从吸烟到自杀死亡的道路是通过医院吗? 在加拿大全国样本中进行因果调解分析
Lloyd Balbuena1, Fredrik Åhs2, Evyn Peters1
1Department of Psychiatry, University of Saskatchewan, Saskatoon, SK, Canada.
Tobacco use insights
|June 11, 2025
概括
吸烟与自杀直接相关,通过精神卫生住院治疗看到的间接影响较小. 主要和次要的吸烟预防对于减少自杀至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 因果推理因果推理
背景情况:
- 流行病学研究表明,吸烟和自杀之间存在强烈的联系.
- 连接吸烟与自杀的确切途径仍然不完全理解.
研究的目的:
- 通过因果推理,研究心理健康住院在吸烟和自杀之间的关系中精神健康住院的间接作用.
- 量化日常吸烟对自杀死亡率的直接和间接影响.
主要方法:
- 利用了来自加拿大社区健康调查 (2000-2014) 11 个波的数据,与住院和死亡登记簿相关联.
- 采用调解模型,将终身日常吸烟作为暴露,精神健康住院作为调解者,以及自杀死亡作为结果.
- 调整了11个共变量,并分析了男性和女性的单独模型.
主要成果:
- 日常吸烟对自杀的直接影响明显大于男性和女性通过精神健康住院治疗的间接影响.
- 直接影响:男性为1.76 (95% CI: 1.47-2.10),女性为2.60 (95% CI: 1.90-3.57),女性为1.76 (95% CI: 1.47-2.10).
- 间接影响:男性为1.07 (95% CI:1.05-1.09),女性为1.04 (95% CI:0.99-1.09).
结论:
- 与直接影响相比,吸烟与自杀相关的比例较小,由精神卫生住院治疗来调解.
- 针对因精神健康状况住院的个体的干预措施可能无法捕捉所有处于风险的个体.
- 强调初级和二级吸烟预防策略对于预防自杀的关键重要性.
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