Galéra C, Salla J, Montagni I, Hanne-Poujade S, Salamon R, Grondin O, Guichard E, Bouvard M P, Tzourio C, Michel G
UMR1219, université de Bordeaux, 33000 Bordeaux, France; UMR1219, Inserm, HEALTHY Team, 33000 Bordeaux, France; Centre hospitalier Perrens, 33076 Bordeaux, France.
UMR1219, université de Bordeaux, 33000 Bordeaux, France; UMR1219, Inserm, HEALTHY Team, 33000 Bordeaux, France.
Eur Psychiatry. 2017 Sep;45:221-226. doi: 10.1016/j.eurpsy.2017.07.007. Epub 2017 Aug 1.
The contribution of mental health to the risk of smoking is increasingly acknowledged but still insufficiently studied during the key period of student life. In particular, the simultaneous action of stress and Attention Deficit Hyperactivity Disorder (ADHD) symptoms on the risk of smoking remains poorly understood.
To assess the effects of stress and ADHD symptoms on tobacco smoking.
Multivariate modeling was conducted on the French i-Share study (n=8110, median age 20.3 years, 74.8% females, 32.9% regular/occasional smokers) to evaluate the associations between stress, ADHD symptoms and tobacco smoking, adjusting for potential family/socio-demographic confounders.
Students with high levels of stress were more likely to smoke>10 cigarettes/day (adjusted odds ratio (aOR): 1.48, 95% CI: 1.12-1.96) than those with low levels of stress. Students with high levels of ADHD symptoms were more likely to smoke>10 cigarettes/day (aOR: 2.08, 95% CI: 1.58-2.75) than those with low levels of ADHD symptoms.
Stress and ADHD contribute independently to the risk of smoking. Interventions targeting each condition are likely to reduce the burden of tobacco use in students.
心理健康对吸烟风险的影响日益受到认可，但在学生生活的关键时期，这方面的研究仍不充分。特别是，压力和注意力缺陷多动障碍（ADHD）症状对吸烟风险的共同作用仍知之甚少。
评估压力和ADHD症状对吸烟的影响。
对法国i-Share研究（n = 8110，中位年龄20.3岁，74.8%为女性，32.9%为经常/偶尔吸烟者）进行多变量建模，以评估压力、ADHD症状与吸烟之间的关联，并对潜在的家庭/社会人口学混杂因素进行调整。
与压力水平低的学生相比，压力水平高的学生每天吸烟超过10支的可能性更大（调整后的优势比（aOR）：1.48，95%置信区间：1.12 - 1.96）。与ADHD症状水平低的学生相比，ADHD症状水平高的学生每天吸烟超过10支的可能性更大（aOR：2.08，95%置信区间：1.58 - 2.75）。
压力和ADHD独立导致吸烟风险增加。针对每种情况的干预措施可能会减轻学生的烟草使用负担。
