烟草和其他含尼古丁产品销售点的密度和距离与俄罗斯 3 个地区居民抑郁、焦虑和压力水平上升的关系

Q3 Social Sciences

Cardiovascular Therapy and Prevention Pub Date : 2024-02-02 DOI:10.15829/1728-8800-2023-3842

M. G. Gambaryan, A. Kontsevaya, A. Antsiferova, D. Mukaneeva, V. Kutsenko, N. A. Pustelenin, M. B. Khudyakov, A. V. Kudryavtsev, E. M. Filichkina, S. V. Glukhovskaya, A. V. Solovyova, S. Shalnova, Y. Balanova, A. Imaeva, O. Drapkina

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引用次数: 0

摘要

目的研究烟草制品（TPs）和电子尼古丁输送系统（ENDS）的密度和邻近程度与俄罗斯联邦 3 个主体人口抑郁、焦虑和压力水平升高之间的关系。这项研究使用了俄罗斯联邦3个地区（阿尔汉格尔斯克州、斯维尔德洛夫斯克州和特维尔州）35-64岁人口（1674人）中的 "俄罗斯联邦地区心血管疾病及其风险因素流行病学-3（ESSE-RF3）"研究数据，这些人口签署了参与研究的同意书。我们分析了吸烟和使用 ENDS、被动吸烟、尝试戒烟的情况，以及是否患有抑郁症、焦虑症（医院焦虑抑郁量表 (HADS) 评分≥8）和压力（感知压力量表 (PSS) >21）的数据。使用基于 OpenStreetMap 的程序评估了城市基础设施（数据收集时间：2022 年 1 月至 3 月）中销售 TPs 和 ENDS 的要素。使用逻辑回归分析确定了两者之间的关联。随着 TP 和 ENDS 销售点与居住地的距离增加两倍，抑郁概率分别降低了 13%（几率比（OR）：0.87；95% 置信区间（CI）：0.79-0.96）和 12%（OR：0.88；95% 置信区间（CI）：0.78-0.99）。随着 TP 出口距离的增加，焦虑概率降低了 12% (OR 0,88; 95% CI: 0,81-0,97)。随着距离居住地 1000 米半径范围内烟草专卖店数量的增加，抑郁（OR 1,18；95% CI：1,031,36）、焦虑（OR 1,12；95% CI：1-1,26）和压力（OR 1,24；95% CI：1,05-1,46）的概率也随之增加。半径分别为 1000 米和 400 米范围内ENDS销售点数量越多，患抑郁症的可能性越高（OR 1,17; 95% CI: 1,02-1,34 和 OR 1,25; 95% CI: 1,04-1,47）。在家中（OR：1,88；95% CI：1,27-2,73）和工作场所（OR：1,67；95% CI：1,14-2,41）接触烟草烟雾的人患抑郁症的几率增加。戒烟尝试次数的增加会使患抑郁症（OR 2,40；95% CI：1,35-4,23）和焦虑症（OR 2,00；95% CI：1,18-3,38）的几率增加一倍。不利的环境因素，包括TP和ENDS销售点的邻近程度和密度，会增加这些地区居民患抑郁症、焦虑症和压力症的几率。

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Associations of the density and proximity of the outlets of tobacco and other nicotine-containing products with increased levels of depression, anxiety and stress among the population of 3 Russian regions

Aim. To study the relationship of the density and proximity of tobacco products (TPs) and electronic nicotine delivery systems (ENDS) with increased levels of depression, anxiety and stress among the population in 3 constituent entities of the Russian Federation.Material and methods. The work used data from the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3) study in 3 Russian regions (Arkhangelsk, Sverdlovsk and Tver regions) among the population aged 35-64 years (n=1674), who signed a consent to participate in the study. We analyzed data on the status of smoking and consumption of ENDS, passive smoking, attempts to quit smoking, as well as the presence of depression, anxiety (Hospital Anxiety and Depression Scale (HADS) score ≥8) and stress (Perceived Stress Scale (PSS) >21). Elements of urban infrastructure (data collection: January-March 2022) selling TPs and ENDS were assessed using aт OpenStreetMap-based program. Associations were established using logistic regression analysis.Results. With a twofold increase in the distance of TP and ENDS outlets from the place of residence, the depression probability was reduced by 13% (odds ratio (OR) 0,87; 95% confidence interval (CI): 0,79-0,96) and by 12% (OR 0,88; 95% CI: 0,78-0,99), respectively. With increase in distance from of TP outlets, the anxiety decreased probability by 12% (OR 0,88; 95% CI: 0,81-0,97). With an increase in the number of TP outlets within a radius of 1000 m from the place of residence, there were an increase in the probability of depression (OR 1,18; 95% CI: 1,031,36), anxiety (OR 1,12; 95% CI: 1-1,26) and stress (OR 1,24; 95% CI: 1,05-1,46). A greater number of ENDS outlets within a radius of 1000 m and 400 m was associated with a high likelihood of depression (OR 1,17; 95% CI: 1,02-1,34 and OR 1,25; 95% CI: 1,04-1,47, respectively). An increased depression probability was found in those exposed to tobacco smoke at home (OR 1,88; 95% CI: 1,27-2,73) and at work (OR 1,67; 95% CI: 1,14-2,41). An increase in the number of attempts to quit smoking doubles the odds of depression (OR 2,40; 95% CI: 1,35-4,23) and anxiety (OR 2,00; 95% CI: 1,18-3,38).Conclusion. Unfavorable environmental factors, including the proximity and density of TP and ENDS outlets, can increase the probability of depression, anxiety and stress among the population living in these areas.

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来源期刊

Cardiovascular Therapy and Prevention Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.70

自引率

0.00%

发文量

155

审稿时长

6-12 weeks

期刊介绍： The most important objectives of the journal are: the generalization of scientific and practical achievements in the field of cardiology, increasing scientific and practical skills of cardiologists. The scientific concept of publication does the publication of modern achievements in the field of epidemiology, prevention and treatment of cardiovascular diseases, the results of research, national and international clinical trials. For publication in the journal are invited both domestic and foreign scientists and clinicians working in the field of cardiology, as well as doctors of other specialties. The magazine covers various issues in cardiology and related specialties. Each issue is prepared by Executive editor of the issue, a respected specialist in the field of epidemiology, prevention and treatment of cardiovascular diseases. The main focus of the publication — scientific articles on original research, the pharmacotherapy of cardiovascular disease, new diagnostic methods. All members of the group of authors should meet all four criteria of authorship set forth in the ICMJE recommendations: 1) concept and design development or data analysis and interpretation, and 2) manuscript justification or verification of critical intellectual content, and 3) final approval for publication of the manuscript, and 4) consent to be responsible for all aspects of the work, and assume that issues relating to the thoroughness and diligent execution of any part of the study submitted are duly investigated and resolved. Great importance the editors attached to the preparation of scientific papers by groups of authors at a high level, literacy, authors, and their ownership information, availability of research results not only to colleagues in Russia, but also abroad.