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

Author

Listed:
  • Jingya Huang

    (School of Public Health, Guangdong Pharmaceutical University, 283# Jianghai Dadao, Haizhu District, Guangzhou 510310, China
    These authors have contributed equally to this work.)

  • Bin Xu

    (Health Education Section, Guangzhou Yuexiu Center for Disease Control and Prevention, 23# Jiaochang West Road, Yuexiu District, Guangzhou 510055, China
    These authors have contributed equally to this work.)

  • Dan Guo

    (School of Public Health, Guangdong Pharmaceutical University, 283# Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

  • Ting Jiang

    (Health Education Section, Guangzhou Yuexiu Center for Disease Control and Prevention, 23# Jiaochang West Road, Yuexiu District, Guangzhou 510055, China)

  • Wei Huang

    (Health Education Section, Guangzhou Yuexiu Center for Disease Control and Prevention, 23# Jiaochang West Road, Yuexiu District, Guangzhou 510055, China)

  • Guocong Liu

    (Health Education Section, Guangzhou Yuexiu Center for Disease Control and Prevention, 23# Jiaochang West Road, Yuexiu District, Guangzhou 510055, China)

  • Xiaohua Ye

    (School of Public Health, Guangdong Pharmaceutical University, 283# Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

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 in campuses from smoking teachers and from smoking classmates. Our findings suggest that regular SHS exposure is associated with a significant, dose-dependent increase in risk of depressive symptoms among adolescents, and highlight the need for smoke-free environments to protect the health of adolescents.

Suggested Citation

  • Jingya Huang & Bin Xu & Dan Guo & Ting Jiang & Wei Huang & Guocong Liu & Xiaohua Ye, 2018. "Dose–Response Relationships between Second-Hand Smoke Exposure and Depressive Symptoms among Adolescents in Guangzhou, China," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:5:p:985-:d:146212
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    Citations

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    Cited by:

    1. Changlin Han & Yangqun Liu & Xiao Gong & Xiaohua Ye & Junli Zhou, 2019. "Relationship between Secondhand Smoke Exposure and Depressive Symptoms: A Systematic Review and Dose–Response Meta-Analysis," IJERPH, MDPI, vol. 16(8), pages 1-14, April.
    2. van der Eijk, Yvette & Woh, Joanne, 2023. "Is secondhand smoke associated with mental health issues? A narrative review of the evidence and policy implications," Health Policy, Elsevier, vol. 136(C).

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