Etgü Fatma, Yılmaz Emine Serap
Department of Dermatology, Faculty of Medicine, Ordu University, Ordu, Türkiye.
Department of Pulmonology, Faculty of Medicine, Ordu University, Ordu, Türkiye.
Tob Induc Dis. 2025 Aug 22;23. doi: 10.18332/tid/207157. eCollection 2025.
It is well-established that smoking adversely affects the skin. This study aimed to compare skin properties, skin care product usage patterns, and the status of minimally invasive cosmetic procedures and self-evaluated skin quality in active smokers, ex-smokers, and non-smokers.
This cross-sectional study was conducted in Department of Dermatology, Faculty of Medicine, Ordu University, Türkiye in 2024, with participants aged 18-65 years. Data were collected through a validated self-administered questionnaire. Categorical data were analyzed using chi-squared or Fisher's exact tests. Intergroup differences were examined using one-way analysis of variance with Bonferroni tests. Correlations between smoking duration, daily cigarette consumption, and total skin quality scores were assessed using Pearson and Spearman correlation analyses and modeled with linear regression. Receiver Operating Characteristic (ROC) analysis was used to assess the skin quality score's ability to distinguish smokers from non-smokers. Logistic regression analysis was conducted to examine the association between smoking and skin quality. Structural Equation Modeling (SEM) was used to explore the relationships between smoking, age, gender, and skin quality.
The study included 286 men and 393 women. Active smokers had worse skin quality, with more wrinkles, spots, and pigmentation (p<0.001). E-cigarette users showed poorer skin in the forehead, around the eyes, mustache, mouth, neck, and back (p=0.007-0.034). Hookah use was linked to worse skin and more spots on the back (p=0.004 and 0.009). Average skin quality scores were 25.47 for active smokers, 27.35 for ex-smokers, and 32.1 for non-smokers. Skin quality declined as smoking duration and daily cigarette count increased (p=0.00). Active smokers more frequently received neurotoxin injections and mesotherapy for skin spots (p=0.006 and 0.026).
This study confirms the detrimental effects of smoking - including e-cigarette and hookah use - on skin. These findings may serve as motivation for smoking cessation efforts.
吸烟对皮肤有不良影响已得到充分证实。本研究旨在比较现役吸烟者、既往吸烟者和非吸烟者的皮肤特性、护肤品使用模式、微创美容手术状况以及自我评估的皮肤质量。
这项横断面研究于2024年在土耳其奥尔杜大学医学院皮肤科进行，参与者年龄在18 - 65岁之间。通过一份经过验证的自填问卷收集数据。分类数据使用卡方检验或费舍尔精确检验进行分析。组间差异采用单因素方差分析和邦费罗尼检验进行检验。使用皮尔逊和斯皮尔曼相关分析评估吸烟持续时间、每日吸烟量与总体皮肤质量得分之间的相关性，并采用线性回归建模。采用受试者工作特征（ROC）分析评估皮肤质量得分区分吸烟者和非吸烟者的能力。进行逻辑回归分析以检验吸烟与皮肤质量之间的关联。使用结构方程模型（SEM）探索吸烟、年龄、性别与皮肤质量之间的关系。
该研究纳入了286名男性和393名女性。现役吸烟者的皮肤质量较差，皱纹、斑点和色素沉着更多（p<0.001）。电子烟使用者在前额、眼睛周围、胡须、嘴巴、颈部和背部的皮肤较差（p = 0.007 - 0.034）。水烟吸食与皮肤变差和背部斑点增多有关（p = 0.004和0.009）。现役吸烟者的平均皮肤质量得分为25.47，既往吸烟者为27.35，非吸烟者为32.1。皮肤质量随着吸烟持续时间和每日吸烟量的增加而下降（p = 0.00）。现役吸烟者更频繁地接受用于皮肤斑点的神经毒素注射和中胚层疗法（p = 0.006和0.026）。
本研究证实了吸烟（包括使用电子烟和水烟）对皮肤的有害影响。这些发现可能为戒烟努力提供动力。
