Weng Shu-Chuan, Huang Jian-Pei, Huang Ya-Li, Lee Tony Szu-Hsien, Chen Yi-Hua
School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
BMC Public Health. 2016 Jul 22;16:623. doi: 10.1186/s12889-016-3254-z.
Previous studies have stressed the importance of tobacco exposure for the mood disorders of depression and anxiety. Although a few studies have focused on perinatal women, none have specifically considered the effects of smoking and secondhand smoke exposure on perinatal suicidal ideation. Thus, this study aimed to investigate the relationships of smoking/secondhand smoke exposure status with suicidal ideation, depression, and anxiety from the first trimester to the first month post partum.
This cross-sectional study based on self-reported data was conducted at five hospitals in Taipei, Taiwan from July 2011 to June 2014. The questionnaire inquired about women's pregnancy history, sociodemographic information, and pre-pregnancy smoking and secondhand smoke exposure status, and assessed their suicidal ideation, depression, and anxiety symptoms. Logistic regression models were used for analysis.
In the 3867 women in the study, secondhand smoke exposure was positively associated with perinatal depression and suicidal ideation. Compared with women without perinatal secondhand smoke exposure, women exposed to secondhand smoke independently exhibited higher risks for suicidal ideation during the second trimester (odds ratio (OR) = 7.63; 95 % confidence interval (CI) = 3.25-17.93) and third trimester (OR = 4.03; 95 % CI = 1.76-9.23). Women exposed to secondhand smoke had an increased risk of depression, especially those aged 26-35 years (OR = 1.71; 95 % CI = 1.27-2.29).
Secondhand smoke exposure also considerably contributes to adverse mental health for women in perinatal periods, especially for the severe outcome of suicidal ideation. Our results strongly support the importance of propagating smoke-free environments to protect the health of perinatal women.
先前的研究强调了烟草暴露对抑郁和焦虑等情绪障碍的重要性。尽管有一些研究关注围产期女性，但没有一项研究专门考虑吸烟和二手烟暴露对围产期自杀意念的影响。因此，本研究旨在调查从孕早期到产后第一个月吸烟/二手烟暴露状况与自杀意念、抑郁和焦虑之间的关系。
这项基于自我报告数据的横断面研究于2011年7月至2014年6月在台湾台北的五家医院进行。问卷询问了女性的妊娠史、社会人口学信息以及孕前吸烟和二手烟暴露状况，并评估了她们的自杀意念、抑郁和焦虑症状。采用逻辑回归模型进行分析。
在该研究的3867名女性中，二手烟暴露与围产期抑郁和自杀意念呈正相关。与没有围产期二手烟暴露的女性相比，暴露于二手烟的女性在孕中期（优势比（OR）=7.63；95%置信区间（CI）=3.25-17.93）和孕晚期（OR=4.03；95%CI=1.76-9.23）独立出现自杀意念的风险更高。暴露于二手烟的女性患抑郁症的风险增加，尤其是年龄在26-35岁的女性（OR=1.71；95%CI=1.27-2.29）。
二手烟暴露也对围产期女性的不良心理健康有很大影响，尤其是对自杀意念这一严重后果。我们的结果有力地支持了推广无烟环境以保护围产期女性健康的重要性。
