Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study
Introduction: Depression and anxiety are major global public health concerns associated with various negative outcomes. Secondhand smoke (SHS) exposure has been proposed as a potential risk factor. We aimed to investigate whether SHS exposure is associated with psychiatric morbidity in a large popul...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Asian Journal of Social Health and Behavior |
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| Online Access: | https://journals.lww.com/10.4103/shb.shb_341_24 |
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| author | Jia-In Lee Jiun-Hung Geng Yi-Ching Lo Ming-Been Lee Szu-Chia Chen Cheng-Sheng Chen |
| author_facet | Jia-In Lee Jiun-Hung Geng Yi-Ching Lo Ming-Been Lee Szu-Chia Chen Cheng-Sheng Chen |
| author_sort | Jia-In Lee |
| collection | DOAJ |
| description | Introduction:
Depression and anxiety are major global public health concerns associated with various negative outcomes. Secondhand smoke (SHS) exposure has been proposed as a potential risk factor. We aimed to investigate whether SHS exposure is associated with psychiatric morbidity in a large population-based cohort study.
Methods:
Data were derived from the Taiwan Biobank between December 2008 and December 2019, including over 120,000 noncancer participants aged 30–70 years. The cross-sectional analysis involved 88,510 never-smokers, while a longitudinal cohort of 19,575 participants with follow-up validated findings. SHS exposure was assessed through self-reported questionnaires, categorizing participants into exposure and nonexposure groups. Psychiatric morbidity was defined by either a self-reported history of diagnosed depression, a Patient Health Questionnaire 2-item (PHQ-2) score ≥3, or a Generalized Anxiety Disorder 2-item (GAD-2) score ≥3. Logistic regression adjusted for demographics and health factors analyzed the associations.
Results:
In the cross-sectional analysis, 8% reported SHS exposure, which was significantly associated with a higher prevalence of psychiatric morbidity (odds ratio [OR] = 1.26, 95% confidence interval [CI] = 1.12–1.42). Longitudinal analysis (mean follow-up: 47 months) supported these findings, with SHS exposure linked to an elevated risk of psychiatric morbidity (OR = 1.37, 95% CI = 1.07–1.74). Notably, SHS exposure ≥1 h/week nearly doubled the risk (OR = 1.97, 95% CI = 1.46–2.67).
Conclusion:
SHS exposure significantly increases the risk of psychiatric morbidity. Public health efforts are essential to reduce SHS exposure and address its mental health impacts. |
| format | Article |
| id | doaj-art-c3217712f8b14d61ba35b79de598423b |
| institution | OA Journals |
| issn | 2772-4204 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Social Health and Behavior |
| spelling | doaj-art-c3217712f8b14d61ba35b79de598423b2025-08-20T02:31:59ZengWolters Kluwer Medknow PublicationsAsian Journal of Social Health and Behavior2772-42042025-07-018310711510.4103/shb.shb_341_24Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort StudyJia-In LeeJiun-Hung GengYi-Ching LoMing-Been LeeSzu-Chia ChenCheng-Sheng ChenIntroduction: Depression and anxiety are major global public health concerns associated with various negative outcomes. Secondhand smoke (SHS) exposure has been proposed as a potential risk factor. We aimed to investigate whether SHS exposure is associated with psychiatric morbidity in a large population-based cohort study. Methods: Data were derived from the Taiwan Biobank between December 2008 and December 2019, including over 120,000 noncancer participants aged 30–70 years. The cross-sectional analysis involved 88,510 never-smokers, while a longitudinal cohort of 19,575 participants with follow-up validated findings. SHS exposure was assessed through self-reported questionnaires, categorizing participants into exposure and nonexposure groups. Psychiatric morbidity was defined by either a self-reported history of diagnosed depression, a Patient Health Questionnaire 2-item (PHQ-2) score ≥3, or a Generalized Anxiety Disorder 2-item (GAD-2) score ≥3. Logistic regression adjusted for demographics and health factors analyzed the associations. Results: In the cross-sectional analysis, 8% reported SHS exposure, which was significantly associated with a higher prevalence of psychiatric morbidity (odds ratio [OR] = 1.26, 95% confidence interval [CI] = 1.12–1.42). Longitudinal analysis (mean follow-up: 47 months) supported these findings, with SHS exposure linked to an elevated risk of psychiatric morbidity (OR = 1.37, 95% CI = 1.07–1.74). Notably, SHS exposure ≥1 h/week nearly doubled the risk (OR = 1.97, 95% CI = 1.46–2.67). Conclusion: SHS exposure significantly increases the risk of psychiatric morbidity. Public health efforts are essential to reduce SHS exposure and address its mental health impacts.https://journals.lww.com/10.4103/shb.shb_341_24epidemiologic studylongitudinal cohortpsychiatric morbidityrisk factorssecondhand smokesmoking |
| spellingShingle | Jia-In Lee Jiun-Hung Geng Yi-Ching Lo Ming-Been Lee Szu-Chia Chen Cheng-Sheng Chen Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study Asian Journal of Social Health and Behavior epidemiologic study longitudinal cohort psychiatric morbidity risk factors secondhand smoke smoking |
| title | Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study |
| title_full | Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study |
| title_fullStr | Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study |
| title_full_unstemmed | Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study |
| title_short | Secondhand Smoke Increases the Risk of Psychiatric Morbidity: A Population-based Longitudinal Cohort Study |
| title_sort | secondhand smoke increases the risk of psychiatric morbidity a population based longitudinal cohort study |
| topic | epidemiologic study longitudinal cohort psychiatric morbidity risk factors secondhand smoke smoking |
| url | https://journals.lww.com/10.4103/shb.shb_341_24 |
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