Relationship between Secondhand Smoking with Depressive Symptom and Suicidal Ideation in Korean Non-Smoker Adults: The Korean National Health and Nutrition Examination Survey 2010–2012
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Background: Research suggests that mental health is affected not only by smoking, but also by secondhand smoking. But the most researches have been conducted in North America and/or Europe. We examined whether this relationshipremains evident within the South Korean population. Specifically, we investigated the effect of secondhandsmoking on depressive symptoms and suicidal ideation. Methods: We analyzed data from 6,043 non-smoking adults who participated in the 2010–2012 Korea NationalHealth and Nutrition Examination Survey. We compared the presence of depressive symptoms and suicidal ideationin 3,006 participants who were exposed to secondhand smoking in the office or at home with 3,037 non-exposedparticipants. Results: In unadjusted logistic regression analysis, secondhand smoking exposure group had more suicidal ideationsthan no secondhand smoking exposure (16.1% vs. 12.2%; odds ratio [OR], 1.50; 95% confidence interval [CI],1.241–1.804), but risk of depressive symptoms was not significantly different between two groups (15.2% vs. 12.2%;OR, 1.21; 95% CI, 0.997–1.460). In multivariate logistic regression analysis, Among those exposed to secondhandsmoking, the OR for depressive symptoms was 1.02 (95% CI, 0.866–1.299) and 1.43 (95% CI, 1.139–1.802) for suicidalideation. Overall, secondhand smoking at home was significantly related to depressive symptoms and suicidalideation. Among females, secondhand smoking exposure at home only (not in the office) was related to depressivesymptoms and suicidal ideation. Conclusion: Exposure to secondhand smoking, especially at home, may be associated with an increase in especiallyin female depressive symptoms and suicidal ideation among adults in South Korea.
Abstract
Background: Research suggests that mental health is affected not only by smoking, but also by secondhand smoking. But the most researches have been conducted in North America and/or Europe. We examined whether this relationshipremains evident within the South Korean population. Specifically, we investigated the effect of secondhandsmoking on depressive symptoms and suicidal ideation. Methods: We analyzed data from 6,043 non-smoking adults who participated in the 2010–2012 Korea NationalHealth and Nutrition Examination Survey. We compared the presence of depressive symptoms and suicidal ideationin 3,006 participants who were exposed to secondhand smoking in the office or at home with 3,037 non-exposedparticipants. Results: In unadjusted logistic regression analysis, secondhand smoking exposure group had more suicidal ideationsthan no secondhand smoking exposure (16.1% vs. 12.2%; odds ratio [OR], 1.50; 95% confidence interval [CI],1.241–1.804), but risk of depressive symptoms was not significantly different between two groups (15.2% vs. 12.2%;OR, 1.21; 95% CI, 0.997–1.460). In multivariate logistic regression analysis, Among those exposed to secondhandsmoking, the OR for depressive symptoms was 1.02 (95% CI, 0.866–1.299) and 1.43 (95% CI, 1.139–1.802) for suicidalideation. Overall, secondhand smoking at home was significantly related to depressive symptoms and suicidalideation. Among females, secondhand smoking exposure at home only (not in the office) was related to depressivesymptoms and suicidal ideation. Conclusion: Exposure to secondhand smoking, especially at home, may be associated with an increase in especiallyin female depressive symptoms and suicidal ideation among adults in South Korea.
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