흡연과 자살 생각과의 관련성 및 영향요인: 지역 간 비교를 중심으로
Association and affecting factor between smoking and suicide idea: Focusing on comparison between district
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Objectives: This study was to analyze the relationship and affecting factors between smoking and suicide thought, mainly in Chungcheongbukdo, where suicide and smoking rate were high annually. Methods: The community health survey(2013) used for this study is a representative survey that facilitates comparison between regions. Excluding response refusal, unknown among the main independent variables, 11,601 in Chungcheongbukdo, 228,781 in nationwide subjects were used. Independent variables were selected by comparing model explanation power with stepwise variable selection. Also, comparing nationwide with Chungcheongbukdo, we showed usual characteristics and analyzed factors affecting suicide idea, by using chi-square, logistic regression analysis. Results: The risk of suicide in Chungcheongbukdo was higher than Seoul[CI(95%)=1.3(1.2-1.4)], and there was a positive correlation between smoking and suicide rate. Also, smoking-related factors as well as demographic and psychological factors interacted to influence suicidal ideation. In Chungchoengbukdo and nationwide, the risk of suicide was higher in subjects who had smoked than nonsmokers. The longer the period of smoking, the higher the risk of suicidal ideation. Conclusions: There is a necessity to examine the proposed regulation of smoking to establish a nationwide suicide prevention policy, and closer research in areas where suicide and smoking rate are high in addition to Chungcheongbukdo is necessary.
Abstract
Objectives: This study was to analyze the relationship and affecting factors between smoking and suicide thought, mainly in Chungcheongbukdo, where suicide and smoking rate were high annually. Methods: The community health survey(2013) used for this study is a representative survey that facilitates comparison between regions. Excluding response refusal, unknown among the main independent variables, 11,601 in Chungcheongbukdo, 228,781 in nationwide subjects were used. Independent variables were selected by comparing model explanation power with stepwise variable selection. Also, comparing nationwide with Chungcheongbukdo, we showed usual characteristics and analyzed factors affecting suicide idea, by using chi-square, logistic regression analysis. Results: The risk of suicide in Chungcheongbukdo was higher than Seoul[CI(95%)=1.3(1.2-1.4)], and there was a positive correlation between smoking and suicide rate. Also, smoking-related factors as well as demographic and psychological factors interacted to influence suicidal ideation. In Chungchoengbukdo and nationwide, the risk of suicide was higher in subjects who had smoked than nonsmokers. The longer the period of smoking, the higher the risk of suicidal ideation. Conclusions: There is a necessity to examine the proposed regulation of smoking to establish a nationwide suicide prevention policy, and closer research in areas where suicide and smoking rate are high in addition to Chungcheongbukdo is necessary.
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