Associations between Smoking, Drinking and Depression among Korean Adults: The 5th Korea National Health and Nutrition Examination Survey.
10.15384/kjhp.2016.16.2.111
- Author:
Sun Mi PARK
1
;
Mi Ah HAN
;
Jong PARK
;
So Yeon RYU
;
Seong Woo CHOI
;
Hwan Ho SHIN
;
Mi Hyun JOO
Author Information
1. Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Korea. mahan@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Alcohol drinking;
Depression;
Nutritional surveys;
Smoking
- MeSH:
Adult*;
Alcohol Drinking;
Alcoholics;
Binge Drinking;
Confounding Factors (Epidemiology);
Depression*;
Drinking Behavior;
Drinking*;
Female;
Health Promotion;
Humans;
Korea*;
Logistic Models;
Male;
Nutrition Surveys*;
Odds Ratio;
Prevalence;
Risk Factors;
Smoke*;
Smoking*;
Tobacco Products
- From:Korean Journal of Health Promotion
2016;16(2):111-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The prevalence of depression has been steadily increasing. This study aim to identify associations 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.