Association between environmental tobacco smoke and depression among Korean women

Na Hyun Kim, Hyeon Chang Kim, Joo Young Lee, Ju Mi Lee, Il Suh

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To evaluate the association between environmental tobacco smoke (ETS) exposure and depression among Korean women. Methods: Between 2008 and 2011, we examined 731 men and 1249 women (aged 39-85 years) for the Korean Genome and Epidemiology Study (KoGES)-Kangwha. Among 1208 never-smoking women, we excluded two women taking antidepressants and five women who did not complete the Beck Depression Inventory (BDI). Therefore, we performed a cross-sectional analysis on 1201 women. ETS exposure was assessed using a self-reported questionnaire, and was classified into three groups: no exposure, occasional exposure and regular exposure. Depression was assessed using the BDI score, which ranged from 0 to 63, and the presence of depression was defined as a BDI score ≥10. Results: Women exposed to ETS were more likely to have depression than those without ETS exposure (p=0.019). When BDI was analysed as a continuous variable, women exposed to ETS had significantly higher BDI scores after full adjustment (overall exposure: β=1.36, p=0.013; occasional exposure: β=1.15, p=0.063; regular exposure: β=1.90, p=0.039). ETS exposure was significantly associated with depression in a dose-response manner even after adjusting for age, body mass index, menopause, socioeconomic status, lifestyle and prevalent chronic diseases. The adjusted OR for depression (95% CI) was 1.72 (1.25 to 2.37) for overall ETS exposure, 1.56 (1.09 to 2.24) for occasional exposure and 2.19 (1.30 to 3.69) for regular exposure, when compared to no exposure. Conclusions: Exposure to ETS was associated with depression among middle aged and elderly Korean women.

Original languageEnglish
Article numbere007131
JournalBMJ open
Volume5
Issue number6
DOIs
Publication statusPublished - 2015 Jan 1

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Smoke
Tobacco
Depression
Equipment and Supplies
Social Adjustment
Environmental Exposure
Menopause
Social Class
Antidepressive Agents
Life Style
Epidemiology
Body Mass Index
Chronic Disease
Cross-Sectional Studies
Smoking
Genome

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Kim, Na Hyun ; Kim, Hyeon Chang ; Lee, Joo Young ; Lee, Ju Mi ; Suh, Il. / Association between environmental tobacco smoke and depression among Korean women. In: BMJ open. 2015 ; Vol. 5, No. 6.
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Association between environmental tobacco smoke and depression among Korean women. / Kim, Na Hyun; Kim, Hyeon Chang; Lee, Joo Young; Lee, Ju Mi; Suh, Il.

In: BMJ open, Vol. 5, No. 6, e007131, 01.01.2015.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association between environmental tobacco smoke and depression among Korean women

AU - Kim, Na Hyun

AU - Kim, Hyeon Chang

AU - Lee, Joo Young

AU - Lee, Ju Mi

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N2 - Objective: To evaluate the association between environmental tobacco smoke (ETS) exposure and depression among Korean women. Methods: Between 2008 and 2011, we examined 731 men and 1249 women (aged 39-85 years) for the Korean Genome and Epidemiology Study (KoGES)-Kangwha. Among 1208 never-smoking women, we excluded two women taking antidepressants and five women who did not complete the Beck Depression Inventory (BDI). Therefore, we performed a cross-sectional analysis on 1201 women. ETS exposure was assessed using a self-reported questionnaire, and was classified into three groups: no exposure, occasional exposure and regular exposure. Depression was assessed using the BDI score, which ranged from 0 to 63, and the presence of depression was defined as a BDI score ≥10. Results: Women exposed to ETS were more likely to have depression than those without ETS exposure (p=0.019). When BDI was analysed as a continuous variable, women exposed to ETS had significantly higher BDI scores after full adjustment (overall exposure: β=1.36, p=0.013; occasional exposure: β=1.15, p=0.063; regular exposure: β=1.90, p=0.039). ETS exposure was significantly associated with depression in a dose-response manner even after adjusting for age, body mass index, menopause, socioeconomic status, lifestyle and prevalent chronic diseases. The adjusted OR for depression (95% CI) was 1.72 (1.25 to 2.37) for overall ETS exposure, 1.56 (1.09 to 2.24) for occasional exposure and 2.19 (1.30 to 3.69) for regular exposure, when compared to no exposure. Conclusions: Exposure to ETS was associated with depression among middle aged and elderly Korean women.

AB - Objective: To evaluate the association between environmental tobacco smoke (ETS) exposure and depression among Korean women. Methods: Between 2008 and 2011, we examined 731 men and 1249 women (aged 39-85 years) for the Korean Genome and Epidemiology Study (KoGES)-Kangwha. Among 1208 never-smoking women, we excluded two women taking antidepressants and five women who did not complete the Beck Depression Inventory (BDI). Therefore, we performed a cross-sectional analysis on 1201 women. ETS exposure was assessed using a self-reported questionnaire, and was classified into three groups: no exposure, occasional exposure and regular exposure. Depression was assessed using the BDI score, which ranged from 0 to 63, and the presence of depression was defined as a BDI score ≥10. Results: Women exposed to ETS were more likely to have depression than those without ETS exposure (p=0.019). When BDI was analysed as a continuous variable, women exposed to ETS had significantly higher BDI scores after full adjustment (overall exposure: β=1.36, p=0.013; occasional exposure: β=1.15, p=0.063; regular exposure: β=1.90, p=0.039). ETS exposure was significantly associated with depression in a dose-response manner even after adjusting for age, body mass index, menopause, socioeconomic status, lifestyle and prevalent chronic diseases. The adjusted OR for depression (95% CI) was 1.72 (1.25 to 2.37) for overall ETS exposure, 1.56 (1.09 to 2.24) for occasional exposure and 2.19 (1.30 to 3.69) for regular exposure, when compared to no exposure. Conclusions: Exposure to ETS was associated with depression among middle aged and elderly Korean women.

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DO - 10.1136/bmjopen-2014-007131

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SN - 2044-6055

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