Kim Seong-Jin, Lamichhane Dirga Kumar, Park Shin-Goo, Lee Bum-Joon, Moon So-Hyun, Park Sung-Min, Jang Hyun-Suk, Kim Hwan-Cheol
Department of Occupational and Environmental Medicine, Inha University Hospital, Incheon, Republic of Korea ; Department of Social and Preventive Medicine, School of Medicine, Inha University, Incheon, Republic of Korea.
Department of Social and Preventive Medicine, School of Medicine, Inha University, Incheon, Republic of Korea.
Ann Occup Environ Med. 2016 Sep 20;28:49. doi: 10.1186/s40557-016-0130-3. eCollection 2016.
Worldwide, exposure to second-hand smoke (SHS) has been responsible for more than 0.6 million deaths and 10.9 million disability-adjusted life years (DALYS) lost in never smokers in 2004. The world health organization (WHO) reported smoking-related death of 58,000 per year in South Korea. There is recent emerging evidence of the associations of SHS exposure with anxiety or depression and poor mental health. Although exposure to second-hand smoke (SHS) has been associated with various physical health conditions and mental health, we are unaware of any studies examining its association with psychological well-being as mental factor. This study aimed to investigate the association between self-reported exposure to SHS and well-being among non-smoking wageworkers.
The Third Korean Working Conditions Survey (KWCS, 2011) was conducted on a representative sample of economically active population aged 15 years or over, who were either employees or self-employed at the time of interview. In this study, after removing inconsistent data, 19,879 non-smoking wageworkers among 60,054 workers were participated. Psychological well-being was measured through the WHO-Five Well-Being Index (1998 version). Univariate and multiple logistic regression models were used to examine the association of SHS exposure with psychological well-being.
The unadjusted OR of poor psychological well-being (OR: 1.594, 95 % CI: 1.421-1.787) was significantly higher for SHS exposure group compared to non-exposure group. Multiple logistic regression analysis results indicated that these relationships were still significant after adjusting for potential confounders (adjusted OR: 1.330, 95 % CI: 1.178-1.502).
Exposure to SHS was associated with poor well-being measured by the WHO-5 well-being index, indicating the importance of reducing SHS exposure at the workplace for psychological well-being amongst non-smoking wageworkers.
2004年，在全球范围内，接触二手烟导致非吸烟者中超过60万人死亡，1090万人丧失伤残调整生命年（DALYs）。世界卫生组织（WHO）报告称，韩国每年有58000人死于与吸烟相关的疾病。最近有新证据表明，接触二手烟与焦虑、抑郁及心理健康不佳有关。尽管接触二手烟（SHS）与多种身体健康状况和心理健康有关，但我们尚未发现有任何研究探讨其与作为心理因素的幸福感之间的关联。本研究旨在调查非吸烟上班族自我报告的二手烟接触情况与幸福感之间的关联。
第三次韩国工作条件调查（KWCS，2011年）对15岁及以上经济活动人口的代表性样本进行了调查，这些人在访谈时要么是雇员，要么是个体经营者。在本研究中，剔除不一致的数据后，60054名工人中的19879名非吸烟上班族参与了调查。通过世界卫生组织幸福感指数（1998年版）来衡量心理健康状况。使用单因素和多因素逻辑回归模型来检验二手烟接触与心理健康状况之间的关联。
与未接触组相比，二手烟接触组心理健康状况不佳的未调整优势比（OR：1.594，95%CI：1.421 - 1.787）显著更高。多因素逻辑回归分析结果表明，在调整潜在混杂因素后，这些关系仍然显著（调整后的OR：1.330，95%CI：1.178 - 1.502）。
接触二手烟与世界卫生组织五项幸福感指数衡量的幸福感不佳有关，这表明减少工作场所的二手烟接触对非吸烟上班族的心理健康很重要。
