DOI QR코드

DOI QR Code

The relationship between smoking and depressive symptoms among Korean adults

한국인에서 흡연과 우울증상의 연관성

  • Sung, Han Na (Department of Family Medicine, Yuseong Sun Hospital) ;
  • Kim, Jong Sung (Department of Family Medicine, Research Institute for Medical Sciences Chungnam National University School of Medicine)
  • 성한나 (유성 선병원 가정의학과) ;
  • 김종성 (충남대학교 의과대학 가정의학과)
  • Received : 2016.02.27
  • Accepted : 2016.06.21
  • Published : 2016.06.30

Abstract

Objectives: This study investigated the relationship between smoking status and depressive symptoms among Korean adults. Methods: We used the data of 17,871 adults aged 19 years or older from the fifth Korea National Health and Nutrition Examination Survey(2010-2012). The subjects were classified as nonsmokers, former smokers, and current smokers by gender. Logistic regression analysis was used to calculate the odds ratios(ORs) and the 95% confidence intervals(CIs) for the effects of smoking status on depressive symptoms, and depression diagnosed by a doctor. Results: Compared to nonsmokers, the ORs of depressive symptoms for current smokers were 1.11(95% CI, 1.11-1.12) among males, and 1.64(95% CI, 1.63-1.64) among females. Compared to former smokers, the ORs of depressive symptoms for current smokers were 1.05(95% CI, 1.05-1.05) among males, and 1.89(95% CI 1.88-1.90) among females. Compared to nonsmokers, the ORs of depression for current smokers were 0.94(95% CI, 0.94-0.95) among males, and 1.40(95% CI, 1.39-1.41) among females. Compared to former smokers, the ORs of depression for current smokers were 1.09(95% CI, 1.09-1.10) among males, and 0.99(95% CI, 0.99-1.00) among females. Conclusions: Smoking is associated with depressive symptoms among Korean adults. Therefore, it is necessary to consider depressive symptoms with the management of tobacco control policies.

Keywords

References

  1. Anda, R. F., Williamson, D. F., Escobedo, L. G., Mast, E. E., Giovino, G. A., & Remington, P. L. (1990). Depression and the dynamics of smoking. A national perspective. The Journal of American Medical Association, 264(12):1541-1545. https://doi.org/10.1001/jama.1990.03450120053028
  2. Awtry T. L. & Werling L. L.(2003). Acute and chronic effects of nicotine on serotonin uptake in prefrontal cortex and hippocampus of rats. Synapse, 50(3),206-211 https://doi.org/10.1002/syn.10259
  3. Benwell, M. E., & Balfour, D. J. (1979). Effects of nicotine administration and its withdrawal on plasma corticosterone and brain 5-hydroxyindoles. Psychopharmacology, 63,7-11. https://doi.org/10.1007/BF00426913
  4. Bhatia, S. C., & Bhatia, S. K. (1999) Depression in women: diagnostic and treatment considerations. American Family Physician, 60(1):225-234.
  5. Bromet E., Andrade L. H., Hwang I, Sampson N. A., Alonso J.de Girolamo G.,...Kessler R. C.(2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, 9, 90. https://doi.org/10.1186/1741-7015-9-90
  6. Chang, S. M., Hahm, B. J., Lee, J. Y., Shin, M. S., Jeon, H. J., Hong, J. P.,..., & Cho, M.J. (2008). Cross-national difference in the prevalence of depression caused by the diagnostic threshold. Journal of Affective Disorders, 106(1-2),159-167. https://doi.org/10.1016/j.jad.2007.07.023
  7. Cho, H.J. (2014). The status and future challenges of tabacco control policy in Korea. Journal Preventive Medicine and Public Health, 47(3),129-135. https://doi.org/10.3961/jpmph.2014.47.3.129
  8. Dani, J. A., & Heinemann, S. (1996). Molecular and cellular aspects of nicotine abuse. Neuron, 16, 905-908. https://doi.org/10.1016/S0896-6273(00)80112-9
  9. Escobedo, L.G., Reddy, M., & Giovino, G.A. (1998) The relationship between depressive symptoms and cigarette smoking in US adolescents. Addiction, 93(3):433-440. https://doi.org/10.1046/j.1360-0443.1998.93343311.x
  10. Fowler J. S., Volkow N. D., Wang G. J., Pappas N., Logan J., MacGregor R.,..., Cilento R.(1996). Inhibition of monoamine oxidase B in the brains of smokers. Nature, 379(6567),733-736. https://doi.org/10.1038/379733a0
  11. Hall S. M., Munoz R. F., Reus V. I., & Sees K. L. (1993). Nicotine, negative affect, and depression. Journal Consulting and Clinical Psychology, 61(5), 761-767. https://doi.org/10.1037/0022-006X.61.5.761
  12. Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A.,..., & Bauman A. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9),1081-1093. https://doi.org/10.1161/CIRCULATIONAHA.107.185649
  13. Hatsukami, D. K., Le, C. T., Zhang, Y., Joseph, A. M., Mooney, M. E., Carmella, S. G., & Hecht S. S. (2006). Toxicant exposure in cigarette reducers versus light smokers. Cancer Epidemiology, Biomarkers and Prevention 15(12),2355-2358. https://doi.org/10.1158/1055-9965.EPI-06-0240
  14. Husky, M. M., Mazure, C. M., Paliwal, P., & McKee, S. A. (2008). Gender differences in the comorbidity of smoking behavior and major depression. Drug and Alcohol Dependence, 93(1-2), 176-179. https://doi.org/10.1016/j.drugalcdep.2007.07.015
  15. Imperato, A., Mulas, A., & Di Chiara, G. (1986). Nicotine preferentially stimulates dopamine release in the limbic system of freely moving rats. European Journal of Pharmacology, 132, 337-338. https://doi.org/10.1016/0014-2999(86)90629-1
  16. Jung-Choi, K. H., Khang, Y. H., & Cho, H. J. (2012). Hidden female smokers in Asia: a comparison of self-reported with cotinine-verified smoking prevalence rates in representative national data from an Asian population. Tobacco Control 21(6), 536-542. https://doi.org/10.1136/tobaccocontrol-2011-050012
  17. Kendler K. S., Neale M. C., MacLean C. J., Heath A. C., Eaves L. J., & Kessler R. C.(1993). Smoking and major depression. Archives of General Psychiatry, 50, 36-43. https://doi.org/10.1001/archpsyc.1993.01820130038007
  18. Killen, J. D., Fortmann, S. P., Schatzberg, A., Hayward, C., & Varady, A. (2003). Onset of major depression during treatment for nicotine dependence. Addictive Behaviors 28(3), 461-470. https://doi.org/10.1016/S0306-4603(01)00266-0
  19. Kim, D. H., & Suh, Y. S. (2009). Smoking as a disease. Korean Journal of Family Medicine, 30(7), 494-502. https://doi.org/10.4082/kjfm.2009.30.7.494
  20. Kim, T. S., & Kim, D. J. (2007). The association between smoking and depression. Korean Journal of Psychopharmacology, 18(6), 393-398.
  21. Korean Center for Disease Control. (2011). 2010 National Health Statistics: Korea National Health and Nutrition Examination Survey(KNHANES) V-1. Seoul: Korean Center for Disease Control.
  22. Korean Statistical Information Service(KOSIS). (2014). Korean Standard Classification of Occupations(KSCO). Retrieved from http://kssc.kostat.go.kr
  23. Lee, E. H., Park, S. K., Ko, K. P., Cho, I. H., Chang, S. H., Shin, H. R.,..., Yoo, K. Y. (2010). Cigarette smoking and mortality in the Korean Multi-Center Cancer Cohort(KMCC) study. Journal of Preventive Medicine & Public Health, 43(2),151-158. https://doi.org/10.3961/jpmph.2010.43.2.151
  24. Lee, H. K., & Lee, B. H. (2012). The epidemiology of alcohol use disorders. The Journal of Korean Diabetes, 13, 69-75. https://doi.org/10.4093/jkd.2012.13.2.69
  25. Lerman C., Caporaso N., Main D., Audrain J., Boyd N. R., Bowman E. D., & Shields P. G.(1998). Depression and self-medication with nicotine: the modifying influence of the dopamine D4 receptor gene. Health Psychology, 17(1),56-62. https://doi.org/10.1037/0278-6133.17.1.56
  26. Maurer, D. M. (2012). Screening for depression. American Family Physician 85(2),139-144.
  27. Organization for Economic Co-operation and Development.(2013). OECD factbook 2013: Economic, Environmental and Social Statistics. Paris, France: OECD Publishing.
  28. Park, H. S., Park, C. Y., Oh, S. W., & Yoo, H. J. (2008) Prevalence of obesiy and metabolic syndrome in Korean adults. Obesity Reviews, 9(2), 104-107. https://doi.org/10.1111/j.1467-789X.2007.00421.x
  29. Park J. H. & Kim K. W.(2011). A review of the epidemiology of depression in Korea. Journal of the Korean Medical Association, 54(4), 362-369. https://doi.org/10.5124/jkma.2011.54.4.362
  30. Park, S., Romer, D., & Lim, S. (2013). Does smoking initiation in adolescence increase risk for depression across the lifespan? Evidence from the South Korean National Health and Nutrition Examination Survey. Journal of Addictions Nursing 24(3), 142-148. https://doi.org/10.1097/JAN.0b013e3182a4cad3
  31. Seoul National University College of Medicine (2012). The epidemiological survey of mental disorders in Korea 2011. Seoul: Ministry of Health and Welfare.
  32. Taylor, G., McNeill, A., Girling, A., Farley, A., Lindson-Hawley, N., & Aveyard, P. (2014). Change in mental health after smoking cessation: systematic review and meta-analysis. British Medical Journal, 13;348:g1151.
  33. Whooley, M. A., Avins, A. L., Miranda, J., & Browner, W. S. (1997) Case-finding instruments for depression. Two questions are as good as many. Journal of General Internal Medicine, 12(7):439-445. https://doi.org/10.1046/j.1525-1497.1997.00076.x
  34. World Health Organization. (2013). WHO report on the global tobacco epidemic 2013. Retrieved from http://www.who.int/tobacco/global_report/2013/en/.
  35. Yun, W. J., Shin, M. H., Kweon, S. S., Ryu, S. Y., & Rhee, J. A. (2012). Association of smoking status, cumulative smoking, duration of smoking cessation, age of starting smoking, and depression in Korean adults. Biomed Central Public Health, 12, 724-730. https://doi.org/10.1186/1471-2458-12-724

Cited by

  1. 한국 성인들의 흡연유형과 정신건강과의 관계 vol.21, pp.1, 2016, https://doi.org/10.35133/kssche.20200531.01
  2. Association of Eating Alone with Depressive Symptoms and Suicidal Ideation among Korean Adults vol.42, pp.3, 2021, https://doi.org/10.4082/kjfm.20.0128
  3. Depressive symptoms, stress, and self-rated health in Korean adults based on the types of tobacco use: A focus on gender differences vol.38, pp.2, 2016, https://doi.org/10.14367/kjhep.2021.38.2.55