Associations between smoking cessation and depression among the population in Northwest China
Main Article Content
Abstract
Background: Many studies have indicated a relationship between smoking cessation and a history of depression. However, few studies have examined the association between smoking cessation and current depression and even fewer evidence come from mainland China. The aim of this study is to determine the prevalence of smoking quitters, the correlates of successful smoking cessation, and its relationship with depressive symptoms in Northwest China.
Methods: A total of 7,644 subjects who met the study’s entry criteria were randomly selected from the urban areas of three provinces in Northwest China and interviewed using standardized assessment tools, including basic characteristics of households and detailed information on family members. All respondents provided informed consent.
Results: people with depression symptom have a more than 1.5-fold risk of abstinence from smoking than those without depression (OR=1.54; 95% CI, 1.2 to 1.9) and the likelihood ratio test for two models reach statistical significance (x2=13.2, p<0.001). Smoking quitters have a more than 1.5-fold risk of having depressive symptoms than current smokers (OR=1.54; 95% CI, 1.2 to 1.9) and the likelihood ratio test for two models is also statistically significant (x2=6449.85, p<0.001).
Conclusions: The prevalence of smoking quitters in urban areas of Northwest China is very low. After controlling certain confounders, smoking cessation is associated with current depressive symptoms. More rigorous surveys are needed to elucidate the barriers to smoking cessation in China. Government bodies in China should implement appropriate strategies and execute effective measures to mitigate its harmful consequences.
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References
- CDC. (2011). Golbal Adult Tobacco Survey (GATS) (2010) China 2010 Country Report.
- Gu D, Kelly TN,Wu X, et al. Mortality attributable to smoking in China. N Engl J Med, 2009, 360(2): 150-159. https://doi.org/10.1056/NEJMsa0802902
- Prevention, Chinese Center for Disease Control and. (2011). Global Adult Tobacco Survey (GATS) China 2010 Country Report.
- Glassman AH, Helzer JE, Covey LS, et al. Smoking, smoking cessation, and major depression. JAMA, 1990, 264(12):1546-1549. https://doi.org/10.1001/jama.264.12.1546
- Lasser K, Boyd JW, Woolhandler S, et al. Smoking and mental illness: A population-based prevalence study. JAMA, 2000, 284(20):2606-2610. https://doi.org/10.1001/jama.284.20.2606
- Degenhardt L, Hall W, Lynskey M . Alcohol, cannabis and tobacco use among Australians: a comparison of their associations with other drug use and use disorders, affective and anxiety disorders, and psychosis. Addiction, 2001, 96(11:1603-1614. https://doi.org/10.1080/09652140120080732
- Kim O. The relationship of depression to health risk behaviours and health perceptions in Korean college students. Adolescence, 2002, 37(147):575-583.
- Haukkala A, Uutela A, Vartiaine E, et al. Depression and smoking cessation: the role of motivation and self-efficacy. Addict Behav, 2000, 25(2): 311-316. https://doi.org/10.1016/S0306-4603(98)00125-7
- McClave AK, Dube SR, Strine TW, et al. Associations between smoking cessation and anxiety and depression among U.S. adults. Addictive behaviours, 2009, 34(67):491-497. https://doi.org/10.1016/j.addbeh.2009.01.005
- Lam TH, Stewart SM, Ho SY, Lai, et al. Depressive symptoms and smoking among Hong Kong Chinese adolescents. Addiction, 2005, 100(7): 1003-1011. https://doi.org/10.1111/j.1360-0443.2005.01092.x
- Hitsman B, Borrelli B, McChargue DE, et al. History of depression and smoking cessation outcome: A metaanalysis. Journal of Consulting and Clinical Psychology, 2003, 71(4):657-663. https://doi.org/10.1037/0022-006X.71.4.657
- Johnson EO, Breslau N. Is the association of smoking and depression a recent phenomenon? Nicotine Tobacco Research, 2006, 8(2):257-262. https://doi.org/10.1080/14622200600576644
- Ma X, Xiang YT, Cai ZJ,et al. Smoking and psychiatric disorders in the rural and urban regions of Beijing, China: a community-based survey. Drug Alcohol Depend, 2009, 100(1-2):146-152. https://doi.org/10.1016/j.drugalcdep.2008.10.002
- Radloff LS. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1977, 1(3):385-401.
- Cuijpers P, Smit F, ten Have M, et al. Smoking is associated with first-ever incidence of mental disorders: a prospective population-based study. Addiction, 2007, 102(8):1303- 1309. https://doi.org/10.1111/j.1360-0443.2007.01885.x
- Niaura R, Abrams DB. Stopping smoking: a hazard for people with a history of major depression? Lancet, 2001, 357(9272):1900-1901. https://doi.org/10.1016/S0140-6736(00)05089-3
- Covey LS, Glassman AH, Stetner F. DEPRESSION AND DEPRESSIVE SYMPTOMS IN SMOKING CESSATION. Comprehensive Psychiatry, 1990, 31(4): 350-354. https://doi.org/10.1016/0010-440X(90)90042-Q
- Tsoh JY, Humfleet GL, Munoz RF, et al. Development of major depression after treatment for smoking cessation. American Journal of Psychiatry, 2000, 157(3):368-374. https://doi.org/10.1176/appi.ajp.157.3.368
- Fowler JS, Logan J, Wang, GJ, et al. Monoamine Oxidase and Cigarette Smoking. NeuroToxicology, 2003, 24(1):75- 82. https://doi.org/10.1016/S0161-813X(02)00109-2
- Berlin I, M Anthenelli R. Monoamine oxidases and tobacco smoking. The International Journal of Neuropsychopharmacology, 2001, 4(01):33-42. https://doi.org/10.1017/S1461145701002188
- Siahpush M, Carlin JB. Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction, 2006, 101(1): 121-127. https://doi.org/10.1111/j.1360-0443.2005.01292.x
- Siahpush M, Spittal M, Singh GK. Smoking cessation and financial stress. Journal of Public Health, 2007, 29(4):338- 342. https://doi.org/10.1093/pubmed/fdm070
- Volpp KG, Troxel AB, Pauly MV, et al. A Randomized, Controlled Trial of Financial Incentives for Smoking Cessation. New England Journal of Medicine, 2009, 360(7):699- 709. https://doi.org/10.1056/NEJMsa0806819
- Gong Y, Zhang X, Zou H, et al. Debt and depression among the Dibao population in Northwest China. International Journal of Social Psychiatry, 2013, 60(7):637-645. https://doi.org/10.1177/0020764013511068
- Kendzor DE, Businelle MS, Costello TJ, et al. Financial Strain and Smoking Cessation Among Racially/Ethnically Diverse Smokers. American Journal of Public Health, 2010, 100(4):702-706. https://doi.org/10.2105/AJPH.2009.172676
- Dollar KM, Homish GG, Kozlowski LT, et al. Spousal and Alcohol-Related Predictors of Smoking Cessation: A Longitudinal Study in a Community Sample of Married Couples. American Journal of Public Health, 2009, 99(2): 231- 233. https://doi.org/10.2105/AJPH.2008.140459
- Leatherdale ST, Wong SL, Manske SR, et al. Susceptibility to smoking and its association with physical activity, BMI, and weight concerns among youth. Nicotine Tobacco Research, 2008, 10(3):499-505. https://doi.org/10.1080/14622200801902201
- Luo J, Qu Z, Rockett I, et al. Employment status and selfrated health in north-western China. Public Health, 2010, 124(3):174-179. https://doi.org/10.1016/j.puhe.2010.02.001
- Diomidus M. Epedemiological study designs. Studies in Health Technology and Informatics, 2002, 65:9.