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한국 성인의 음주와 흡연 동시행위가 자살생각과 자살시도에 미치는 영향: 국민건강영양조사 자료 활용

Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011

  • 투고 : 2016.08.10
  • 심사 : 2016.11.28
  • 발행 : 2016.12.31

초록

Purpose: The purpose of this study was to investigate the combined influence of smoking and alcohol drinking on suicidal ideation and attempts among Korean adults. Methods: This cross sectional study used secondary data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. A total of 13,064 adults were included in the study. Logistic regression was used to analyze the combined influence of smoking and alcohol drinking on suicidal ideation and attempts. Results: Persons who smoke and use alcohol were more likely to report suicidal ideation and attempts than those who did not smoke and reported normal drinking. The group who reported both smoking and harmful drinking/alcohol had significantly higher incidence of suicidal ideation and attempts than the comparison group of non-smoking/normal drinking (Suicidal ideation: Adjusted Odds Ratio [AOR]: 2.13, 95% Confidence Interval [CI]: 1.60~2.83; suicidal attempts: AOR: 3.81, 95% CI: 1.60~9.05). Conclusion: Based on the results of this study, smoking and alcohol drinking were individually important health behaviors for prevention of suicidal ideation and attempts. Especially, suicidal prevention programs might be needed for adults who smoke and drink at the same time to decrease suicidal ideation and attempt.

키워드

참고문헌

  1. OECD(2016), "Suicides", in OECD Factbook 2015-2016: Economic, Environmental and Social Statistics. OECD Publishing, Paris. http://dx.doi.org/10.1787/factbook-2015-88-en
  2. Korea Statistical Information Service. 2014 Cause of death statics (nationwide). [Internet] Seoul: Ministry of Health & Welfare. Korea Statistical Information Service; 2015 [Cited 2015 August 3]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=D#SubCont
  3. Bae HC, Hong SR, Jang SI, Lee KS, Park EC. Patterns of alcohol consumption and suicidal behavior: findings from the fourth and fifth Korea national health and nutritional examination survey (2007-2011). Journal of Preventive Medicine & Public Health. 2015;48:142-50. http://dx.doi.org/10.3961/jpmph.14.027
  4. Crosby AE, Beth H, Ortega LAG, Parks SE, Gfroerer J. Suicidal thoughts and behaviors among adults aged ${\geq}18$ years - United States, 2008-2009. Morbidity and Mortality Weekly Report (MMWR). 2011;60(13):1-12.
  5. Park EO, Choi SJ. Prevalence of suicidal ideation and related risk factors among Korean adults. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(2):88-96. http://dx.doi.org/10.12934/jkpmhn.2013.22.2.88
  6. Chakravorty S, Grandner MA, Mavandadi S, Perlis ML, Sturgis EB, Oslin DW. Suicidal ideation in veterans misusing alcohol: relationships with insomnia symptoms and sleep duration. Addictive Behaviors. 2015;39(2):399-405. http://dx.doi.org/10.1016/j.addbeh.2013.09.022
  7. Engelberg H. Low serum cholesterol and suicide. Lancet. 1992;339(8795):727-9. http://dx.doi.org/10.1016/0140-6736(92)90609-7
  8. Park YM, Lee BH, Lee SH. The association between serum lipid levels, suicide ideation and central serotonergic activity in patients with major depressive disorder. Journal of Affective Disorder. 2014;159:62-5. http://dx.doi.org/10.1016/j.jad.2014.01.016
  9. Shin YR, Lee HY, So ES. Suicidal ideation and associated factors by sex in Korean adults: a population-based cross-sectional survey. International Journal of Public Health. 2011;56(4):429-39. http://dx.doi.org/10.1007/s00038-011-0245-9
  10. Conner KR, Bagge CL, Goldston DB, Ilgen MA. Alcohol and suicidal behavior: what is known and what can be done. American Journal of Preventive Medicine. 2014;47(3 Suppl 2):S204-8. http://dx.doi.org/10.1016/j.amepre.2014.06.007
  11. Pompili M, Serafini G, Innamorati M, Dominici G, Ferracuti S, Kotzalidis GD, et al. Suicidal behavior and alcohol abuse. International Journal of Environmental Research and Public Health. 2010;7(4):1392-431. http://dx.doi.org/10.3390/ijerph7041392
  12. Choi HS, Seo JS, Pyo JY, Park YH. Correlation of alcohol intake with suicide in cases confirmed by legal autopsy. Korean Journal of Legal Medicine. 2012;36:63-7. http://dx.doi.org/10.7580/KoreanJLegMed.2012.36.1.63
  13. Sher L. Alcohol consumption and suicide. QJM: An International Journal of Medicine. 2006;99:57-61. http://dx.doi.org/10.1093/qjmed/hci146
  14. Hintikka J, Koivumaa-Honkanen H, Lehto SM, Tolmunen T, Honkalampi K, Haatainen K, et al. Are factors associated with suicidal ideation true risk factors? A 3-year prospective follow-up study in a general population. Social Psychiatry and Psychiatric Epidemiology. 2009;44:29-33. http://dx.doi.org/10.1007/s00127-008-0401-6
  15. Iwasaki M1, Akechi T, Uchitomi Y, Tsugane S. Cigarette smoking and completed suicide among middle-aged men: a population-based cohort study in Japan. Annals of Epidemiology. 2005;15(4):286-92. http://dx.doi.org/10.1016/j.annepidem.2004.08.011
  16. Miller M, Borgers G, Orozco R, Mukamal K, Rimm EB, Benjet C, et al. Exposure to alcohol, drugs and tobacco and the risk of subsequent suicidality: findings from the Mexican Adolescent Mental Health Survey. Drug and Alcohol Dependence. 2011;113(2-3):110-7. http://dx.doi.org/10.1016/j.drugalcdep.2010.07.016
  17. Sharma R, Lodhi S, Sahota P, Thakkar MM. Nicotine administration in the wake-promoting basal forebrain attenuates sleep promoting effects of alcohol. Journal of Neurochemistry. 2015;135(2):323-31. http://dx.doi.org/10.1111/jnc.13219
  18. Brady J. The association between alcohol misuse and suicidal behavior. Alcohol and Alcoholism. 2006;41(5):473-8. http://dx.doi.org/10.1093/alcalc/agl060
  19. John U, Meyer C, Rumpf HJ, Hapke U. Probabilities of alcohol high-risk drinking, abuse or dependence estimated on grounds of tobacco smoking and nicotine dependence. Addiction. 2003;98(6):805-14. http://dx.doi.org/10.1046/j.1360-0443.2003.00381.x
  20. Schneider B, Baumert J, Schneider A, Marten-Mittag M, Meisinger C, Erazo N, et al. The effect of risky alcohol use and smoking on suicide risk: findings from the German MONICA/ KORA-Augsburg Cohort Study. Social Psychiatry and Psychiatric Epidemiology. 2011;46:1127-32. http://dx.doi.org/10.1007/s00127-010-0287-y
  21. Jeon HS. Effects of smoking, drinking and drug use on the adolescent's suicidal ideation by using the data of the Korea youth risk behavior web-based survey through from 2008 to 2014. Journal of the Korean Society of School Health. 2014;28(2):99-110. http://dx.doi.org/10.15434/kssh.2015.28.2.99
  22. Kang KW, Sung JH, Kim CY. High risk groups in health behavior defined by clustering of smoking, alcohol, and exercise habits: national heath and nutrition examination survey. Journal of Preventive Medicine and Public Health. 2010;43(1):73-83. http://dx.doi.org/10.3961/jpmph.2010.43.1.73
  23. Jeong JO. The second plan for suicide prevention in Japan. Heath and welfare forum. Sejong City: Korea Institute for Health and Social Affairs (KIHASA). 2013 June. Report No.:200_03. http://repository.kihasa.re.kr:8080/handle/201002/10534
  24. Lee SY. Policy options for the improvement of suicide prevention programs. Health and Welfare Policy Forum. 2015;11:34-49.
  25. Kim YJ. Risk and protection factor related to suicide ideation in each life course based on an ecological-system perspective. Korean Journal of Community Living Science. 2011;22(3):429-44. https://doi.org/10.7856/kjcls.2011.22.3.429
  26. Min KB, Park SG, Hwang SH, Min JY. Precarious employment and the risk of suicidal ideation and suicide attempts. Preventive Medicine. 2015;Feb;71:72-6. http://dx.doi.org/10.1016/j.ypmed.2014.12.017
  27. Takada M, Suzuki A, Shima S, Inoue K, Kazukawa S, Hojoh M. Associations between lifestyle factors, working environment, depressive symptoms and suicidal ideation: a large-scale study in Japan. Industrial Health. 2009;47(6):649-55. http://dx.doi.org/10.2486/indhealth.47.649
  28. Berlin I, Hakes JK, Hu MC, Covey LS. Tobacco use and suicide attempt: longitudinal analysis with retrospective reports. PLOS one. 2015;10(4):e0122607. http://dx.doi.org/10.1371/journal.pone.0122607

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