Dose⁻Response Relationships between Second-Hand Smoke Exposure and Depressive Symptoms among Adolescents in Guangzhou, China

International Journal of Environmental Research and Public Health
Jingya HuangXiaohua Ye

Abstract

There has been little focus on the possible association between second-hand smoke (SHS) exposure and depressive symptoms among adolescents. Thus, this study aimed to explore the dose⁻response relationships between SHS exposure and depressive symptoms among adolescents and differentiate these associations in setting-specific exposure and severity-specific outcomes. A cross-sectional study was conducted using a stratified cluster sampling method to obtain a representative sample of high school students in Guangzhou, China. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Univariable and multivariable logistic regression models were used to explore the potential associations between SHS exposure and depressive symptoms. Among 3575 nonsmoking students, 29.6% were classified as having probable depressive symptoms and 9.6% had severe depressive symptoms. There were monotonically increasing dose⁻response relationships between setting-specific (public places, homes, or indoor/outdoor campuses) SHS exposure and severity-specific (probable or severe) depressive symptoms. When examining these relations by source of exposure, we also observed similar dose⁻response relationships for SHS exposure...Continue Reading

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Citations

Apr 11, 2019·International Journal of Environmental Research and Public Health·Xiaohua YeYanjun Xu
Apr 18, 2019·International Journal of Environmental Research and Public Health·Changlin HanJunli Zhou
Sep 16, 2020·Asia-Pacific Journal of Public Health·Boyoung Kim, Hae Ran Kim
Sep 8, 2021·Environmental Health and Preventive Medicine·Qi ZhangKai-Hong Wu

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