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tions between smoking, drinking and depression in Korean adults.
Methods: The study subjects were 17,871 adults aged 19 or over who participated in the 5th Korea National Health and Nutrition Examination Survey (2010-2012). We performed multiple logistic regression to identify whether smoking and drinking were independently significant variables to depression after adjusting for the confounding variables.
Results: The proportion of having any depressive episodes was a total of 13.4% with 9.1% of male and 16.6% of female, respectively. Among all of smoking behaviors, higher cigarette consumption was only associated with depression in men. However, for women ever-smoking (adjusted odds ratio [aOR]=1.63, 95% confidence interval [CI]=1.38-1.92), ex-smoking (aOR=1.38, 95% CI=1.10-1.54), current smoking (aOR=1.89, 95% CI=1.53-2.94) and younger initiation of smoking (aOR=2.34, 95% CI=1.73-3.16) had significantly higher odds for depression. Moreover, and higher cigarette consumption (20 or more per day) showed significantly higher odds ratios for depression both in men (aOR=1.21, 95% CI=1.01-1.54) and women (aOR=2.41, 95% CI=1.32-4.41). For alcoholic drinking behaviors, frequent binge drinking (1 per week: aOR=1.46, 95% CI=1.16-1.85, most everyday: aOR=1.79, 95% CI=1.14-2.80) was an independent risk factor for depressive symptoms in female.
Conclusions: Smoking and drinking behaviors were independently associated with depression especially in female. Smoking and drinking management may benefit depression control as well as health promotion.
연구배경: 우울증은 흔한 정신과적 질환으로, 유병률이점차 증가하고 있다. 본 연구는 만 19세 이상 성인을 대상으로 흡연 및 음주와 우울증상의 관련성을 파악하고자 실시하였다.
방법: 제5기 국민건강영양조사 원시자료를 이용하여 만19세 이상 성인 17,871명을 대상으로 조사하였으며, 우울증상 경험과 유의한 관련성을 보인 변수들을 보정한 상태에서 흡연 및 음주를 독립변수로, 우울증상 경험을 종속변수로 다중로지스틱회귀분석을 실시하였다.
결과: 우울경험률은 전체 13.4%, 남자 9.1%, 여자 16.6% 였다. 흡연행태와 우울경험과의 관련성에서 여자의 경우평생 흡연을 한 경우(aOR=1.63, 95% CI=1.38-1.92), 현재흡연 상태(과거흡연군: aOR=1.38, 95% CI=1.10-1.54, 현재흡연군: aOR=1.89, 95% CI=1.53-2.94) 및 흡연 시작연령(aOR=2.34, 95% CI=1.73-3.16)에서 우울증상과의 관련성이 유의하게 증가하였다. 흡연량에서는 하루 20개비 이상흡연하는 경우 남자(aOR=1.21, 95% CI=1.01-1.54)와 여자(aOR=2.41, 95% CI=1.32-4.41)에서 우울증상과의 관련성이 유의하게 증가하였다. 음주행위 요인에서 고위험 음주군은 여자는 주 1회 정도(aOR=1.46, 95% CI=1.16-1.85), 거의 매일(aOR=1.79, 95% CI=1.14-2.80)에서 우울증상 경험과의 관련성이 유의하게 높았다.
결론: 흡연 및 음주 행위와 우울증과의 관련성을 파악할수 있었다. 흡연 및 음주 관리를 통한 건강증진뿐 아니라우울증 관리에도 도움이 되리라 판단된다.
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