Cigarette smoking and mood disorders in U.S. adolescents: sex-specific associations with symptoms, diagnoses, impairment and health services use.
Cigarette smoking and mood disorders in U.S. adolescents: sex-specific associations with symptoms, diagnoses, impairment and health services use.
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美国青少年吸烟和情绪障碍：与症状、诊断、损伤和健康服务使用的性别特异性关联。
DOI：
10.1016/j.jpsychores.2012.01.013
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发表时间：
2012
影响因子：
4.7
通讯作者：
Merikangas,Kathleen
中科院分区：
文献类型：
--
作者：
Richardson,Amanda;He,Jian-Ping;Curry,Laurel;Merikangas,Kathleen
目的：在具有全国代表性的美国青少年样本中，报告吸烟与DSM-IV障碍、症状和与抑郁和焦虑相关的精神卫生服务使用之间的性别特异性关联。方法从1999-2004年全国健康和营养调查中抽取两个样本的数据，以研究曾经吸烟（与从不吸烟）与抑郁（n=1884 12 - 15岁）和焦虑（n=6336 12 - 19岁）之间的关系。使用逻辑回归模型评估吸烟与DSM-IV诊断、阈下和严重障碍、症状、损害和精神卫生服务使用之间的性别特异性关联。结果与不吸烟者相比，曾经吸烟的青春期女性患DSM-IV抑郁症和焦虑症的比例增加（OR=3.9, 95% CI: 1.3-11.3和OR=10.6, 95% CI: 3.1-37.0）。女性在严重障碍、阈下障碍、重度抑郁障碍的所有症状、恐慌障碍的大多数症状以及严重障碍（特别是与学业和教师有关的障碍）方面也显示出统计学上显著的增加。男性青少年在抑郁和焦虑方面与吸烟状况的差异较小，但更有可能寻求心理健康服务。结论：通过学校为基础的项目，专门针对有抑郁或焦虑症状的女性青少年，预防吸烟的努力可能会受益，而通过将项目与心理健康服务相结合，对男性可能会有更大的好处。
OBJECTIVETo report sex-specific associations between cigarette smoking and DSM-IV disorders, symptoms, and mental health services use related to depression and anxiety in a nationally representative sample of U.S. adolescents.METHODSData on two samples were drawn from the 1999–2004 National Health and Nutrition Examination Surveys to examine the association of ever smoking (versus never smoking) with depression (n=1884 12–15year-olds) and anxiety (n=6336 12–19year-olds). Sex-specific associations between smoking and DSM-IV diagnoses, subthreshold and severe disorder, symptoms, impairment and mental health services use were assessed using logistic regression modeling.RESULTSRates of DSM-IV depression and anxiety were increased in adolescent female ever smokers as compared to never smokers (OR=3.9, 95% CI: 1.3–11.3 and OR=10.6, 95% CI: 3.1–37.0, respectively). Females also showed statistically significant increases in severe disorder, subthreshold disorder, all symptoms of major depressive disorder, most symptoms of panic disorder, and increases in severe impairment, especially those related to schoolwork and teachers. Male adolescents showed smaller variations in depression and anxiety by smoking status, but were more likely to seek mental health services.CONCLUSIONSSmoking prevention efforts may benefit from specifically targeting female youth who show signs of depression or anxiety diagnoses through a school-based program, while greater benefits with males may be evident through programs integrated into mental health services.