Bang Inho, Jeong Young-Jin, Park Young-Yoon, Moon Na-Yeon, Lee Junyong, Jeon Tae-Hee
Department of Family Medicine, Veterans Health Service Medical Center.
Tohoku J Exp Med. 2017 Aug;242(4):317-326. doi: 10.1620/tjem.242.317.
In Korea, the prevalence of depression is increasing in adolescents and the most common cause of death of adolescents has been reported as suicide. At a time of increasing predicament of mental health of adolescents, there are few studies on whether secondhand smoking is associated with mental health in adolescents. The objective of this study was to determine whether exposure to secondhand smoke is associated with mental health-related variables, such as depression, stress, and suicide, in Korean adolescents. Data from the eleventh Korea youth risk behavior web-based survey, a nationally representative survey of 62,708 participants (30,964 males and 31,744 females), were analyzed. For students of aged 12 to 18 years, extensive data including secondhand smoking, mental health, sociodemographic variables, and physical health were collected. Chi-square analysis, multiple logistic regression analysis and ordered logistic regression analysis were performed to estimate the association and dose-response relation between secondhand smoking and mental health. Compared with the non-exposed group, the odds ratios (OR) of depression, stress, suicidal ideation, suicidal planning and suicidal attempt in the secondhand smoking exposed group were 1.339, 1.192, 1.303, 1.437 and 1.505, respectively (all P < 0.001). When subjects were classified into two secondhand smoke exposure groups, with increasing secondhand smoking experience, higher was the OR for each mental health related variable, in a dose-response relation. Our findings suggest that secondhand smoking is associated with poor mental health such as depression, stress, and suicide, showing a dose-response relation in Korean adolescents.
在韩国，青少年抑郁症的患病率正在上升，且据报道青少年最常见的死因是自杀。在青少年心理健康困境日益加剧的时期，关于二手烟是否与青少年心理健康相关的研究很少。本研究的目的是确定接触二手烟是否与韩国青少年的心理健康相关变量（如抑郁、压力和自杀）有关。分析了第十一次韩国青少年风险行为网络调查的数据，该调查是一项对62708名参与者（30964名男性和31744名女性）进行的全国代表性调查。针对12至18岁的学生，收集了包括二手烟、心理健康、社会人口统计学变量和身体健康等方面的广泛数据。进行了卡方分析、多元逻辑回归分析和有序逻辑回归分析，以估计二手烟与心理健康之间的关联和剂量反应关系。与未接触组相比，二手烟接触组中抑郁、压力、自杀意念、自杀计划和自杀未遂的优势比（OR）分别为1.339、1.192、1.303、1.437和1.505（均P<0.001）。当将受试者分为两个二手烟暴露组时，随着二手烟接触经历的增加，每个心理健康相关变量的OR值越高，呈剂量反应关系。我们的研究结果表明，二手烟与抑郁、压力和自杀等不良心理健康状况相关，在韩国青少年中呈现剂量反应关系。
