Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study.
Mental health
Smoking
South Asia
Suicidal ideation
Tobacco
Youth
Journal
Nepal journal of epidemiology
ISSN: 2091-0800
Titre abrégé: Nepal J Epidemiol
Pays: Nepal
ID NLM: 101583212
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
20
03
2019
revised:
26
03
2020
accepted:
28
03
2020
entrez:
8
4
2020
pubmed:
8
4
2020
medline:
8
4
2020
Statut:
epublish
Résumé
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. 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. 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). 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.
Sections du résumé
BACKGROUND
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
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
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
CONCLUSIONS
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.
Identifiants
pubmed: 32257512
doi: 10.3126/nje.v10i1.28277
pmc: PMC7112959
doi:
Types de publication
Journal Article
Langues
eng
Pagination
821-829Informations de copyright
© 2020 CEA& INEA.
Déclaration de conflit d'intérêts
Conflict of interest: The authors declare that they have no conflict of interest.
Références
J Nerv Ment Dis. 2007 May;195(5):369-77
pubmed: 17502801
Am J Epidemiol. 2000 Jun 1;151(11):1060-3
pubmed: 10873129
BMJ Open. 2016 Mar 03;6(3):e010058
pubmed: 26940109
Am J Psychiatry. 2005 Apr;162(4):816-7
pubmed: 15800172
Death Stud. 2007 Oct;31(9):845-54
pubmed: 17886414
Am J Psychiatry. 2007 Jan;164(1):134-41
pubmed: 17202555
Lancet. 2017 May 13;389(10082):1885-1906
pubmed: 28390697
J Forensic Leg Med. 2016 Nov;44:1-4
pubmed: 27589377
Arch Gen Psychiatry. 2005 Mar;62(3):328-34
pubmed: 15753246
RCM Midwives. 2005 May;8(5):212-5
pubmed: 15960327
J Clin Psychiatry. 2007 May;68(5):775-80
pubmed: 17503989
Health Promot Int. 2004 Jun;19(2):189-96
pubmed: 15128710
Int J Environ Res Public Health. 2012 Feb;9(2):596-609
pubmed: 22470312
J Clin Psychiatry. 2006 Dec;67(12):1907-11
pubmed: 17194268
J Forensic Leg Med. 2014 Oct;27:65-8
pubmed: 25287803
Psychol Med. 2000 Jan;30(1):23-39
pubmed: 10722173
Nicotine Tob Res. 2007 Apr;9(4):443-6
pubmed: 17454698
PLoS One. 2016 Jul 08;11(7):e0156348
pubmed: 27391330
Psychol Med. 1999 Jan;29(1):9-17
pubmed: 10077289
Subst Abuse. 2016 Apr 12;10:19-30
pubmed: 27081311
Arch Psychiatr Nurs. 2013 Oct;27(5):253-9
pubmed: 24070995
Leg Med (Tokyo). 2012 Jul;14(4):183-7
pubmed: 22522041
Ann Epidemiol. 2005 Apr;15(4):286-92
pubmed: 15780776
Crisis. 2001;22(1):12-4
pubmed: 11548814
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
Pediatr Emerg Care. 2001 Apr;17(2):104-6
pubmed: 11334088
Tob Control. 2002 Sep;11(3):252-70
pubmed: 12198280
J Health Commun. 2009 Oct-Nov;14(7):658-73
pubmed: 19851917
Subst Abuse Treat Prev Policy. 2010 Nov 16;5:29
pubmed: 21080923
Arch Gen Psychiatry. 1999 Jul;56(7):617-26
pubmed: 10401507
Indian J Cancer. 2006 Jul-Sep;43(3):127-31
pubmed: 17065771
Eur Psychiatry. 2007 May;22(4):219-22
pubmed: 17127036
Am J Prev Med. 2014 May;46(5):487-95
pubmed: 24745639
Suicide Life Threat Behav. 2005 Jun;35(3):239-50
pubmed: 16156486
Subst Abuse Treat Prev Policy. 2011 Dec 20;6:33
pubmed: 22185233
Nicotine Tob Res. 2017 Jan;19(1):39-48
pubmed: 27190402
J Subst Abuse. 1992;4(3):219-34
pubmed: 1458040
J Adolesc. 2004 Oct;27(5):531-44
pubmed: 15475045