Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
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Association between Secondhand Smoke Exposure and Depressive Symptoms among Korean Adults

한국 성인에서 간접흡연노출과 우울증상 간의 상관관계

  • Jin, Sunkwon (Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital) ;
  • Han, Kyu-Man (Department of Psychiatry, Korea University College of Medicine) ;
  • Nam, Min (Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital) ;
  • Chang, Jisoon (Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital)
  • 진선권 (서울특별시 은평병원 정신건강의학과) ;
  • 한규만 (고려대학교 의과대학 정신건강의학교실) ;
  • 남민 (서울특별시 은평병원 정신건강의학과) ;
  • 장지순 (서울특별시 은평병원 정신건강의학과)
  • Received : 2020.08.21
  • Accepted : 2020.10.12
  • Published : 2020.10.31
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Abstract

Objectives The aim of this study is to investigate the association between secondhand smoke (SHS) exposure and depressive symptoms among Korean adults. This study also explored the mediating role of self-rated health (SRH) and perceived usual stress (PUS) in the association between depressive symptoms, suicidal ideation and SHS exposure. Methods Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) in 2014 and 2016 was analyzed for 10539 participants aged 19 years or older. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated in the logistic regression analysis with adjustment for the potential confounding factors. We also adopted the mediation analysis method by Hayes and Preacher. Results After adjusting for the potential confounding factors, SHS at home and at public places were associated with depressive symptoms and suicidal ideation among non-smokers. After adjusting for the potential confounding factors, SHS at home and at public places was associated with depressive symptoms and suicidal ideation among non-smokers. Meanwhile SHS at workplaces was associated with depressive symptoms among former smokers and with suicidal ideation among current smokers. There was an additive effect of SHS on depressive symptoms only among non-smokers. SRH mediated the association between SHS and depressive symptoms and suicidal ideation among non-smokers. We did not observe any significant mediating effect of SRH nor PUS on the association between SHS and depressive symptoms among former and current smokers. Conclusions SHS may be associated with depressive symptoms and suicidal ideation in Korean adults. Our study elucidated how SHS interacted with depressive symptoms among non-smokers through the mediation by SRH.

Keywords

References

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