Lam T H, Li Z B, Ho S Y, Chan W M, Ho K S, Li M P, Leung G M
Department of Community Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Acta Psychiatr Scand. 2004 Sep;110(3):195-200. doi: 10.1111/j.1600-0447.2004.00342.x.
To examine the association between smoking and depressive symptoms among Chinese elderly in Hong Kong.
Cross-sectional data on smoking and depressive symptoms from 56,167 Chinese elderly aged 65 or over in Hong Kong were analysed using logistic regression.
Current smokers and former smokers were more likely to have depressive symptoms than never smokers. The adjusted odds ratios (OR) and 95% confidence interval (CI) in males and females respectively were 1.62 (1.34-1.96) and 1.43 (1.20-1.70) for current smokers, and were 1.18 (0.99-1.40) and 1.29 (1.12-1.47) for former smokers. Former smokers were less likely to have depressive symptoms than current smokers (OR = 0.80, 95% CI: 0.70-0.92).
Smoking is positively associated with depressive symptoms in Chinese elderly. Health care workers should be vigilant about the detection of depressive symptoms in elderly smokers.
研究香港中国老年人吸烟与抑郁症状之间的关联。
采用逻辑回归分析了香港56167名65岁及以上中国老年人吸烟与抑郁症状的横断面数据。
当前吸烟者和既往吸烟者比从不吸烟者更易出现抑郁症状。男性和女性当前吸烟者的校正比值比(OR)及95%置信区间(CI)分别为1.62(1.34 - 1.96)和1.43(1.20 - 1.70),既往吸烟者分别为1.18(0.99 - 1.40)和1.29(1.12 - 1.47)。既往吸烟者出现抑郁症状的可能性低于当前吸烟者(OR = 0.80,95% CI:0.70 - 0.92)。
吸烟与中国老年人的抑郁症状呈正相关。医护人员应警惕老年吸烟者抑郁症状的检测。