Roohafza Hamidreza, Omidi Razieh, Alinia Tahereh, Heidari Kamal, Farshad Marziyeh, Davari Hossein, Abtin Zahra, Shahriari Ezat, Taslimi Mahshid, Sadeghi Masoumeh
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Province Health Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2017 Jan 31;6:3. doi: 10.4103/2277-9175.199261. eCollection 2017.
Several common factors have been identified for smoking and depression. The The present study explores the relation of psychological and familial factors with depression, by student smoking behavior.
A total of 5500 middle- and high-school students were selected in Isfahan province in 2010. A self-administered questionnaire collected data on background characteristics, smoking status, depression, and risk factors. Univariate analysis multiple logistic regressions were conducted to compare between depressed and nondepressed people by adolescent smoking status. Odds ratios and the corresponding 95% confidence intervals (CIs) were reported.
Fathers lower education attainment was accompanied adolescents higher depression prevalence. Parental smoking and sibling smoking increased the depression likelihood by 1.41 (95% CI: 1.18, 1.68) and 1.43 folds (95% CI: 1.04-1.94) for never-smokers. Positive attitude toward smoking increased the probability of depression by 1.18 among never-smokers. Never-smokers lacking refusal skill had 1.23 (1.03-1.47) higher chance of depression. A higher level of self-efficacy related to lower chance of depression. Taking risky behavior, increased the depression likelihood by 1.56 (95% CI: 1.29-1.89) in never-smokers, by 1.85 (95% CI: 1.37-2.44) in experimental smokers, and by 1.14 times (95% CI: 1.01-1.72) in current smokers. Family conflict increased depression chance by 2.25 times (95% CI: 1.89-2.66) in never-smokers, by 1.95 (95% CI: 1.46-2.61) in experimental smokers, and by 2.06 times (95% CI: 1.38-3.08) in current smokers.
Targeting self-efficacy level, risky behavior, and family conflict can drop the comorbidity of smoking and depression simultaneously. This may help public health practitioners and policymakers to develop common strategies in reducing adolescents smoking and depression comorbidity.
已确定吸烟和抑郁的几个常见因素。本研究通过学生吸烟行为探讨心理和家庭因素与抑郁的关系。
2010年在伊斯法罕省共选取了5500名中学生和高中生。一份自填式问卷收集了关于背景特征、吸烟状况、抑郁及风险因素的数据。进行单因素分析和多因素逻辑回归，以按青少年吸烟状况比较抑郁者和非抑郁者。报告比值比及相应的95%置信区间（CI）。
父亲教育程度较低伴随着青少年较高的抑郁患病率。对于从不吸烟者，父母吸烟和兄弟姐妹吸烟使抑郁可能性分别增加1.41倍（95%CI：1.18，1.68）和1.43倍（95%CI：1.04 - 1.94）。对吸烟持积极态度使从不吸烟者患抑郁的概率增加1.18倍。缺乏拒绝技巧的从不吸烟者患抑郁的可能性高1.23倍（1.03 - 1.47）。较高的自我效能水平与较低的抑郁几率相关。从事危险行为使从不吸烟者患抑郁的可能性增加1.56倍（95%CI：1.29 - 1.89），使尝试吸烟者增加1.85倍（95%CI：1.37 - 2.44），使当前吸烟者增加1.14倍（95%CI：1.01 - 1.72）。家庭冲突使从不吸烟者患抑郁的几率增加2.25倍（95%CI：1.89 - 2.66），使尝试吸烟者增加1.95倍（95%CI：1.46 - 2.61），使当前吸烟者增加2.06倍（95%CI：1.38 - 3.08）。
针对自我效能水平、危险行为和家庭冲突可同时降低吸烟与抑郁的共病率。这可能有助于公共卫生从业者和政策制定者制定减少青少年吸烟与抑郁共病的共同策略。
