yiqiang Zhan
Smoking and epilepsy in national health interview survey: a cross-sectional study
Frontiers in Human Neuroscience
epilepsy
smoke
tobacco
NHIS
cross-sectional study
title Smoking and epilepsy in national health interview survey: a cross-sectional study
title_full Smoking and epilepsy in national health interview survey: a cross-sectional study
title_fullStr Smoking and epilepsy in national health interview survey: a cross-sectional study
title_full_unstemmed Smoking and epilepsy in national health interview survey: a cross-sectional study
title_short Smoking and epilepsy in national health interview survey: a cross-sectional study
title_sort smoking and epilepsy in national health interview survey a cross sectional study
topic epilepsy
smoke
tobacco
NHIS
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fnhum.2025.1508526/full
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AT qiliu smokingandepilepsyinnationalhealthinterviewsurveyacrosssectionalstudy
AT qingyazhao smokingandepilepsyinnationalhealthinterviewsurveyacrosssectionalstudy
AT qianqianji smokingandepilepsyinnationalhealthinterviewsurveyacrosssectionalstudy
AT yiqiangzhan smokingandepilepsyinnationalhealthinterviewsurveyacrosssectionalstudy