The Relationship between Smoking Status and Suicidal Behavior in Korean Adults: The 4th Korea National Health and Nutrition Examination Survey (2007–2009)
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: This study was performed to evaluate the relationship between smoking status and suicidal ideations or suicide attempts in Korean adults. Methods: The study used data from the 4th Korea National Health and Nutrition Examination Survey, and involved 17,065participants. We used multiple logistic regression analysis to evaluate the relationship between smoking status and suicidal behavior. The results were adjusted for covariates including depression and physical disease. Results: After adjusting for covariates, current smokers (odds ratio [OR], 1.66; 95% confidence interval [CI], 1.34 to 2.05)and former smokers (OR, 1.39; 95% CI, 1.13 to 1.72) proved more likely to have suicidal ideations than non-smokers. Among women, current smokers (OR, 2.00; 95% CI, 1.47 to 2.72) and former smokers (OR, 1.48; 95% CI, 1.11 to 1.99) were more likely to have suicidal ideations than non-smokers. However, among the men there was no significant relationship between smoking status and suicidal ideations. Among all the participants who had had suicidal ideations, there was a significant relationship between current smoking and suicide attempts (OR, 1.80; 95% CI, 1.05 to 3.07). There was also a relationship between current smoking and suicide attempts among women (OR, 2.40; 95% CI, 1.31 to 4.37), but no significant relationship among men. Conclusion: There is a relationship between smoking status and suicidal ideations and suicide attempts in the general population of Korea. This relationship is particularly clear in women, and is independent of comorbid chronic disease and depression. Current smokers and former smokers are more likely to have suicidal ideations than non-smokers;current smokers are also more likely to have attempted suicide.
Abstract
Background: This study was performed to evaluate the relationship between smoking status and suicidal ideations or suicide attempts in Korean adults. Methods: The study used data from the 4th Korea National Health and Nutrition Examination Survey, and involved 17,065participants. We used multiple logistic regression analysis to evaluate the relationship between smoking status and suicidal behavior. The results were adjusted for covariates including depression and physical disease. Results: After adjusting for covariates, current smokers (odds ratio [OR], 1.66; 95% confidence interval [CI], 1.34 to 2.05)and former smokers (OR, 1.39; 95% CI, 1.13 to 1.72) proved more likely to have suicidal ideations than non-smokers. Among women, current smokers (OR, 2.00; 95% CI, 1.47 to 2.72) and former smokers (OR, 1.48; 95% CI, 1.11 to 1.99) were more likely to have suicidal ideations than non-smokers. However, among the men there was no significant relationship between smoking status and suicidal ideations. Among all the participants who had had suicidal ideations, there was a significant relationship between current smoking and suicide attempts (OR, 1.80; 95% CI, 1.05 to 3.07). There was also a relationship between current smoking and suicide attempts among women (OR, 2.40; 95% CI, 1.31 to 4.37), but no significant relationship among men. Conclusion: There is a relationship between smoking status and suicidal ideations and suicide attempts in the general population of Korea. This relationship is particularly clear in women, and is independent of comorbid chronic disease and depression. Current smokers and former smokers are more likely to have suicidal ideations than non-smokers;current smokers are also more likely to have attempted suicide.
참고문헌 (30)
- Statistics Korea, "2010 Death and cause of death in Korea" (2011), Statistics Korea
- "Health at a glance 2011: OECD indicators" (2011)[URL]
- Harwood D, "Suicidal behaviour among the elderly, In The international handbook of suicide and attempted suicide", pp.275~291 (2002), Wiley
- Tidemalm D, "Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up", BMJ, 337, pp.a2205~ (2008)
- Harris EC, "Suicide as an outcome for mental disorders: a meta-analysis", Br J Psychiatry, 170, pp.205~228 (1997)
- Nock MK, "Suicide and suicidal behavior", Epidemiol Rev, 30, pp.133~154 (2008)
- Hughes JR, "Smoking and suicide: a brief overview", Drug Alcohol Depend, 98, pp.169~178 (2008)
- Breslau N, "Smoking and the risk of suicidal behavior: a prospective study of a community sample", Arch Gen Psychiatry, 62, pp.328~334 (2005)
- Riala K, "Longitudinal smoking habits as risk factors for early-onset and repetitive suicide attempts: the Northern Finland 1966 Birth Cohort study", Ann Epidemiol, 19, pp.329~335 (2009)
- Han MA, "Associations between smoking and alcohol drinking and suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance, 2006", PREVENTIVE MEDICINE, 49(2-3), pp.248~252 (2009), ACADEMIC PRESS INC ELSEVIER SCIENCE
- Riala K, "Regular daily smoking among 14-year-old adolescents increases the subsequent risk for suicide: the Northern Finland 1966 Birth Cohort Study", J Clin Psychiatry, 68, pp.775~780 (2007)
- Iwasaki M, "Cigarette smoking and completed suicide among middle-aged men: a population-based cohort study in Japan", Ann Epidemiol, 15, pp.286~292 (2005)
- Grant BF, "Immigration and lifetime prevalence of DSMIV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Arch Gen Psychiatry, 61, pp.1226~1233 (2004)
- Pulay AJ, "The relationship of DSM-IV personality disorders to nicotine dependence-results from a national survey", Drug Alcohol Depend, 108, pp.141~145 (2010)
- Kessler RC, "Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003", JAMA, 293, pp.2487~2495 (2005)
- "Regional Office for the Western Pacific. Fact sheets: tobacco"[URL]
- Scott KM, "Chronic physical conditions and their association with first onset of suicidal behavior in the world mental health surveys", Psychosom Med, 72, pp.712~719 (2010)
- Boden JM, "Cigarette smoking and suicidal behaviour: results from a 25-year longitudinal study", Psychol Med, 38, pp.433~439 (2008)
- Kessler RC, "Smoking and suicidal behaviors in the National Comorbidity Survey: replication", J Nerv Ment Dis, 195, pp.369~377 (2007)
- Kessler RC, "The association between smoking and subsequent suicide-related outcomes in the National Comorbidity Survey panel sample", Mol Psychiatry, 14, pp.1132~1142 (2009)
- "EQ-5D is a standardised instrument for use as a measure of health outcome"[URL]
- Yaworski D, "The relation between nicotine dependence and suicide attempts in the general population", Can J Psychiatry, 56, pp.161~170 (2011)
- Benwell ME, "Smoking-associated changes in the serotonergic systems of discrete regions of human brain", Psychopharmacology (Berl), 102, pp.68~72 (1990)
- Fowler JS, "Monoamine oxidase and cigarette smoking", Neurotoxicology, 24, pp.75~82 (2003)
- Mann JJ, "Neurobiology of suicidal behaviour", Nat Rev Neurosci, 4, pp.819~828 (2003)
- Choi HA, "An analysis on depression and suicide ideation of Korean adults by using Korea National Health and Nutrition Examination Survey (KNHANES)", 석사, pp.2011
- 김현경, "노인의 자살생각과 그 위험요인", 한국보건간호학회지, 24(1), pp.82~92 (2010), 한국보건간호학회
- Marqueta A, "Predictors of outcome of a smoking cessation treatment by gender", Gac Sanit, 27, pp.26~31 (2013)
- Anda RF, "Depression and the dynamics of smoking: a national perspective", JAMA, 264, pp.1541~1545 (1990)
- Esterlis I, "Sex-specific differences in GABA(A) -benzodiazepine receptor availability: relationship with sensitivity to pain and tobacco smoking craving", Addict Biol, 18, pp.370~378 (2013)