Background: Many studies have clearly linked exposure to Second Hand Smoke (SHS) to various somatic diseases, however, few studies have examined the relationship between SHS and mental disorders and those that have were only conducted with specific groups. The purpose of this study was to examine the association between SHS exposure and mental disorders among Chinese residents in both worksites and public places.
Methods: A cross-sectional multistage sampling design was used to interview subjects from 21 selected cities in China. Using a standardized questionnaire including demographic characteristics, SHS exposure, and mental health information was collected. Multiple logistic regression analysis was used to assess the association between SHS exposure and mental disorders.
Results: Sixteen-thousand-eight-hundred-sixty-six valid questionnaires were collected and utilized in this study. Of 11,206 non-smokers, SHS exposure prevalence in workplaces and public places were respectively 78.4 % (95 % C.I.:74.3–82.5 %) and 80.7 % (95 % C.I.:74.6–86.5 %). Multiple logistic regressions showed SHS exposures in these venues were positively related to mental disorder.
Conclusions: These findings further support the health hazards of SHS exposure. Findings underscore the importance of controlling SHS exposure, and can be used to inform future SHS control policies and reinforce the need for public education in China.
REFERENCES(47)
1.
Bandiera FC, Arheart KL, Caban-Martinez AJ, Fleming LE, McCollister K, Dietz NA, et al. Secondhand smoke exposure and depressive symptoms. Psychosom Med. 2010;72(1):68–72.
Bandiera FC, Richardson AK, Lee DJ, He JP, Merikangas KR. Secondhand smoke exposure and mental health among children and adolescents. Arch Pediatr Adolesc Med. 2011;165(4):332.
Chinese Center for Disease Control and Prevention. Global Adult Tobacco Survey (GATS) China 2010 country report. Beijing: China Sanxia Press; 2011. p. 8–95.
Eisner MD, Iribarren C, Yelin EH, Sidney S, Katz PP, Sanchez G, et al. The impact of SHS exposure on health status and exacerbations among patients with COPD. Int J Chron Obstruct Pulmon Dis. 2009;4:169.
Goodman P, Agnew M, McCaffrey M, Paul G, Clancy L. Effects of the Irish smoking ban on respiratory health of bar workers and air quality in Dublin pubs. Am J Respir Crit Care Med. 2007;175:840–5.
Grilli L, Pratesi M. Weighted estimation in multilevel ordinal and binary models in the presence of informative sampling designs. Surv Meth. 2004;30:93–103.
Hamer M, Stamatakis E, Batty GD. Objectively assessed secondhand smoke exposure and mental health in adults: cross-sectional and prospective evidence from the Scottish Health Survey. Arch Gen Psychiatry. 2010;67:850–5.
He R, Qin X, An L, et al. Prevalence of anxiety disorders of outpatients in internal medicine departments of general hospitals at different level. Chinese Public Health. 2008;24:702–4.
Jedrychowski W, Perera F, Mroz E, Edwards S, Flak E, Bernert JT, et al. Fetal exposure to secondhand tobacco smoke assessed by maternal self-reports and cord blood cotinine: prospective cohort study in Krakow[J]. Matern Child Health J. 2009;13(3):415–23.
Kabir Z, Manning PJ, Holohan J, Keogan S, Goodman PG, Clancy L. Second-hand smoke exposure in cars and respiratory health effects in children. Eur Respir J. 2009;34(3):629–33.
Larsson M, Boethius G, Axelsson S, Montgomery SM. Exposure to environmental tobacco smoke and health effects among hospitality workers in Sweden–before and after the implementation of a smoke-free law. Scand J Work Environ Health. 2008;34:267–77.
Monroe SM, Simons AD. Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. Psychol Bull. 1991;110:406–25.
Nakata A, Takahashi M, Ikeda T, Hojou M, Nigam JA, Swanson NG. Active and passive smoking and depression among Japanese workers. Prev Med. 2008;46:451–6.
National Bureau of Statistics of the People’s Republic of China. China statistical yearbook, 2011. Available at http://www.stats.gov.cn/tjsj/n.... Accessed on Sep 16, 2013.
Pearlin LI. Stress and mental health: a conceptual overview. In: Horwitz AV, Scheid TL, editors. A handbook for the study of mental health: social contexts, theories, and systems. New York, NY: Cambridge University Press; 1999. p. 161–74.
Rao U, Hammen CL, London ED, Poland RE. Contribution of hypothalamic-pituitary-adrenal activity and environmental stress to vulnerability for smoking in adolescents. Neuropsychopharmacology. 2009;34:2721–32.
Rohrbach LA, Howard-Pitney B, Unger JB, Dent CW, Howard KA, Cruz TB, et al. Independent evaluation of the California Tobacco Control Program: relationships between program exposure and outcomes, 1996–1998. Am J Public Health. 2002;92(6):975–83.
Sargent RP, Shepard RM, Glantz SA. Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study. BMJ. 2004;328:977–80.
Stillman F, Navas-Acien A, Ma J, Ma S, Avila-Tang E, Breysse P, et al. Second-hand tobacco smoke in public places in urban and rural China. Tob Control. 2007;16:229–34.
Stranges S, Bonner MR, Fucci F, Cummings KM, Freudenheim JL, Dorn JM, et al. Lifetime cumulative exposure to secondhand smoke and risk of myocardial infarction in never smokers: results from the Western New York health study, 1995–2001. Arch Intern Med. 2006;166(18):1961.
US Department of Health and Human Services. The health consequences of involuntary exposure to tobacco smoke. A report of the surgeon general: 2006. Washington DC: US Government Printing Office; 2006. p. 29–66.
Wells AJ, English PB, Posner SF, Wagenknecht L, Perez-Stable EJ. Misclassification rates for current smokers misclassified as non-smokers. Am J Public Health. 1998;88:1503–9.
World Health Organization. Second-hand smoke: assessing the burden of disease at national and local levels. Geneva: WHO Environmental Burden of Disease Series, No. 18. Geneva: World Health Organization; 2008. http://www.who.int/quantifying.... Accessed May 16, 2013 (accessed 16 Dec 2013).
Yang T, Abdullah AS, Li L, Rockett IRH, Lin Y, Ying J, et al. Public place smoke-free regulations, secondhand smoke exposure and related beliefs, awareness, attitudes, and practices among Chinese urban residents. Int J Environ Res Public Health. 2013;10:2370–83.
Yang XY, Anderson JG, Yang T. Impact of role models and policy exposure on support for tobacco control policies in Hangzhou, China. Am J Health Behav. 2014;38(2):275–83.
Yang TZ, Huang L, Wu ZY. The application of Chinese health questionnaire for mental disorder screening in community settings in mainland China. Zhonghua liu xing bing xue za zhi. 2003;24:769–73.
Yang T, Rockett IRH, Li M, Xu X, Gu Y. Tobacco advertising, environmental smoking bans, and smoking in Chinese urban areas. Drug Alcohol Depend. 2012;124:121–7.
Secondhand smoke exposure and mental health in adults: a meta-analysis of cross-sectional studies Yan-Ni Zeng, Ya-Min Li Social Psychiatry and Psychiatric Epidemiology
Are older adults' home exposures to secondhand smoking during earlier life stages associated with current health status and life satisfaction in China? A multilevel approach Yen-Han Lee, Yen-Chang Chang, Yi-Ting Hana Lee, Ching-Ti Liu, Mack Shelley Journal of Ethnicity in Substance Abuse
Spillover effects of children’s political status on elderly parents’ health in China Xin Zhao, Yi Zhou, Huaqing Tan, Haoxiang Lin Journal of Epidemiology and Community Health
Social deprivation and secondhand smoke exposure among
urban male residents: A nationwide study in China Yixin Yang, Xiaozhao Yang, Tingzhong Yang, Wenjiong He, Sihui Peng, Ian Rockett Tobacco Induced Diseases
Exposure to Secondhand Smoke at Home and Psychological Distress among College Students in China: The Role of Parental Attachment Qian Wang Journal of Psychoactive Drugs
Association Between Secondhand Smoke Exposure Among Women and the Implementation of Tobacco Control Measures on Campus: A Cross-Sectional Study in 50 Universities Across China Qinghua Nian, Xiaozhao Y Yang, Tingzhong Yang, Sihui Peng, Joan L Bottorff Nicotine and Tobacco Research
Association between passive smoking and mental distress in adult never-smokers: a cross-sectional study Rui Wang, Peng Zhang, Xin Lv, Chunshi Gao, Yuanyuan Song, Zhijun Li, Yaqin Yu, Bo Li BMJ Open
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