Kim Seung Ju, Han Kyu-Tae, Lee Seo Yoon, Chun Sung-Youn, Park Eun-Cheol
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
BMC Public Health. 2015 Dec 17;15:1249. doi: 10.1186/s12889-015-2612-6.
Secondhand Smoking (SHS) has been suggested as a major health problem in the world and is known to cause various negative health effects that have in turn caused the deaths of almost 600,000 people per year. Evidence has suggested that SHS may have an effect on health problems and such findings have influenced the implementation of smoking-free areas. However, few studies have investigated the effects of SHS on stress which is considered major risk factor for mental health. Thus, the purpose of our study was to investigate the association between exposure to SHS and stress.
We performed a cross-sectional study using data from the Korea National Health and Nutrition Examination Survey (2007-2012). In our study, a total of 33,728 participants were included to evaluate the association between SHS exposure and stress based on smoking status. Association between SHS exposure and stress was examined using logistic regression models.
A total of 12,441 participants (42.9 %) were exposed to SHS in the workplace or at home. In our study, exposure to SHS was significantly associated with higher stress compared to non-exposure, regardless of smoking status (smoker odds ratio [OR]: 1.22; ex-smoker OR: 1.25; never-smoker OR: 1.42). Our results showed that the effect of SHS on stress was greater when exposure took place both at home and in the workplace in smokers and never-smokers.
Exposure to SHS in the workplace and at home is considered to be a risk factor for high stress in both smokers and never-smoker. Therefore, strict regulations banning smoke which can smoking ban reduce SHS exposure are recommended in order to improve the populations' health.
二手烟已被认为是全球一个主要的健康问题，已知会导致各种负面健康影响，每年致使近60万人死亡。有证据表明，二手烟可能对健康问题产生影响，此类研究结果影响了无烟区域的实施。然而，很少有研究调查二手烟对压力的影响，而压力被认为是心理健康的主要风险因素。因此，我们研究的目的是调查接触二手烟与压力之间的关联。
我们利用韩国国家健康与营养检查调查（2007 - 2012年）的数据进行了一项横断面研究。在我们的研究中，共纳入33728名参与者，以根据吸烟状况评估二手烟暴露与压力之间的关联。使用逻辑回归模型检验二手烟暴露与压力之间的关联。
共有12441名参与者（42.9%）在工作场所或家中接触二手烟。在我们的研究中，无论吸烟状况如何，与未接触二手烟相比，接触二手烟与更高的压力显著相关（吸烟者优势比[OR]：1.22；曾经吸烟者OR：1.25；从不吸烟者OR：1.42）。我们的结果表明，对于吸烟者和从不吸烟者而言，当在家中和工作场所均接触二手烟时，二手烟对压力的影响更大。
在工作场所和家中接触二手烟被认为是吸烟者和从不吸烟者产生高压力的一个风险因素。因此，建议实施严格的禁烟法规以减少二手烟暴露，从而改善人群健康。
