Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Relationship between Cigarette Smoking and Depression Symptoms of High School Students

우리나라 고등학생의 흡연과 우울증의 관련성

  • Byeon, Haewon (Department of Speech and Language Habilitation, Daelim University Collage)
  • 변해원 (대림대학교 언어재활과)
  • Received : 2012.07.20
  • Accepted : 2012.10.11
  • Published : 2012.10.31
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Abstract

Smoking among adolescents is a major public health problem. This study was performed to determine the association between cigarette smoking and depression Symptoms of high school students. Data were drawn from the Korea Youth Risk Behavior Web-based Survey 2009. Subjects were 36,657 high school students living in the community. Adjusting for covariates (sex, school year, school education, economics, school record, hours of sleep per day, self-reported stress, self reported happiness, self-reported health status, suicidal thinking), smoker(OR=1.43, 95% CI: 1.35-1.50), 10~19 cigarettes per day(OR=1.48, 95% CI: 1.22-1.79) and more than 20 cigarettes per day(OR=2.05, 95% CI: 1.59-2.64) were independent risk factors for depression Symptoms. It was found that cigarette smoking is a independent factor related to adolescent depression. Adolescent smoking cessation is needed to management of adolescent depression.

이 연구는 2009년 청소년 건강행태 온라인 조사를 완료한 고등학교 1학년부터 3학년까지의 재학생 36,657명(인문계 27,380명, 실업계 9,277명)을 대상으로 흡연과 우울증의 관련성을 파악하기 위한 목적으로 수행되었다. 혼란변수는 성, 학년, 학교급, 학업성적, 경제상태, 주관적 스트레스 인지, 주관적 수면 충족률, 주관적 행복 정도, 주관적 건강상태, 자살 생각 경험을 포함하였다. 연구 결과, 평생 흡연 경험이 없는 학생에 비해서 흡연 경험이 있는 학생은 우울증의 관련성이 약 1.4배(OR=1.43, 95% CI: 1.35-1.50) 더 유의미하게 높았다(p<0.01). 또한, 일일 평균 흡연량이 1개비 이하인 학생에 비해서 반 갑 이상 한 갑 미만인 학생은 우울증의 관련성이 약 1.5배(OR=1.48, 95% CI: 1.22-1.79), 한 갑 이상인 학생은 우울증의 관련성이 약 2배(OR=2.05, 95% CI: 1.59-2.64) 더 유의미하게 높았다(p<0.001). 본 연구의 결과는 청소년기 흡연이 우울증과 독립적으로 관련이 있을 가능성을 시사한다. 이 결과를 기초로 청소년기 정신 건강의 증진 및 유지를 위해서 흡연 행위의 적극적 관리가 요구된다.

Keywords

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