중년층 한국인의 간접흡연과 건강 관련 삶의 질의 관련성
Association between Secondhand Smoke and Health-related Quality of Life in Middle-aged Korean Adults
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초록
연구배경: 간접흡연과 건강 관련 삶의 질의 관련성은 불분명하며, 이에 관한 연구는 미흡하다. 이에 본 연구는 중년층 한국인의 간접흡연과 건강 관련 삶의 질과의 관련성을 파악하는 것을 목적으로 하였다. 방법: 제5기(2010-2012년) 국민건강영양조사에 참가한 40 세에서 64세의 남자 583명과 여자 3,869명의 자료를 분석하였다. 참가자는 비흡연자 혹은 평생 5갑 미만의 흡연을 한사람이었다. 건강설문을 통해 가정내, 직장내 간접흡연 노출여부를 구분하였고, EuroQoL five dimensions (EQ-5D) 를 통해 건강 관련 삶의 질을 평가하였다. 로지스틱 회귀분석을 이용하여 간접흡연과 건강 관련 삶의 질과의 관계를알아보았다. 결과: 성별, 나이, 체질량지수, 교육수준, 가구소득, 직업유무, 기저질환 유무, 간접흡연 노출과 건강 관련 삶의 질은유의한 관련이 있었다. 이러한 요인들을 다중 로지스틱 회귀 분석한 결과, 가정내 간접흡연 노출이 있는 경우 EQ-5D 의 불안/우울 항목에서 문제가 있음에 대한 오즈비가 1.49 (95% confidence interval: 1.02-2.18)로 유의한 관련성을 보였다. 결론: 한국인 중년층의 가정내 간접흡연 노출은 불안, 우울과 관련성을 보인다.
Abstract
Background: The relationship between secondhand smoke and health-related quality of life is still unclear. The aim of this study was to investigate the association between secondhand smoke and health-related quality of life (HRQoL) in middle-aged Korean adults. Methods: Data from 583 men and 3,869 women aged 40 to 64 years who participated in the fifth Korea National Health and Nutrition Examination Survey in 2010 to 2012 were evaluated. All of them are non-smokers or have smoked less than 5 packs of cigarettes for their whole life. Secondhand smoke exposed at home and workplace was assessed by using a questionnaire and HRQoL was assessed by EuroQoL five dimensions (EQ-5D). The association of secondhand smoke and HRQoL was analyzed by logistic regression analysis. Results: Low HRQoL was associated with sex, age, body mass index, education level, family income level, occupation status, underlying diseases and secondhand smoke exposure. After adjustment for variables, secondhand smoke exposure at home was positively associated with the anxiety/depression dimension of EQ-5D (Odds ratio: 1.49, 95% Confidence interval: 1.02-2.18). Conclusions: Secondhand smoke exposure at home is associated with anxiety and depression dimensions of EQ-5D in middle-aged Korean adults.
참고문헌 (30)
- Schick S, "Philip morris toxicological experiments with fresh sidestream smoke : more toxic than mainstream smoke", Tob Control, 14(6), pp.396~404 (2005)
- Moir D, "A comparison of mainstream and sidestream marijuana and tobacco cigarette smoke produced under two machine smoking conditions", Chem Res Toxicol, 21(2), pp.494~502 (2007)
- Hackshaw AK, "The accumulated evidence on lung cancer and environmental tobacco smoke", BMJ, 315(7114), pp.980~988 (1997)
- Law MR, "Environmental tobacco smoke exposure and ischaemic heart disease : an evaluation of the evidence", BMJ, 315(7114), pp.973~980 (1997)
- Leuenberger P, "Swiss study on air pollution and lung diseases in adults, SAPALDIA team", Am J Respir Crit Care Med, 150(5 Pt 1), pp.1222~1228 (1994)
- Thorn J, "Adult‐onset asthma is associated with self‐reported mold or environmental tobacco smoke exposures in the home", Allergy, 56(4), pp.287~292 (2001)
- Carey IM, "The effects of environmental tobacco smoke exposure on lung function in a longitudinal study of British adults", Epidemiology, 10(3), pp.319~326 (1999)
- "Korea Health Statistics 2013 : Korea National Health and Nutrition Examination Survey (KNHANES VI-1)" (2014)[URL]
- Allem JP, "The environment modifies the relationship between social networks and secondhand smoke exposure among Korean nonsmokers in Seoul and California", Asia Pac J Public Health, 27(2), pp.NP437~NP447 (2015)
- Chen PC, "The relationship between smoking status and health-related quality of life among smokers who participated in a 1-year smoking cessation programme in Taiwan: a cohort study using the EQ-5D", BMJ Open, 5(5), pp.e007249~ (2015)
- Laaksonen M, "Smoking and SF-36 health functioning", Prev Med, 42(3), pp.206~209 (2006)
- Martinez JA, "Impaired quality of life of healthy young smokers", Chest, 125(2), pp.425~428 (2004)
- Bridevaux P, "Secondhand smoke and health-related quality of life in never smokers : results from the SAPALDIA cohort study 2", Arch Intern Med, 167(22), pp.2516~2523 (2007)
- Weeks SG, "Secondhand smoke exposure and quality of life in patients with heart failure", Arch Intern Med, 171(21), pp.1887~1893 (2011)
- Lee BE, "Exposure to environmental tobacco smoke among South Korean adults : a cross-sectional study of the 2005Korea National Health and Nutrition Examination survey", Environ Health, 10, pp.29~ (2011)
- Nondahl DM, "A questionnaire for assessing environmental tobacco smoke exposure", Environ Res, 97(1), pp.76~82 (2005)
- Eisner MD, "Measurement of environmental tobacco smoke exposure among adults with asthma", Environ Health Perspect, 109(8), pp.809~814 (2001)
- Riboli E, "Exposure of nonsmoking women to environmental tobacco smoke : a 10-country collaborative study", Cancer Causes Control, 1(3), pp.243~252 (1990)
- Taha F, "Secondhand smoke exposure across the life course and the risk of adult-onset depression and anxiety disorder", J Affect Disord, 168, pp.367~372 (2014)
- Bandiera FC, "Secondhand smoke exposure and depressive symptoms", Psychosom Med, 72(1), pp.68~72 (2010)
- Lee KJ, "Current smoking and secondhand smoke exposure and depression among Korean adolescents: analysis of a national cross-sectional survey", BMJ Open, 4(2), pp.e003734~ (2014)
- Bot M, "Exposure to secondhand smoke and depression and anxiety : a report from two studies in the Netherlands", J Psychosom Res, 75(5), pp.431~436 (2013)
- Lam E, "Association of secondhand smoke exposure with mental health in men and women:cross-sectional and prospective analyses using the U.K. Health and Lifestyle survey", Eur Psychiatry, 28(5), pp.276~281 (2013)
- Bandiera FC, "What are candidate biobehavioral mechanisms underlying the association between secondhand smoke exposure and mental health?", Med Hypotheses, 77(6), pp.1009~1010 (2011)
- Li S, "Chronic nicotine and smoking treatment increases dopamine transporter mRNA expression in the rat midbrain", Neurosci Lett, 363(1), pp.29~32 (2004)
- Li SP, "Chronic nicotine and smoke treatment modulate dopaminergic activities in ventral tegmental area and nucleus accumbens and the gamma‐aminobutyric acid type B receptor expression of the rat prefrontal cortex", J Neurosci Res, 78(6), pp.868~879 (2004)
- Kessing LV, "Does the impact of major stressful life events on the risk of developing depression change throughout life?", Psychol Med, 33(7), pp.1177~1184 (2003)
- Nugent NR, "Gene–environment interactions : early life stress and risk for depressive and anxiety disorders", Psychopharmacology(Berl), 214(1), pp.175~196 (2011)
- Emmons KM, "An evaluation of the relationship between self-report and biochemical measures of environmental tobacco smoke exposure", Prev Med, 23(1), pp.35~39 (1994)
- Nondahl DM, "A questionnaire for assessing environmental tobacco smoke exposure", Environ Res, 97(1), pp.76~82 (2005)