うつ病と喫煙のダイナミクス. 全国的な視点
R F Anda1, D F Williamson, L G Escobedo
1Office of Surveillance and Analysis, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|September 26, 1990
まとめ
うつ病は,たばこ喫煙の動態に大きな影響を与えます. 鬱を患っている人は喫煙をやめない可能性が低く,統合された精神衛生と禁煙の介入の必要性を強調しています.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- メンタルヘルス メンタルヘルス
背景:
- 既存の研究は,うつ病とタバコ喫煙の関連性を示しています.
- 喫煙行動のダイナミクスにおけるうつ病の役割を理解するためには,全国的な視点が必要である.
研究 の 目的:
- 鬱病と喫煙の罹患率,禁煙率,発生率との関係を調査する.
- 米国における喫煙の動態に対するうつ病の影響に関する全国的な概要を提供するためである.
主な方法:
- 国家保健栄養調査調査 (NHANES) Iおよびその流行病学的フォローアップ研究からのデータを活用した.
- 流行病学研究センターのうつ病スケール (CES-D) を使用してうつ病の症状を評価し,うつ病のカットオフスコアは≥16でした.
- 縦断分析のために横断分析とコックス比例リスクモデリングを使用した.
主要な成果:
- より高いCES-Dスコアは,現在の喫煙者の増加と,禁煙率の低下と相関していた.
- 鬱状態の喫煙者は9年間で禁煙率が9.9%で,非鬱状態の喫煙者は17.7%でした.
- 調整した分析により,うつ状態の喫煙者は,禁煙する確率が40%低いことが明らかになった (RR=0.6).
結論:
- うつ病は,米国におけるタバコ喫煙の動態に影響を与える重要な要因です.
- 発見は,禁煙プログラムにおけるうつ病への対処の重要性を強調しています.
- 統合されたアプローチは,うつ病の症状を持つ喫煙者の中での禁煙率を改善する可能性があります.
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