Figure 1 Trends in adult (15 years) current ( monthly) and daily smoking and e-cigarette use (NZHS 2011/12 to 2021/22) 2

Definition of alcohol and cannabis use disorder: The proposed classification of alcohol and cannabis use disorders in ICD-11 is almost similar to the classifications specified by ICD-10 and DSM-4, according to a 2016 publication by Lago et al., in the journal The Lancet Psychiatry , titled Concordance of ICD-11 and DSM-5 definitions of alcohol and cannabis use disorders: a population survey . Classification of use disorder and dependence: There is almost perfect agreement between the ICD-10 and ICD-11 definitions of use disorder and dependence for all substances except inhalants, according to a 2023 article by Afroz et al., published in the journal BJPsych Open , titled Study on Concordance of ICD-11, ICD-10, and DSM-5 Diagnostic Guidelines for Alcohol and Opioid Use Disorders . For instance, the six criteria for substance use dependence in ICD-10 are experiencing cravings

youre smoking less and less and building the confidence that you can, in fact, go longer and longer without a cigarette and that you wont die without one
That said, there is an emerging consensus judgment that, notwithstanding the evidence gaps, cigarettes are likely to be much more dangerous than tobacco and nicotine products that do not involve the combustion of tobacco or do not involve inhalation of smoke