Kim Na Hyun, Park Ji Hye, Choi Dong Phil, Lee Joo Young, Kim Hyeon Chang
Korean Human Resource Development Institute for Health & Welfare, Cheongju, Republic of Korea.
Department of Public Health, Yonsei University Graduate School, Seoul, Republic of Korea.
PLoS One. 2016 Dec 30;11(12):e0168754. doi: 10.1371/journal.pone.0168754. eCollection 2016.
Increasing evidence suggests that secondhand smoke exposure (SHSE) may affect not only physical health, but also mental health. Therefore, we evaluated the association between SHSE and depressive symptoms among Korean adolescents.
The JS High School Study enrolled 1071 high school freshmen from a rural community of South Korea. The current analysis was limited to 989 adolescents (495 male and 494 female adolescents), after excluding 48 ever-smokers, 3 students with physician-diagnosed depression, and 31 students who did not complete the depression questionnaire. SHSE was assessed using a self-reported questionnaire and was classified into three groups: none, occasional exposure, and regular exposure. Depressive symptoms were assessed according to the Beck Depression Inventory (BDI) score, ranging from 0 to 63, and the presence of depressive symptoms was defined as a BDI score ≥10.
Overall, adolescents with SHSE were more likely to have depressive symptoms than those without SHSE (p = 0.042).In a sex-specific analysis treating the BDI score as a continuous variable, regular SHSE was independently associated with higher BDI scores in male adolescents (β = 2.25, p = 0.026), but not in female adolescents (β = 1.11, p = 0.253). Compared to no SHSE, the odds ratio for having depressive symptoms among male adolescents with regular SHSE was 2.17 (95% confidence interval, 1.11 to 4.25) after adjusting for age, body mass index, and study year, and 3.65 (95% confidence interval, 1.52 to 8.73) after adjusting for age, body mass index, study year, exercise, and household income.
Regular exposure to secondhand smoke was associated with having depressive symptoms among Korean male adolescents.
越来越多的证据表明，接触二手烟（SHSE）不仅可能影响身体健康，还可能影响心理健康。因此，我们评估了韩国青少年中SHSE与抑郁症状之间的关联。
JS高中研究招募了来自韩国农村社区的1071名高中新生。在排除48名曾经吸烟者、3名经医生诊断患有抑郁症的学生以及31名未完成抑郁问卷的学生后，当前分析仅限于989名青少年（495名男性青少年和494名女性青少年）。使用自我报告问卷评估SHSE，并将其分为三组：无、偶尔接触和经常接触。根据贝克抑郁量表（BDI）评分评估抑郁症状，评分范围为0至63，抑郁症状的存在定义为BDI评分≥10。
总体而言，接触SHSE的青少年比未接触SHSE的青少年更有可能出现抑郁症状（p = 0.042）。在将BDI评分视为连续变量的性别特异性分析中，经常接触SHSE与男性青少年较高的BDI评分独立相关（β = 2.25，p = 0.026），但与女性青少年无关（β = 1.11，p = 0.253）。与无SHSE相比，在调整年龄、体重指数和学年后，经常接触SHSE的男性青少年出现抑郁症状的优势比为2.17（95%置信区间，1.11至4.25），在调整年龄、体重指数、学年、运动和家庭收入后为3.65（95%置信区间，1.52至8.73）。
经常接触二手烟与韩国男性青少年出现抑郁症状有关。
