Smoking, heavy drinking, and depression among US middle-aged and older adults
Smoking, heavy drinking, and depression among US middle-aged and older adults
复制标题
DOI：
10.1016/j.ypmed.2015.09.026
复制
发表时间：
2015-12-01
影响因子：
5.1
通讯作者：
Xiang, Xiaoling
中科院分区：
文献类型：
--
作者：
An, Ruopeng;Xiang, Xiaoling
目标。目的：探讨吸烟、酗酒与美国中老年人抑郁之间的关系。个人层面的数据来自1992-2012年间的健康与退休研究浪潮。吸烟是根据访谈时自我报告的吸烟状况确定的。重度饮酒的定义是，在过去三个月里，女性平均每天喝一杯或更多酒，或者在任何场合喝四杯或更多酒，而男性在过去三个月里，平均每天喝两杯或更多酒，或者在任何场合喝四杯或更多酒。抑郁症被定义为在8个项目的流行病学研究中心抑郁量表上得分在3分及以上。用COX比例风险回归分析吸烟、酗酒与抑郁之间的关系。与非吸烟者相比，基线时无抑郁和酗酒的吸烟者在随访期内患抑郁症和酗酒的可能性分别高出20%(95%可信区间：12-28%)和34%(20%-50%)。与非抑郁症参与者相比，在基线时不吸烟和不酗酒的抑郁症参与者在随访期间吸烟和酗酒的可能性分别高出41%(14%-74%)和18%(631%)。与非重度饮酒者相比，在基线水平为非吸烟者的重度饮酒者在随访期间吸烟的可能性增加60%(26-104%)。中老年健康促进计划应注意吸烟、酗酒和抑郁之间的联系，以提高干预效果。(C)2015 Elsevier Inc.保留所有权利。
Objective. To examine the relationship between smoking, heavy drinking and depression among U.S. middle-aged and older adults.Method. Individual-level data came from 1992-2012 waves of the Health and Retirement Study. Smoking was ascertained from self-reported cigarette smoking status at the time of interview. Heavy drinking was defined as one or more drinks per day on average or four or more drinks on any occasion in the past three months for women, and two or more drinks per day on average or four or more drinks on any occasion in the past three months for men. Depression was defined as scoring three and above on the eight-item Center for Epidemiologic Studies Depression Scale. Cox proportional hazards regressions were performed to examine the relationship between smoking, heavy drinking and depression.Results. Compared to non-smokers, smokers free from depression and heavy drinking at baseline were 20% (95% confidence interval: 12-28%) and 34% (20-50%) more likely to develop depression and engage in heavy drinking during follow-up period, respectively. Compared to non-depressed participants, participants with depression who were nonsmokers and non-heavy drinkers at baseline were 41% (14-74%) and 18% (6-31%) more likely to smoke and engage in heavy drinking during follow-up, respectively. Compared to non-heavy drinkers, heavy drinkers who were nonsmokers at baseline were 60% (26-104%) more likely to smoke during follow-up.Conclusion. Health promotion programs in midlife and older age should be mindful of the associations between smoking, heavy drinking and depression in order to improve intervention effectiveness. (C) 2015 Elsevier Inc. All rights reserved.