Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, P.O. Box 016069 (D-4-11), Miami, FL 33101, USA.
Ann Behav Med. 2010 May;39(2):198-203. doi: 10.1007/s12160-010-9174-8.
Banning smoking in work and public settings leads to immediate reductions in disease burden. However, no previous studies have looked specifically at the impact smoking bans may have on depression.
The 2006 Behavioral Risk Factor Surveillance System (BRFSS) uses a cross-sectional design representative of the non-institutionalized civilian US population. Never smoker survey participants > or =18 years of age were selected from the BRFSS (n = 41,904) with their self-report of depressive symptoms in the last 2 weeks, as assessed by the Patient Health Questionnaire. Models with adjustment for survey design, sociodemographics, alcohol consumption, and work and home smoking policies were considered.
Following covariate adjustment, the risk of major depression was significantly higher for those living where smoking was allowed anywhere in the home versus those living in homes with complete smoking bans and in those who indicated that smoking was permitted in their work areas versus those reporting complete workplace smoking bans.
Findings from the present analysis support policies that ban smoking in all workplace settings. Interventions designed to eliminate smoking in the home are also needed.
禁止在工作场所和公共场所吸烟会立即降低疾病负担。然而，以前没有研究专门探讨禁烟令对抑郁症可能产生的影响。
2006 年行为风险因素监测系统（BRFSS）采用了具有代表性的非住院平民美国人群的横断面设计。从不吸烟者调查参与者（n=41904）年龄≥18 岁，根据过去两周的患者健康问卷自我报告的抑郁症状进行选择。考虑了调整调查设计、社会人口统计学、饮酒以及工作和家庭吸烟政策的模型。
在调整了协变量后，与那些生活在允许在家中任何地方吸烟的人相比，那些生活在完全禁止吸烟的家庭中的人，以及那些表示工作场所允许吸烟的人与报告完全禁止工作场所吸烟的人相比，患重度抑郁症的风险显著更高。
本分析的结果支持在所有工作场所禁止吸烟的政策。还需要设计干预措施，以消除家庭中的吸烟行为。
