Rogers Erin S
NYU School of Medicine, Department of Population Health, New York, NY;, Email:
Am J Health Behav. 2019 Jan 1;43(1):219-227. doi: 10.5993/AJHB.43.1.18.
Tobacco use may be related to financial strain in people with depression. This study explored the relationship among tobacco expenditures, financial distress, and smoking-induced deprivation (SID) in smokers with and without depression. Adult tobacco users in the United States (N = 234) completed a survey assessing depression (PHQ-8≥10), sociodemographics, tobacco use and spending, financial satisfaction and distress, and SID. Regression models controlling for income compared outcomes between participants with (N = 96) and without (N = 138) depression. Participants with depression were 4 times more likely to report SID (32% vs 8%, p = .00). Smokers with depression had lower financial satisfaction, greater worry about being able to meet monthly living expenses, higher frequency of being unable to afford a leisure activity, higher frequency living paycheck to paycheck, and lower confidence in finding money for an emergency (p < .01). In smokers with depression, higher tobacco expenditures were independently associated with greater odds of SID and higher levels of financial distress (p < .01). About one-third of smokers with depression forego essentials to pay for tobacco. Tobacco interventions may alleviate financial strain in people with depression.
吸烟可能与抑郁症患者的经济压力有关。本研究探讨了有或没有抑郁症的吸烟者的烟草支出、财务困境和吸烟导致的贫困（SID）之间的关系。美国的成年烟草使用者（N = 234）完成了一项调查，评估抑郁症（PHQ - 8≥10）、社会人口统计学、烟草使用和支出、财务满意度和困境以及SID。控制收入的回归模型比较了有抑郁症（N = 96）和无抑郁症（N = 138）参与者之间的结果。有抑郁症的参与者报告SID的可能性高出4倍（32%对8%，p = .00）。患有抑郁症的吸烟者财务满意度较低，更担心能否支付每月生活费用，无力承担休闲活动的频率更高， paycheck to paycheck生活的频率更高，以及为应急资金筹集资金的信心更低（p < .01）。在患有抑郁症的吸烟者中，较高的烟草支出与SID的更高几率和更高水平的财务困境独立相关（p < .01）。约三分之一患有抑郁症的吸烟者会为支付烟草费用而放弃基本生活需求。烟草干预措施可能会减轻抑郁症患者的经济压力。
