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Modifying Effect of Suicidal Ideation on the Relationship Between Asthma and Cigarette Use Behaviors Among Korean Adolescents

  • Bae, Ji-Suk (Department of Preventive Medicine, Catholic University of Daegu School of Medicine) ;
  • Park, Eun-Young (Cancer Risk Appraisal & Prevention Branch, National Cancer Center) ;
  • Park, Soon-Woo (Department of Preventive Medicine, Catholic University of Daegu School of Medicine)
  • 투고 : 2010.12.21
  • 심사 : 2011.03.04
  • 발행 : 2011.05.31

초록

Objectives: Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents. Methods: We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and nonasthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation. Results: Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors. Conclusions: This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

키워드

참고문헌

  1. Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006; 368(9537): 733-743. https://doi.org/10.1016/S0140-6736(06)69283-0
  2. Lee SI. Prevalence of childhood asthma in Korea: international study of asthma and allergies in childhood. Allergy Asthma Immunol Res 2010; 2(2): 61-64. https://doi.org/10.4168/aair.2010.2.2.61
  3. Bousquet J, Bousquet PJ, Godard P, Daures JP. The public health implications of asthma. Bull World Health Organ 2005; 83(7): 548-554.
  4. Bravata DM, Gienger AL, Holty JE, Sundaram V, Khazeni N, Wise PH, et al. Quality improvement strategies for children with asthma: a systematic review. Arch Pediatr Adolesc Med 2009; 163(6): 572-581. https://doi.org/10.1001/archpediatrics.2009.63
  5. Shohat T, Graif Y, Garty BZ, Livne I, Green MS. The child with asthma at school: results from a national asthma survey among schoolchildren in Israel. J Adolesc Health 2005; 37(4): 275-280. https://doi.org/10.1016/j.jadohealth.2004.12.013
  6. Calam R, Gregg L, Goodman R. Psychological adjustment and asthma in children and adolescents: the UK Nationwide Mental Health Survey. Psychosom Med 2005; 67(1): 105-110. https://doi.org/10.1097/01.psy.0000151490.77622.37
  7. McQuaid EL, Kopel SJ, Nassau JH. Behavioral adjustment in children with asthma: a meta-analysis. J Dev Behav Pediatr 2001; 22(6): 430-439. https://doi.org/10.1097/00004703-200112000-00011
  8. Miauton L, Narring F, Michaud PA. Chronic illness, life style and emotional health in adolescence: results of a crosssectional survey on the health of 15-20-year-olds in Switzerland. Eur J Pediatr 2003; 162(10): 682-689. https://doi.org/10.1007/s00431-003-1179-x
  9. Bender BG. Risk taking, depression, adherence, and symptom control in adolescents and young adults with asthma. Am J Respir Crit Care Med 2006; 173(9): 953-957. https://doi.org/10.1164/rccm.200511-1706PP
  10. Yoo S, Kim HB, Lee SY, Kim BS, Kim JH, Yu J, et al. Effect of active smoking on asthma symptoms, pulmonary function, and BHR in adolescents. Pediatr Pulmonol 2009; 44(10): 954-961. https://doi.org/10.1002/ppul.21066
  11. Jones SE, Merkle S, Wheeler L, Mannino DM, Crossett L. Tobacco and other drug use among high school students with asthma. J Adolesc Health 2006; 39(2): 291-294. https://doi.org/10.1016/j.jadohealth.2005.12.003
  12. Otten R, Van de Ven MO, Engels RC, Van den Eijnden RJ. Depressive mood and smoking onset: a comparison of adolescents with and without asthma. Psychol Health 2009; 24(3): 287-300. https://doi.org/10.1080/08870440701710038
  13. Van de Ven MO, Engels RC, Kerstjens HA, Van den Eijnden RJ. Bidirectionality in the relationship between asthma and smoking in adolescents: a population-based cohort study. J Adolesc Health 2007; 41(5): 444-454. https://doi.org/10.1016/j.jadohealth.2007.05.015
  14. Precht DH, Keiding L, Madsen M. Smoking patterns among adolescents with asthma attending upper secondary schools: a community-based study. Pediatrics 2003; 111(5 Pt 1): e562-e568. https://doi.org/10.1542/peds.111.5.e562
  15. Zimlichman E, Mandel D, Mimouni FB, Shochat T, Grotto I, Kreiss Y. Smoking habits in adolescents with mild to moderate asthma. Pediatr Pulmonol 2004; 38(3): 193-197. https://doi.org/10.1002/ppul.20080
  16. Otten R, Engels RC, van den Eijnden RJ. Parental smoking and smoking behavior in asthmatic and nonasthmatic adolescents. J Asthma 2005; 42(5): 349-355. https://doi.org/10.1081/JAS-200062979
  17. Van De Ven MO, Engels RC, Sawyer SM. Asthmaspecific predictors of smoking onset in adolescents with asthma: a longitudinal study. J Pediatr Psychol 2009; 34(2): 118-128.
  18. Precht DH, Keiding L, Nielsen GA, Madsen M. Smoking among upper secondary pupils with asthma: reasons for their smoking behavior: a population-based study. J Adolesc Health 2006; 39(1): 141-143. https://doi.org/10.1016/j.jadohealth.2005.10.012
  19. Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, et al. Global patterns of mortality in young people: a systematic analysis of population health data. Lancet 2009; 374(9693): 881-892. https://doi.org/10.1016/S0140-6736(09)60741-8
  20. Korea National Statistical Office. Annual report on the cause of death statistics, 2008. Daejeon: Korea National Statistical Office; 2009. (Korean)
  21. Zambon F, Laflamme L, Spolaore P, Visentin C, Hasselberg M. Youth suicide: an insight into previous hospitalization for injury and sociodemographic conditions from a nationwide cohort study. Inj Prev doi:10.1136/ip.2010.030080.
  22. Clarke DE, Goodwin RD, Messias EL, Eaton WW. Asthma and suicidal ideation with and without suicide attempts among adults in the United States: what is the role of cigarette smoking and mental disorders? Ann Allergy Asthma Immunol 2008; 100(5): 439-446. https://doi.org/10.1016/S1081-1206(10)60468-1
  23. Goodwin RD, Eaton WW. Asthma, suicidal ideation, and suicide attempts: findings from the Baltimore epidemiologic catchment area follow-up. Am J Public Health 2005; 95(4): 717-722. https://doi.org/10.2105/AJPH.2003.019109
  24. Zhang T, Carleton BC, Prosser RJ, Smith AM. The added burden of comorbidity in patients with asthma. J Asthma 2009; 46(10): 1021-1026. https://doi.org/10.3109/02770900903350473
  25. Tercyak KP. Psychosocial risk factors for tobacco use among adolescents with asthma. J Pediatr Psychol 2003; 28(7): 495-504. https://doi.org/10.1093/jpepsy/jsg040
  26. Bush T, Richardson L, Katon W, Russo J, Lozano P, McCauley E, et al. Anxiety and depressive disorders are associated with smoking in adolescents with asthma. J Adolesc Health 2007; 40(5): 425-432. https://doi.org/10.1016/j.jadohealth.2006.11.145
  27. Han MA, Kim KS, Ryu SY, Kang MG, Park J. Associations between smoking and alcohol drinking and suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance, 2006. Prev Med 2009; 49(2-3): 248-252. https://doi.org/10.1016/j.ypmed.2009.06.014
  28. Korea Centers for Disease Control and Prevention. Reports on the Korea Youth Risk Behavior Web-based Survey, 2008. Seoul: Korea Centers for Disease Control and Prevention; 2009. (Korean)
  29. Brook U, Shiloh S. Attitudes of asthmatic and nonasthmatic adolescents toward cigarettes and smoking. Clin Pediatr (Phila) 1993; 32(11): 642-646. https://doi.org/10.1177/000992289303201101

피인용 문헌

  1. The relationship between asthma and suicidal behaviours: a systematic literature review vol.46, pp.1, 2011, https://doi.org/10.1183/09031936.00011415
  2. Asthma and other allergic diseases in relation to suicidal behavior among South Korean adolescents vol.115, pp.None, 2011, https://doi.org/10.1016/j.jpsychores.2018.10.015