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RESEARCH PAPER
Smoking and secondhand smoke exposure and prevalence of depressive symptoms during pregnancy in Japan: baseline data from the Kyushu Okinawa Maternal and Child Health Study
1
Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan
2
Epidemiology and Medical Statistics Unit, Translational Research Center, Ehime University Hospital, Ehime, Japan
3
Health Tourism Research Fields, Graduate School of Tourism Sciences, University of the Ryukyus, Okinawa, Japan
Submission date: 2017-04-08
Acceptance date: 2017-07-13
Publication date: 2017-07-24
Corresponding author
Yoshihiro Miyake
Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan
Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan
Tob. Induc. Dis. 2017;15(July):34
KEYWORDS
ABSTRACT
Background:
Epidemiological evidence on the relationship between smoking and secondhand smoke (SHS) exposure and depressive symptoms during pregnancy has been limited. The present cross-sectional study examined this issue in Japan.
Methods:
Between April 2007 and March 2008, 1757 pregnant women who lived in one of seven prefectures on Kyushu Island in southern Japan or in Okinawa Prefecture, an island chain in the southwest of Japan, participated in the Kyushu Okinawa Maternal and Child Health Study, a prebirth cohort study. In the present study, data on 1745 pregnant women were available for analysis. Information on smoking, SHS exposure, depressive symptoms, and potential confounding factors was obtained through a self-administered questionnaire. Depressive symptoms were defined as present when subjects had a Center for Epidemiologic Studies Depression Scale score of 16 or higher. Adjustment was made for age, gestation, region of residence, number of children, family structure, household income, education, job type, history of depression, and family history of depression.
Results:
The prevalence of depressive symptoms during pregnancy was 19.2%. Compared with having never smoked, both former and current smoking was independently associated with a higher prevalence of depressive symptoms during pregnancy: the adjusted odds ratios (ORs) were 1.39 (95% CI: 1.06–1.83) and 2.49 (95% CI: 1.36–4.45), respectively. Also, 3.0 to 7.9 and 8.0 or more pack-years of smoking were independently positively related to depressive symptoms during pregnancy: the adjusted ORs were 1.55 (95% CI: 1.08–2.22) and 1.97 (95% CI: 1.26–3.03), respectively (P for trend = 0.0005). Among the 1183 subjects who had never smoked, current SHS exposure at home was independently positively associated with depressive symptoms during pregnancy: the adjusted OR was 1.51 (95% CI: 1.003–2.30).
Conclusions:
Former and current smoking, 3.0 or more pack-years of smoking, and current SHS exposure at home may be positively associated with depressive symptoms during pregnancy.
Epidemiological evidence on the relationship between smoking and secondhand smoke (SHS) exposure and depressive symptoms during pregnancy has been limited. The present cross-sectional study examined this issue in Japan.
Methods:
Between April 2007 and March 2008, 1757 pregnant women who lived in one of seven prefectures on Kyushu Island in southern Japan or in Okinawa Prefecture, an island chain in the southwest of Japan, participated in the Kyushu Okinawa Maternal and Child Health Study, a prebirth cohort study. In the present study, data on 1745 pregnant women were available for analysis. Information on smoking, SHS exposure, depressive symptoms, and potential confounding factors was obtained through a self-administered questionnaire. Depressive symptoms were defined as present when subjects had a Center for Epidemiologic Studies Depression Scale score of 16 or higher. Adjustment was made for age, gestation, region of residence, number of children, family structure, household income, education, job type, history of depression, and family history of depression.
Results:
The prevalence of depressive symptoms during pregnancy was 19.2%. Compared with having never smoked, both former and current smoking was independently associated with a higher prevalence of depressive symptoms during pregnancy: the adjusted odds ratios (ORs) were 1.39 (95% CI: 1.06–1.83) and 2.49 (95% CI: 1.36–4.45), respectively. Also, 3.0 to 7.9 and 8.0 or more pack-years of smoking were independently positively related to depressive symptoms during pregnancy: the adjusted ORs were 1.55 (95% CI: 1.08–2.22) and 1.97 (95% CI: 1.26–3.03), respectively (P for trend = 0.0005). Among the 1183 subjects who had never smoked, current SHS exposure at home was independently positively associated with depressive symptoms during pregnancy: the adjusted OR was 1.51 (95% CI: 1.003–2.30).
Conclusions:
Former and current smoking, 3.0 or more pack-years of smoking, and current SHS exposure at home may be positively associated with depressive symptoms during pregnancy.
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CITATIONS (5):
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ITIH3 and ITIH4 polymorphisms and depressive symptoms during pregnancy in Japan: the Kyushu Okinawa Maternal and Child Health Study
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Journal of Neural Transmission
2.
Relationship Between Secondhand Smoke Exposure and Depressive Symptoms: A Systematic Review and Dose–Response Meta-Analysis
Han, Liu, Gong, Ye, Zhou
International Journal of Environmental Research and Public Health
Han, Liu, Gong, Ye, Zhou
International Journal of Environmental Research and Public Health
3.
Secondhand Smoking and Depressive Symptoms Among In-School Adolescents
Louis Jacob, Lee Smith, Sarah Jackson, Josep Haro, Jae Shin, Ai Koyanagi
American Journal of Preventive Medicine
Louis Jacob, Lee Smith, Sarah Jackson, Josep Haro, Jae Shin, Ai Koyanagi
American Journal of Preventive Medicine
4.
Inadequate Knowledge, Attitude and Practices about Second-Hand Smoke among Non-Smoking Pregnant Women in Urban Vietnam: The Need for Health Literacy Reinforcement
Giap Vu, Chau Ngo, Phuong Phan, Lan Doan, Toan Nguyen, Mai Nguyen, Diep Nguyen, Nguyen Nguyen, Huong Nguyen, Chi Hoang, Linh Vu, Carl Latkin, Bach Tran, Roger Ho, Cyrus Ho
International Journal of Environmental Research and Public Health
Giap Vu, Chau Ngo, Phuong Phan, Lan Doan, Toan Nguyen, Mai Nguyen, Diep Nguyen, Nguyen Nguyen, Huong Nguyen, Chi Hoang, Linh Vu, Carl Latkin, Bach Tran, Roger Ho, Cyrus Ho
International Journal of Environmental Research and Public Health
5.
Magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of eastern Ethiopia
Metsihet Fetene, Kedir Teji, Nega Assefa, Wubet Bayih, Genet Tsehaye, Habtamu Hailemeskel
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