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A cross-sectional study of smoking and depression among US adults: NHANES (2005–2018)

Wu, Zhaoping, Yue, Qiang, Zhao, Zhen, Wen, Jun, Tang, Lanying, Zhong, Zhenzhen, Yang, Jiahui, Yuan, Yingpu +1 more·2023·Frontiers in Public Health
DOI 10.3389/fpubh.2023.1081706PMC PMC9922891
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Abstract

Background: The relationship between smoking and depression remains controversial. This study aimed to investigate the association between smoking and depression from three aspects: smoking status, smoking volume, and smoking cessation. Methods: Data from adults aged ≥20 who participated in the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2018 were collected. The study gathered information about the participants' smoking status (never smokers, previous smokers, occasional smokers, daily smokers), smoking quantity per day, and smoking cessation. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9), with a score ≥10 indicating the presence of clinically relevant symptoms. Multivariable logistic regression was conducted to evaluate the association of smoking status, daily smoking volume, and smoking cessation duration with depression. Results: Previous smokers [odds ratio (OR) = 1.25, 95% confidence interval (CI): 1.05–1.48] and occasional smokers (OR = 1.84, 95% CI: 1.39–2.45) were associated with a higher risk of depression compared with never smokers. Daily smokers had the highest risk of depression (OR = 2.37, 95% CI: 2.05–2.75). In addition, a tendency toward a positive correlation was observed between daily smoking volume and depression (OR = 1.65, 95% CI: 1.24–2.19) ( P for trend < 0.05). Furthermore, the longer the smoking cessation duration, the lower the risk of depression (OR = 0.55, 95% CI: 0.39–0.79) ( P for trend < 0.05). Conclusions: Smoking is a behavior that increases the risk of depression. The higher the smoking frequency and smoking volume, the higher the risk of depression, whereas smoking cessation is associated with decreased risk of depression, and the longer the smoking cessation duration, the lower the risk of depression.

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Sorted by citations

Authors
Wu, Z., Yue, Q., Zhao, Z., Wen, J., Tang, L., Zhong, Z., Yang, J., Yuan, Y., & Zhang, X.
Venue
Frontiers in Public Health
Publisher
Frontiers Media SA
Published
2023-01-30
Volume
11
ISSN
2296-2565
DOI
10.3389/fpubh.2023.1081706
PMC
PMC9922891
Cited by
109
References
5
Licence
creativecommons.org/licenses/by/4.0/ (vor)

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