Balsara Khushbu, Iftikhar Ali, Galiatsatos Panagis, DiClemente Carlo, Mattingly Brian, Kanarek Norma F
Department of International Health, Health Systems, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Tob Use Insights. 2024 Oct 3;17:1179173X241285351. doi: 10.1177/1179173X241285351. eCollection 2024.
Smoking cessation is linked to improved mental health that encompasses the overall well-being and psychological functioning of an individual.
Examine relationships between smoking, mental health, and social connectedness among adults in Maryland, US in 2020.
This cross-sectional study used data from the Maryland 2020 Behavioral Risk Factor Surveillance System Survey of adults during the onset of COVID-19. Primary outcomes measured include demographics, depression, and number of not good mental health days among individuals with current and former smoking statuses compared to those who have never smoked.
Compared to those who never smoked, individuals who currently smoked had an increased relative risk of reporting 14 or more days of not good mental health (RRR = 1.63, 95% CI: 1.35-1.97, < .001) and a history of depression (RRR = 1.99, 95% CI: 1.69-2.35, < .001). Individuals with former smoking status also showed elevated risk, with RRR = 1.24 (95% CI: 1.06-1.45, = .006) for 14 or more days of not good mental health and RRR = 1.46 (95% CI: 1.28-1.66, < .001) for a history of depression. Widowed, separated, or divorced; unemployed or unable to work; without a high school diploma; or recent physical exam were inclined to have a current or former smoking status.
We identify critical subpopulations vulnerable to life-long smoking behaviors amid the COVID-19 pandemic including adults under 35 years old, and those suffering from depression, a lack of social connectedness due to unemployment, changes in marital status, and outdated physical exams. The US Surgeon General's 2023 Advisory on the epidemic of loneliness and the 2021 Youth Mental Health Report emphasize the mental health crises among the young in which these findings serve as a compelling call to action for innovating targeted public health interventions.
戒烟与心理健康状况改善相关，心理健康涵盖个人的整体幸福感和心理功能。
研究2020年美国马里兰州成年人中吸烟、心理健康和社会联系之间的关系。
这项横断面研究使用了来自2020年马里兰州行为风险因素监测系统对成年人在新冠疫情爆发期间的调查数据。测量的主要结果包括人口统计学特征、抑郁情况，以及当前吸烟者、曾经吸烟者与从不吸烟者相比心理健康状况不佳的天数。
与从不吸烟者相比，当前吸烟者报告心理健康状况不佳14天或更长时间的相对风险增加（相对风险比RRR = 1.63，95%置信区间CI：1.35 - 1.97，P <.001），且有抑郁病史的相对风险也增加（RRR = 1.99，95%置信区间CI：1.69 - 2.35，P <.001）。曾经吸烟者也显示出风险升高，心理健康状况不佳14天或更长时间的RRR = 1.24（95%置信区间CI：1.06 - 1.45，P =.006），有抑郁病史的RRR = 1.46（95%置信区间CI：1.28 - 1.66，P <.001）。丧偶、分居或离婚者；失业或无法工作者；没有高中文凭者；或近期未进行体检者更容易有当前或曾经吸烟的状态。
我们确定了在新冠疫情期间易出现终身吸烟行为的关键亚人群，包括35岁以下成年人，以及那些患有抑郁症、因失业缺乏社会联系、婚姻状况改变和体检过时的人。美国卫生局局长2023年关于孤独流行的咨询报告和2021年青少年心理健康报告强调了年轻人中的心理健康危机，这些研究结果有力地呼吁采取行动，创新有针对性的公共卫生干预措施。
