Association between E-Cigarette Smoking Experience and Depressive Symptoms Using the Korea National Health and Nutrition Examination Survey 2016
10.21215/kjfp.2019.9.5.448
- Author:
Gayoon PARK
1
;
Hyejeong YEO
;
Dongyeon KANG
;
Seungyong LIM
;
Junyong LEE
;
Nayeon MOON
Author Information
1. Department of Family Medicine, VHS Medical Center, Seoul, Korea. utodise0210@naver.com
- Publication Type:Original Article
- Keywords:
Electronic Nicotine Delivery Systems;
Depression;
Patient Health Questionnaire;
Smoking
- MeSH:
Adult;
Alcohol Drinking;
Cross-Sectional Studies;
Depression;
Electronic Cigarettes;
Family Characteristics;
Humans;
Korea;
Logistic Models;
Marital Status;
Mental Health;
Nutrition Surveys;
Obesity;
Odds Ratio;
Prevalence;
Smoke;
Smoking
- From:
Korean Journal of Family Practice
2019;9(5):448-453
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Although the prevalence of e-cigarette smoking is increasing worldwide, the harmfulness of e-cigarette is not obvious. A previous study reported that e-cigarette smoking is associated with depressive symptoms in college students irrespective of tobacco smoking. However, there has been no research that has addressed this issue in the general population to date. This study was conducted to clarify the association between e-cigarette smoking and depressive symptoms in Korean adults.METHODS: The cross-sectional study collected raw data from the 7th Korea National Health and Nutrition Examination Survey (2016) and included 5,742 adults, who were ≥19 years and responded to the survey of smoking and mental health section. Multivariate logistic regression analysis was used to determine the odds ratio of depressive symptoms by e-cigarette smoking experience and included sex, age, educational level, marital status, household income level, self-rated health, activity restriction, obesity, tobacco smoking experience, alcohol drinking experience, and stress perception level as covariates. Depressive symptoms were assessed using the patient health questionnaire-9, Korean edition.RESULTS: The rate of depressive symptoms in subjects was 5.6% (n=354) in total. Individuals with depressive symptoms were more likely to have used e-cigarettes (15.6%) than those without depressive symptoms (8.6%; P=0.001). The e-cigarette experienced group showed a higher risk of depressive symptoms (odds ratio, 1.71; 95% confidence interval, 1.004–2.924) than the e-cigarette unexperienced group. The result was adjusted based on the abovementioned covariates.CONCLUSION: In Korean adults, a significant association between e-cigarette smoking experience and depressive symptoms was observed.
