韩国国民健康和营养调查中主动吸烟和二手烟暴露及他们与抑郁症状的关系

2015/12/03

   摘要
   背景:
吸烟,包括二手烟暴露,与抑郁症之间的关系已被研究过。本研究旨在评估二手烟暴露,包括现在、之前和从未吸烟者与抑郁症状间的关系。对二手烟、性别差异和暴露来源也进行了评估。
   方法:2014年对第四次和第五次韩国健康和营养调查(2007-2012年间)中的34693例受试者进行分析。使用logistic回归分析自我报告吸烟(现在,过去或从不)和暴露于二手烟与过去一年中经历抑郁症状之间的关系。对二手烟暴露持续时间和抑郁症之间的剂量-反应关系进行性别、暴露来源(只是在家,只是在工作场所,两者兼有)分层评估。
   结果:不论吸烟状态,所有家中有二手烟暴露的女性其抑郁症状明显高于无二手烟暴露的非吸烟女性(现在吸烟者:比值比 1.43, 95 %可信区间1.04-1.96; 之前吸烟者:比值比 2.32, 95 % 可信区间 1.04-5.16; 从未吸烟者比值比 1.25, 95 % 可信区间 1.08-1.43)。家中有二手烟持续暴露的女性也存在显著的剂量-反应模型(p<0.001)。在男性,吸烟与抑郁症状间未发现显著相关。
   结论:在女性,家中二手烟暴露与抑郁症状显著相关。家中二手烟暴露与抑郁症状间存在剂量-反应相关。


 

(苏欣 审校)
BMC Public Health. 2015 Oct 14;15(1):1053. doi: 10.1186/s12889-015-2402-1.



 

 

Active smoking and exposure to secondhand smoke and their relationship to depressive symptoms in the Korea national health and nutrition examination survey (KNHANES).
 

Jung SJ1, Shin A2, Kang D3,4,5.
 

Abstract
BACKGROUND:
The relationship between tobacco smoking, including secondhand smoking, and depression has been assessed. The purpose of this study was to evaluate the association between secondhand smoking among current, former and never smokers and depressive symptoms. For secondhand smoking, gender differences and sources of exposure were examined.
METHODS:Data from 34,693 participants from the fourth and fifth Korean Health and Nutritional Examination Survey (2007-2012) were analyzed in 2014. Self-reported exposure to active (current, former or never) and secondhand smoking and depressive symptoms experienced during the past year were analyzed using logistic regression. The dose-response relationship between duration of secondhand smoke exposure and depression was assessed with stratification by gender and sources of exposure (at home only, at the workplace only or both).
RESULTS:Regardless of their smoking status, all women who had secondhand smoke exposure at home reported more depressive symptoms than non-smoking women without any exposure to secondhand cigarette smoking (OR 1.43, 95 % CI 1.04-1.96 for current smokers; OR 2.32, 95 % CI 1.04-5.16 for former smokers; OR 1.25, 95 % CI 1.08-1.43 for never smokers). There was also a significant dose-response pattern (p-trend <0.001) for the duration of secondhand smoke exposure at home among women. No significant association was found between smoking and depressive symptoms in men.
CONCLUSIONS:There was a significant association between secondhand smoke exposure at home and depressive symptoms in women. Secondhand smoke exposure at home was associated with depressive symptoms in a dose-response manner.

 

BMC Public Health. 2015 Oct 14;15(1):1053. doi: 10.1186/s12889-015-2402-1.


 


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