DEPRESSION AND THE DYNAMICS OF SMOKING - A NATIONAL PERSPECTIVE
DEPRESSION AND THE DYNAMICS OF SMOKING - A NATIONAL PERSPECTIVE
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DOI：
10.1001/jama.264.12.1541
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发表时间：
1990-09-26
影响因子：
120.7
通讯作者：
REMINGTON, PL
中科院分区：
文献类型：
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作者：
ANDA, RF;WILLIAMSON, DF;REMINGTON, PL
来自多项研究的数据表明，抑郁症在吸烟中起着一定的作用。为了从全国的角度了解抑郁症在吸烟动态中的作用，我们分析了第一次全国健康与营养检查调查和全国健康与营养检查调查流行病学随访研究的数据。我们使用流行病学研究中心抑郁量表来评估抑郁症的症状，并使用标准的截断值(Score，.gtoreq.16)用于将人定义为抑郁。对第一次全国健康与营养检查调查的横断面分析显示，当前吸烟者的患病率随着流行病学研究中心抑郁量表得分的增加而增加，而戒烟率(既往吸烟者/曾经吸烟者)随着流行病学研究中心抑郁量表得分的增加而下降。在国家健康和营养检查调查流行病学随访研究的吸烟者队列中，抑郁症吸烟者9年后戒烟的估计发生率为9.9%，非抑郁症吸烟者的戒烟率为17.7%。当我们通过Cox比例风险模型调整吸烟量、性别、年龄和教育程度时，我们发现抑郁症吸烟者戒烟的可能性比非抑郁症吸烟者低40%(相对风险，0.6)。这些发现表明，抑郁症在美国吸烟的动态中扮演着重要的角色。
Data from multiple studies suggest that depression plays a role in cigarette smoking. To obtain a national perspective on the role of depression in the dynamics of smoking, we analyzed data from the first National Health and Nutrition Examination Survey and the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. We used the Center for Epidemiologic Studies Depression Scale to assess symptoms of depression and used the standard cutoff (score, .gtoreq. 16) for defining persons as depressed. The cross-sectional analysis of the first National Health and Nutrition Examination Survey showed that the prevalence of current smokers increased as the Center for Epidemiologic Studies Depression Scale score increased, whereas the quit ratio (former smokers/ever smokers) decreased as the Center for Epidemiologic Studies Depression Scale score increased. Among the cohort of smokers in the National Helth and Nutrition Examination Survey Epidemiologic Follow-up Study, the estimated incidence of quitting after 9 years of follow-up was 9.9% for depressed smokers and 17.7% for nondepressed smokers. When we adjusted for amount smoked, sex, age, and educational attainment by means of a Cox proportional hazards model, we found that depressed smokers were 40% less likely to have quit compared with nondepressed smokers (relative risk, 0.6). These findings suggest that depression plays an important role in the dynamics of cigarette smoking in the United States.