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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
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    References listed on IDEAS

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    1. Shaher H. Hamaideh, 2011. "Stressors and Reactions to Stressors Among University Students," International Journal of Social Psychiatry, , vol. 57(1), pages 69-80, January.
    2. 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.
    3. 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.
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    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.

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