IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0227042.html
   My bibliography  Save this article

Tobacco smoking and health-related quality of life among university students: Mediating effect of depression

Author

Listed:
  • Marija Milic
  • Tatjana Gazibara
  • Tatjana Pekmezovic
  • Darija Kisic Tepavcevic
  • Gorica Maric
  • Aleksandra Popovic
  • Jasmina Stevanovic
  • Karamchand Hukumchand Patil
  • Hagai Levine

Abstract

The aim of this study was to assess the association between cigarette smoking and health-related quality of life (HRQoL) among students in two different universities, and the potential mediating effect of depression. Participants were students who came for mandatory check-ups at Student Health Care Centers in two Universities in Serbia, differing by socio-politically and economically environments. Students completed socio-demographic questionnaire, Beck Depression Inventory (BDI) and the SF-36 questionnaire for assessment of HRQoL. In both populations, after adjustment for socio-demographic, behavioral and health factors, smoking was associated with poorer Mental Composite Score (MCS) and Physical Composite Score (PCS) (Belgrade 1,624 students: MCS β = 3.38, 95% confidence interval [CI] 1.31, 5.44, PCS β = 1.01, 95% CI -0.50, 2.52; Kosovska Mitrovica 514 students: MCS β = 5.06, 95% CI 1.74, 8.37, PCS β = 3.29, 95% CI 0.75, 5.83). After additional adjustment for BDI score, the observed associations were lost (Belgrade: MCS β = 1.12, 95% CI -0.57, 2.80, PCS β = -0.40, 95% CI -1.71, 0.92; Kosovska Mitrovica: MCS β = 0.77, 95% CI -2.06, 3.60, PCS β = 0.56, 95% CI -1.75, 2.87). Higher BDI score was associated with poorer PCS and MCS across all quintiles. The association of smoking with impairment of HRQoL among university students in two different settings was mediated by higher levels of depressive symptoms. These findings highlight the need for further research on the interaction between smoking, mental health and quality of life, with implications for prevention, diagnosis and treatment.

Suggested Citation

  • Marija Milic & Tatjana Gazibara & Tatjana Pekmezovic & Darija Kisic Tepavcevic & Gorica Maric & Aleksandra Popovic & Jasmina Stevanovic & Karamchand Hukumchand Patil & Hagai Levine, 2020. "Tobacco smoking and health-related quality of life among university students: Mediating effect of depression," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-18, January.
    • Handle: RePEc:plo:pone00:0227042
    DOI: 10.1371/journal.pone.0227042
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227042
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227042&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0227042?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Christiane Otto & Anne-Catherine Haller & Fionna Klasen & Heike Hölling & Monika Bullinger & Ulrike Ravens-Sieberer & on behalf of the BELLA study group, 2017. "Risk and protective factors of health-related quality of life in children and adolescents: Results of the longitudinal BELLA study," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-17, December.
    2. Shaher H. Hamaideh, 2011. "Stressors and Reactions to Stressors Among University Students," International Journal of Social Psychiatry, , vol. 57(1), pages 69-80, January.
    3. Spalevic, Zaklina & Ilic, Milos & Filipic, Goran, 2019. "Правни и економски аспекти интелектуалне својине у цyбер простору," Ekonomika, Journal for Economic Theory and Practice and Social Issues, Society of Economists Ekonomika, Nis, Serbia, vol. 65(2), February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jelena Stojanov & Marina Malobabic & Goran Stanojevic & Milos Stevic & Vuk Milosevic & Aleksandar Stojanov, 2021. "Quality of sleep and health-related quality of life among health care professionals treating patients with coronavirus disease-19," International Journal of Social Psychiatry, , vol. 67(2), pages 175-181, March.
    2. Bruno Gonçalves Galdino da Costa & Jean-Philippe Chaput & Marcus Vinicius Veber Lopes & Rafael Martins da Costa & Luís Eduardo Argenta Malheiros & Kelly Samara Silva, 2020. "Association between Lifestyle Behaviors and Health-Related Quality of Life in a Sample of Brazilian Adolescents," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    3. Doha Achak & Abdelghaffar El-Ammari & Asmaa Azizi & Ibtissam Youlyouz-Marfak & Elmadani Saad & Chakib Nejjari & Abderraouf Hilali & Abdelghafour Marfak, 2023. "Lifestyle Habits Determinants of Health-Related Quality of Life in Moroccan College Students," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    4. Migle Baceviciene & Rasa Jankauskiene & Vaiva Balciuniene, 2020. "The Role of Body Image, Disordered Eating and Lifestyle on the Quality of Life in Lithuanian University Students," IJERPH, MDPI, vol. 17(5), pages 1-17, March.
    5. Luisa Hofmann & Michael Heinrich & Hansjörg Baurecht & Berthold Langguth & Peter M. Kreuzer & Helge Knüttel & Michael F. Leitzmann & Corinna Seliger, 2023. "Suicide Mortality Risk among Patients with Lung Cancer—A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(5), pages 1-15, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sue Easton & Loretta Lees & Phil Hubbard & Nicholas Tate, 2020. "Measuring and mapping displacement: The problem of quantification in the battle against gentrification," Urban Studies, Urban Studies Journal Limited, vol. 57(2), pages 286-306, February.
    2. Hamid Kharatzadeh & Mousa Alavi & Abolfazl Mohammadi & Denis Visentin & Michelle Cleary, 2020. "Emotional regulation training for intensive and critical care nurses," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 445-453, June.
    3. Ming-Liang Li, 2021. "Standardizing Components and Rotating Workers Using GT-Based Algorithm—A Case Study," Sustainability, MDPI, vol. 13(14), pages 1-17, July.
    4. Eunkyo Kang & Ye Eun Rhee & Soojeong Kim & Jihye Lee & Young Ho Yun, 2021. "Quality of Life and Depression in the General Korean Population: Normative Data and Associations of the 12-Item Short Form Health Survey (SF-12) and the McGill Quality of Life Questionnaire (MQOL) wit," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(4), pages 1673-1687, August.
    5. Matkovski, Bojan & Zekić, Stanislav & Đokić, Danilo & Jurjević, Žana & Đurić, Ivan, 2022. "Export competitiveness of agri-food sector during the EU integration process: Evidence from the Western Balkans," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 11(1).
    6. repec:arp:sjmhsm:2020:p:59-67 is not listed on IDEAS
    7. Mi Hyang Hwang & Leslie Bunt & Catherine Warner, 2023. "An Eight-Week Zen Meditation and Music Programme for Mindfulness and Happiness: Qualitative Content Analysis," IJERPH, MDPI, vol. 20(23), pages 1-22, December.
    8. Florence Ijeoma Arumede & Michael Eskay & Annastasia Uchenna Eneh & Jane Ogoma Aja, 2019. "Gender Differences in Learning Burnout among Special Education Students," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(14), pages 119-119, December.
    9. Mingwei Yan & Yuetao Shi, 2020. "Thermal and Economic Analysis of Multi-Effect Concentration System by Utilizing Waste Heat of Flue Gas for Magnesium Desulfurization Wastewater," Energies, MDPI, vol. 13(20), pages 1-20, October.
    10. Cho, Esther Yin-Nei & Yu, Fuk-Yuen, 2020. "A review of measurement tools for child wellbeing," Children and Youth Services Review, Elsevier, vol. 119(C).
    11. Karima Lahbib & Samia Dabbou & Fethi Bnejdi & Gaetano Pandino & Sara Lombardo & Mohamed El Gazzah & Safia El Bok, 2021. "Agro-Morphological, Biochemical and Antioxidant Characterization of a Tunisian Chili Pepper Germplasm Collection," Agriculture, MDPI, vol. 11(12), pages 1-15, December.
    12. Leonardo Barleta & Mateo Carrillo & Zephyr Frank & Erik Steiner, 2020. "Ejidos, Urbanization, and the Production of Inequality in Formerly Agricultural Lands, Guadalajara, Mexico, 1975–2020," Land, MDPI, vol. 9(12), pages 1-21, December.
    13. Susanne Schwager & Uwe Berger & Anni Glaeser & Bernhard Strauss & Katharina Wick, 2019. "Evaluation of “Healthy Learning. Together”, an Easily Applicable Mental Health Promotion Tool for Students Aged 9 to 18 Years," IJERPH, MDPI, vol. 16(3), pages 1-15, February.
    14. Ismail, Muhammad & Warsame, Abukar & Wilhelmsson, Mats, 2020. "Measuring Gentrification with Getis-Ord Statistics and Its Effect on Housing Prices in Neighboring Areas: The Case of Stockholm," Working Paper Series 20/19, Royal Institute of Technology, Department of Real Estate and Construction Management & Banking and Finance.
    15. Anuradha Batabyal & Anindita Bhattacharya & Maria Thaker & Shomen Mukherjee, 2021. "A longitudinal study of perceived stress and cortisol responses in an undergraduate student population from India," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-11, June.
    16. Lazar Ilic & M Sawada, 2021. "The temporal evolution of income polarization in Canada’s largest CMAs," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-27, June.
    17. Jean-Luc Pradel Mathurin Augustin & Shu-Yi Liaw, 2020. "Grouping the Americas and Asia-Pacific Countries based on Their ICT Readiness, Prioritization of Travel & Tourism and Tourist Service Infrastructures," International Journal of Marketing Studies, Canadian Center of Science and Education, vol. 11(2), pages 1-38, March.
    18. Wenyu Chai & Xiang Li & Daniel T. L. Shek, 2022. "The Effectiveness of a Leadership Subject Using a Hybrid Teaching Mode during the Pandemic: Objective Outcome and Subjective Outcome Evaluation," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
    19. Bojan Matkovski & Danilo Đokić & Stanislav Zekić & Žana Jurjević, 2020. "Determining Food Security in Crisis Conditions: A Comparative Analysis of the Western Balkans and the EU," Sustainability, MDPI, vol. 12(23), pages 1-16, November.
    20. A. Fernandez & E. Howse & M. Rubio-Valera & K. Thorncraft & J. Noone & X. Luu & B. Veness & M. Leech & G. Llewellyn & L. Salvador-Carulla, 2016. "Setting-based interventions to promote mental health at the university: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 797-807, September.
    21. Fabien Cremona & Helen Agasild & Juta Haberman & Priit Zingel & Peeter Nõges & Tiina Nõges & Alo Laas, 2020. "How warming and other stressors affect zooplankton abundance, biomass and community composition in shallow eutrophic lakes," Climatic Change, Springer, vol. 159(4), pages 565-580, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0227042. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.