Tobacco smoking and the risk of eating behaviors and depression among Palestinian female university students.

Basma Damiri, Thabet Zidan, Dalia Hamayel, Motaz Saifi
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引用次数: 0

Abstract

Background: Tobacco smoking and eating disorders are often connected to concerns about body image and can be indicative of underlying mental health conditions, such as depression. In Palestinian society, females have a cultural belief that smoking can aid in weight loss. Societal pressure on body image may drive females to such risky behaviors. However, few studies have examined the link between smoking and eating disorder behaviors. We researched the prevalence of tobacco smoking among Palestinian female university students and its association with binge/purge behaviors and depression.

Method: A cross-sectional research study was carried out at An-Najah National University. Female students [N = 642] completed anonymous surveys, sharing information about tobacco smoking and other substance use habits, answering questions from the Eating Attitude Test-26, the Sick (EAT-26), Control, One, Fat, and Food (SCOF) screening tests, and the Beck Depression Inventory.

Results: The study reported a high prevalence of waterpipe smoking (24.4%) among Palestinian university female students, which exceeded the prevalence of cigarette smoking (4%). For the SCOF scale, 36.3% scored ≥ 2 points, indicating a screened positive for anorexia or bulimia nervosa; 40% struggled with binge-eating behavior, while only 7.8% had sought treatment for eating disorders. Additionally, 34.7% of the students experienced depression. The adjusted binary logistic regression model of risk factors for cigarette smoking has shown that cigarette smoking is significantly associated with self-induced vomiting (aOR = 6.075, p-value = 0.027), history for eating disorder treatment (aOR = 3.438, p-value = 0.047), e-cigarettes (aOR = 10.070, p-value = 0.001), waterpipe (aOR = 3.299, p-value = 0.022), energy drinks (aOR = 5.163, p-value = 0.003), moderate depression (aOR = 11.499, p-value = 0.010), and mild depression (aOR = 12.963, p-value = 0.003).

Conclusion: The study revealed concerning results of tobacco smoking linked to depression, binge/purge behaviors, obesity, and various weight-control methods. These findings highlight the urgent need for targeted interventions through awareness campaigns, culturally tailored health education, implementation of mental health support for students, and provide accessible medical and psychological assistance to at-risk Palestinian female students.

巴勒斯坦女大学生吸烟与饮食行为和抑郁的风险
背景:吸烟和饮食失调通常与对身体形象的担忧有关,并可能表明潜在的精神健康状况,如抑郁症。在巴勒斯坦社会,女性有一种文化信仰,认为吸烟有助于减肥。社会对身体形象的压力可能会驱使女性做出这种危险的行为。然而,很少有研究调查吸烟和饮食失调行为之间的联系。我们研究了巴勒斯坦女大学生吸烟的流行程度及其与狂欢/净化行为和抑郁的关系。方法:在安纳杰国立大学进行横断面研究。女学生[N = 642]完成了匿名调查,分享了吸烟和其他物质使用习惯的信息,回答了饮食态度测试-26、生病(EAT-26)、控制、一、脂肪和食物(SCOF)筛选测试和贝克抑郁量表的问题。结果:该研究报告了巴勒斯坦大学女学生中水烟吸烟的患病率(24.4%),超过了吸烟的患病率(4%)。对于SCOF量表,36.3%得分≥2分,表明厌食症或神经性贪食症筛查阳性;40%的人有暴食行为,而只有7.8%的人寻求过饮食失调的治疗。此外,34.7%的学生经历过抑郁症。吸烟危险因素的调整二元logistic回归模型显示,吸烟与自我诱发性呕吐(aOR = 6.075, p值= 0.027)、饮食失调治疗史(aOR = 3.438, p值= 0.047)、电子烟(aOR = 10.070, p值= 0.001)、水烟(aOR = 3.299, p值= 0.022)、能量饮料(aOR = 5.163, p值= 0.003)、中度抑郁(aOR = 11.499, p值= 0.010)、轻度抑郁(aOR = 12.963, p值= 0.027)、吸烟与自我诱发性呕吐(aOR = 6.075, p值= 0.027)、饮食失调治疗史(aOR = 3.438, p值= 0.047)显著相关。p值= 0.003)。结论:该研究揭示了吸烟与抑郁、暴食/净化行为、肥胖和各种体重控制方法有关的结果。这些调查结果突出表明,迫切需要通过提高认识运动、有文化针对性的健康教育、为学生提供心理健康支助,以及向处境危险的巴勒斯坦女学生提供可获得的医疗和心理援助,采取有针对性的干预措施。
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