Associated factors for depression, suicidal ideation and suicide attempt among asthmatic adolescents with experience of electronic cigarette use.
Associated factors for depression, suicidal ideation and suicide attempt among asthmatic adolescents with experience of electronic cigarette use.
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DOI：
10.18332/tid/127524
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发表时间：
2020
影响因子：
3.7
通讯作者：
Kim SH
中科院分区：
文献类型：
--
作者：
Kim CW;Jeong SC;Kim JY;Lee JS;Lee JH;Jo SH;Kim SH
虽然哮喘青少年中电子烟的使用正在迅速增加，但人们对电子烟使用与抑郁或自杀之间的联系知之甚少。我们评估了有使用电子烟经验的哮喘青少年抑郁和自杀的相关因素。我们分析了2015年至2017年完成的第11次至第13次韩国青少年风险行为网络调查的数据。数据来自分层、多阶段、聚类样本。学生们对医生以前的哮喘诊断给出了“是”或“否”的回答。在控制了潜在的混杂因素后，通过逻辑回归模型评估抑郁和自杀的相关因素。我们的调查对象是203336名青少年，其中195847名完成了调查。受访者中哮喘的比例为8.9%。哮喘患者的EC使用率高于非哮喘患者（10.3% vs 8.6%）。使用过电子烟的哮喘患者比没有使用过电子烟的人有更高比例的消极心理健康状态，包括抑郁和自杀。在我们调整后的模型中，压力感知与抑郁最密切相关（调整优势比，AOR=4.79; 95% CI: 4.12-5.58），不快乐感知与自杀意念（AOR=5.24; 95% CI: 4.51-6.09）和自杀企图（AOR=4.37; 95% CI: 3.36-5.69）最密切相关。许多韩国哮喘青少年使用电子烟的经验报告相对较高的抑郁和自杀行为。可能需要采用包括心理帮助在内的多学科方法来预防这一人群的自杀，特别是那些报告有相关因素的人群。
While electronic cigarette (EC) use is rapidly increasing among asthmatic adolescents, little is known about the links between EC use and depression or suicidality. We assessed associated factors for depression and suicidality in asthmatic adolescents with experience of EC use. We analyzed the data from the 11th to 13th Korea Youth Risk Behavior Web-based Surveys, which were completed from 2015 to 2017. Data were obtained from a stratified, multistage, clustered sample. Students supplied ‘yes or no’ answers to questions about previous asthma diagnosis by a doctor. Associated factors for depression and suicidality were evaluated by logistic regression models after controlling for potential confounding factors. We targeted 203336 adolescents, and 195847 completed the survey. The proportion of asthma among the respondents was 8.9%. The rate of experience of EC use was higher among asthmatic respondents than non-asthmatic respondents (10.3% vs 8.6%). Asthmatic respondents with experience of EC use had a much higher proportion of negative mental health states including depression and suicidality than subjects without EC experience. In our adjusted models, perception of stress was most strongly associated with depression (adjusted odds ratio, AOR=4.79; 95% CI: 4.12–5.58), and perception of unhappiness was most strongly associated with suicidal ideation (AOR=5.24; 95% CI: 4.51–6.09) and suicide attempt (AOR=4.37; 95% CI: 3.36–5.69). Many Korean asthmatic adolescents with experience of EC use report relatively high depression and suicidal behaviors. A multidisciplinary approach, including psychological help, may be required to prevent suicide among this population, especially those who report associated factors.
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影响因子：
5.2
作者：
Khouja JN;Suddell SF;Peters SE;Taylor AE;Munafò MR
通讯作者：
Munafò MR
影响因子：
3.7
作者：
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通讯作者：
Paik, Samuel Y.
影响因子：
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Choi, Kelvin;Bernat, Debra
通讯作者：
Bernat, Debra
影响因子：
4.6
作者：
Kim SK;Kirchner EA;Stefes A;Kirchner F
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Kirchner F
影响因子：
25.8
作者：
Nock, Matthew K.;Green, Jennifer Greif;Hwang, Irving;McLaughlin, Katie A.;Sampson, Nancy A.;Zaslavsky, Alan M.;Kessler, Ronald C.
通讯作者：
Kessler, Ronald C.