Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study.

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Nepal Journal of Epidemiology Pub Date : 2020-03-30 eCollection Date: 2020-03-01 DOI:10.3126/nje.v10i1.28277

Brijesh Sathian, Ritesh G Menezes, Mohammad Asim, Ahammed Mekkodathil, Jayadevan Sreedharan, Indrajit Banerjee, Edwin R van Teijlingen, Bedanta Roy, Supram Hosuru Subramanya, Magdy A Kharoshah, Elayedath Rajesh, Ullasa Shetty, M Arun, Pradhum Ram, Vinod K Srivastava

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Abstract

Background: Worldwide, tobacco smoking is a major risk factor for morbidity and early mortality among adult population. The present study aimed to find out the association between current smoking and suicidal ideation among young people in Nepal.

Materials and methods: A cross-sectional questionnaire-based survey was carried out among 452 youths from Pokhara, Nepal. The present study included both genders (age 18-24 years) who were smokers as well as non-smokers.

Results: Across the study period, 452 participants were identified after matching for age, and sex (226 in the smoking group and 226 in the non-smoking group). The mean age of participants was 21.6±1.2 years and 58.8% were males. The overall rate of suicidal ideation in our cohort was 8.9%. Smokers were slightly more likely to report suicidal ideation than non-smokers (aOR 1.12). The risk of developing suicidal ideation was 3.56 (95% CI 1.26-10.09) times more in individuals who smoked greater than 3.5 cigarettes per week (p=0.01).

Conclusion: The rate of suicidal ideation was slightly higher among smokers and a dose-response relationship was identified with the number of cigarettes smoked per week. Being aware of the link between smoking and suicidal ideation may help health care professionals working with young people to address more effectively the issues of mental well-being and thoughts about suicide.

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尼泊尔青少年吸烟剂量反应与自杀意念：一项横断面研究。

背景：在世界范围内，吸烟是导致成年人发病和早期死亡的主要风险因素。本研究旨在了解尼泊尔青少年目前吸烟与自杀意念之间的关系：对尼泊尔博卡拉的 452 名青少年进行了横断面问卷调查。研究对象包括吸烟和不吸烟的男女青年（18-24 岁）：在整个研究期间，经过年龄和性别匹配，共确定了 452 名参与者（吸烟组 226 人，非吸烟组 226 人）。参与者的平均年龄为（21.6±1.2）岁，58.8%为男性。我们队列中的自杀意念总发生率为 8.9%。吸烟者报告有自杀倾向的几率略高于非吸烟者（aOR 1.12）。每周吸烟超过 3.5 支的人出现自杀意念的风险是不吸烟者的 3.56 倍（95% CI 1.26-10.09）（P=0.01）：结论：吸烟者的自杀意念发生率略高，且与每周吸烟数量存在剂量反应关系。了解吸烟与自杀意念之间的联系有助于医护人员更有效地解决青少年的心理健康和自杀意念问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nepal Journal of Epidemiology PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

自引率

10.30%

发文量

期刊介绍： The Nepal Journal of Epidemiology is a international journal that encompasses all aspects of epidemiology. The journal encourages communication among those engaged in the research, teaching, and application of epidemiology of both communicable and non-communicable disease, including research into health services and medical care. Also covered are new methods, epidemiological and statistical, for the analysis of data used by those who practise social and preventive medicine. It provides the most up-to-date, original, well designed, well interpreted and significant information source in the multidisciplinary field of epidemiology. We publish manuscripts based on the following sections: 1.Short communications 2.Current research trends 3.Original research 4.Case reports 5.Review articles 6.Letter to editor