Centre for Health Services Research, Department of Hygiene, Epidemiology and Medical Statistics, Medical School, University of Athens, Athens, Greece.
BMC Public Health. 2010 Feb 3;10:57. doi: 10.1186/1471-2458-10-57.
Although several studies have reported findings concerning the association between smoking and emotional/behavioural problems, little research has investigated this association after controlling for confounding factors which have been found to be significantly correlated with both cigarette smoking and emotional/behavioural problems and may have a strong effect on the relationship between adolescents' mental health and smoking. The present study attempted to assess the association between adolescents' smoking status and their emotional/behavioural problems after controlling for a number of possible confounders (i.e. age, gender, parental smoking status, exposure to family smoking, family socioeconomic status, adolescents' leisure time) in a Greek nation-wide school-based sample.
Participants completed a questionnaire which retrieved information about age, gender, family socioeconomic status, smoking status, parental smoking, adolescents' leisure time and emotional/behavioural problems. Data were modelled using multiple logistic regression analysis with adolescents' smoking status as the dependent variable.
A total of 1194 (i.e. 63% response rate) of self-reported questionnaires (40.1% boys, 59.9% girls; 12-18 years old) were returned. Data from 1030 participants with full data were analyzed. Cigarette smoking was strongly associated with higher levels of emotional/behavioural problems (p < 0.001) and the association was not moderated (OR = 1.13, 95% CI: 1.08-1.18) after controlling for the effects of other covariates. Emotional symptoms, conduct problems and hyperactivity/inattention were all significantly associated with adolescents' current smoking.
This study supports the association between smoking and emotional/behavioural problems among adolescents. Addressing adolescents' needs regarding their emotional/behavioural health could be helpful in the development of effective anti-smoking strategies in school environment and elsewhere.
尽管已有多项研究报告了吸烟与情绪/行为问题之间的关联，但很少有研究在控制与吸烟和情绪/行为问题显著相关且可能对青少年心理健康与吸烟之间关系产生强烈影响的混杂因素后，调查这种关联。本研究试图在希腊全国性的学校基础样本中，在控制了一些可能的混杂因素（即年龄、性别、父母吸烟状况、家庭吸烟暴露、家庭社会经济地位、青少年闲暇时间）后，评估青少年吸烟状况与其情绪/行为问题之间的关联。
参与者完成了一份问卷，该问卷获取了有关年龄、性别、家庭社会经济地位、吸烟状况、父母吸烟、青少年闲暇时间和情绪/行为问题的信息。使用多元逻辑回归分析对数据进行建模，将青少年的吸烟状况作为因变量。
共回收了 1194 份（即 63%的回复率）自我报告的问卷（40.1%为男生，59.9%为女生；年龄为 12-18 岁）。对 1030 名有完整数据的参与者进行了数据分析。在控制了其他协变量的影响后，吸烟与更高水平的情绪/行为问题强烈相关（p<0.001），且这种关联不受调节（OR=1.13，95%CI：1.08-1.18）。情绪症状、行为问题和多动/注意力不集中均与青少年当前吸烟显著相关。
本研究支持青少年吸烟与情绪/行为问题之间的关联。解决青少年在情绪/行为健康方面的需求可能有助于在学校环境和其他地方制定有效的反吸烟策略。
