Health System Science Unit, Faculty of Medicine, Masarakham University, Mueng, Mahasarakham, 44000, Thailand.
Phanomphrai Hospital, Phanom Phrai. Roi Et, 45140, Thailand.
F1000Res. 2020 Sep 21;9:1158. doi: 10.12688/f1000research.26039.1. eCollection 2020.
The prevalence of tobacco consumption in Thailand has gradually declined; however, the prevalence of exposure to secondhand smoke (SHS) is still high. The objective of this study is to estimate the prevalence of SHS exposure and examine the association between exposure to SHS and depressive symptoms among schoolchildren, and test for moderation by the number of smokers in household. We conducted a cross-sectional study of 1105 schoolchildren. Socioeconomics factors, depressive symptoms and exposure to SHS variables were collected. We used the chi-square test for testing the factors associated to SHS exposure. In addition, we used the Mantel Haenszel test for testing interaction effect of depression to SHS exposure by the number of smokers in home. Multiple logistic regression was used to test the factors related to SHS exposure adjusted for confounders. The prevalence of exposure to SHS was 58.2% (95%CI: 55.2, 61.1). The schoolchildren with abnormal depression status were 1.8 times more likely to have been exposed to SHS (95%CI: 1.3, 2.5). In addition, the number of smokers in the home did not modify the association between exposure to SHS and depressive symptoms (P: 0.964). An association between exposure to SHS and depressive in schoolchildren was observed, but this relationship was not affected by the number of smokers in children's homes.
泰国的烟草消费率逐渐下降;然而,二手烟(SHS)暴露率仍然很高。本研究的目的是估计 SHS 暴露的流行率,并检验暴露于 SHS 与学童抑郁症状之间的关系,并检验家庭吸烟者人数的调节作用。
我们对 1105 名学童进行了横断面研究。收集了社会经济因素、抑郁症状和 SHS 暴露变量。我们使用卡方检验检验与 SHS 暴露相关的因素。此外,我们使用 Mantel Haenszel 检验检验家庭吸烟者人数对 SHS 暴露与抑郁之间的交互作用。使用多因素逻辑回归检验调整混杂因素后与 SHS 暴露相关的因素。
SHS 暴露率为 58.2%(95%CI:55.2,61.1)。有异常抑郁状态的学童接触 SHS 的可能性是正常学童的 1.8 倍(95%CI:1.3,2.5)。此外,家庭中吸烟者的数量并没有改变 SHS 暴露与抑郁症状之间的关联(P:0.964)。
观察到学童暴露于 SHS 与抑郁之间存在关联,但这种关系不受儿童家庭中吸烟者数量的影响。