Perceived Loneliness, Peer, and Parental Relationship With Smoking: A Cross-Sectional Analysis of Adolescents Across South-East Asia

McClure-Thomas, Caitlin; Lim, Carmen; Sebayang, Susy Katikana; Fausiah, Fitri; Gouda, Hebe; Leung, Janni

doi:10.1177/10105395221115220

Cited by 3 publications

(3 citation statements)

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“…There is substantial evidence for the impact of loneliness on substance use in adolescents. Adolescents who felt lonely were at 1.75, 1.80, and 1.55 times higher risk of smoking [ 22 ], alcohol consumption [ 9 ], and habitual drug use [ 8 ], respectively, than those who felt less lonely. A study by Ingram et al [ 4 ] showed that participants relied on substance use because they had no other way of escaping periods of loneliness or loneliness-related pain.…”

Section: Discussionmentioning

confidence: 99%

The Mediating Effect of Depression on the Relationship between Loneliness and Substance Use in Korean Adolescents

Kim

2024

Behavioral Sciences

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Substance use among adolescents is a major emerging health problem worldwide. Although loneliness and depression are major risk factors for substance use, few studies have examined the relationship between loneliness, depression, and substance use in adolescents. This study aimed to determine the mediating effect of depression on the relationship between loneliness and substance use among Korean adolescents, based on the data from 53,310 adolescents from the 17th Korea Youth Risk Behavior Web-based Survey in 2021. Using a complex sample analysis module, hierarchical logistic regression analysis was employed to confirm the mediating effect of depression on the relationship between loneliness and substance use. The results showed that loneliness and depression have a significant effect on substance use (smoking, drinking alcohol, and drug use). Depression was found to have a partial mediating effect on the relationship between loneliness and substance use. Overall, the results suggested that loneliness and depression in adolescents increase substance use, and loneliness can affect substance use through depression. Therefore, proactive strategies to prevent and reduce loneliness and depression in adolescents can be effective in preventing substance use.

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Section: Discussionmentioning

confidence: 99%

The Mediating Effect of Depression on the Relationship between Loneliness and Substance Use in Korean Adolescents

Kim

2024

Behavioral Sciences

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“…In addition, smoking reduces hunger, which makes more women continue to smoke to control their weight [ 36 ]. Also being in a social environment that is more susceptible to anxiety and depression is a barrier to quitting [ 37 ]. A study in China found that in 1990, the focus of female tobacco control was passive smoking, but in 2017, smoking and passive smoking became equally crucial for female tobacco control [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Trends of ischemic heart disease mortality attributable to smoking in the five countries with the highest number of smokers during 1990–2019: an age-period-cohort analysis

Tang,

Meng,

Zhao

et al. 2024

Arch Med Sci

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IntroductionSmoking increases the risk of various cardiovascular diseases, including ischemic heart disease (IHD). This study aimed to assess the impact of age, period, and cohort on long-term trends in IHD mortality in China, India, Indonesia, the United States, and Russia, the five countries with the highest number of smokers, from 1990 to 2019.Material and methodsThe data were obtained from the Global Burden of Disease (GBD) Study 2019, and the age-standardized mortality rate (ASMR) was calculated. Joinpoint regression analysis was used to assess the magnitude and direction of trends in smoking-attributable mortality from IHD. Age-period-cohort (APC) studies were used to estimate net drift (estimated annual percentage change (EAPC)s), local drift (age-specific EAPCs), and independent trends in age, period, and cohort effects.ResultsThe analysis revealed a significant downward trend in ASMRs attributable to IHD as a result of smoking in the United States, India, and Russia. Indonesia and China showed an upward trend. Age effects were increasing for both country and sex, with China showing the most significant increase in the older age group; period effects were decreasing in all countries except Indonesia, and cohort effects were increasing only in Indonesia and China.ConclusionsFrom 1990 to 2019, mortality from IHD caused by smoking showed a downward trend in these five countries. However, the pattern of increased mortality from IHD in women caused by smoking warrants further study.

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“…According to the present data, loneliness affects people’s behavior, specifically behaviors that may be involved in the deterioration of physical health, such as smoking, drinking, lack of physical activity, and increased body weight. There is evidence that loneliness is associated with smoking or lower possibilities of quitting smoking, especially when loneliness co-exists with self-reported emotional problems [ 13 ], while lack of close friends and loneliness have also been related to smoking [ 49 ]. Studying behavioral risk factors is also challenging, although their separate effects on chronic disease occurrence [ 23 , 50 ] and all-cause mortality [ 51 ] are already known.…”

Section: Discussionmentioning

confidence: 99%

Exploring Loneliness, Trust, and Psychosocial Meanings Among Primary Care Attendees: A Cross-Sectional Study From a General Practice Setting in Crete, Greece

Volkos,

Linardakis,

Stamati

et al. 2024

Cureus

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Introduction: Loneliness is often associated with behavioral, psychological, social, and mental and physical health aspects, while the relationship between trust and loneliness is still challenging in terms of research. The present study aimed to investigate to what extent loneliness and trust interact and if there is any association between loneliness and routine events or behaviors that affect overall well-being.Methods: This cross-sectional sample of 120 participants, aged between 40 and 75 years, was collected from an urban Primary Health Care Unit, between May and July 2023, in a consecutive manner, after criteria application. The University of California, Los Angeles (UCLA) Loneliness Scale (Version 3) and the Personal Trust and Connections Scale (PerTC) were completed. Hierarchical multiple linear regression analysis in steps and multiple logistic regression analysis were performed.Results: The mean age of the participants was 59.8 years and the majority were females (73.3%). Only 10.8% were found to have no Behavioral Risk Factors (BRFs). A higher sense of loneliness was associated with being widowed/unmarried/divorced (unstandardized β=-4.10, p=0.045), not having children (β=-2.80, p=0.038), having more BRFs (β=2.03, p=0.032), or being in contact with fewer friends (β=-0.56, p<0.001). A higher sense of loneliness was related to lower levels of trust (β=-1.29, p=0.032). Lower odds of demonstrating high levels of loneliness were found among married individuals (odds ratio (OR): 0.38; 95% confidence interval (CI) 0.15, 0.95; p=0.039) and those who reported six or more routine contacts or meetings with friends (OR: 0.31; 95% CI 0.13, 0.74; p=0.008). A lower score on the total PerTC scale was related to higher odds of increased loneliness (OR: 2.78; 95%CI 1.01, 7.62; p=0.048). Conclusion:Being married and coming in contact or meeting with more friends was associated with lower odds of reporting high feelings of loneliness, while lower trust was correlated with increased odds of loneliness. Also, persons with more BRFs were found to have a higher loneliness score. Given their inverse correlation, tools that measure levels of loneliness and trust, like the UCLA and PerTC scales, may be used within primary care consultation to offer new insights on health risk behaviors and their possible synergistic influences.

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Perceived Loneliness, Peer, and Parental Relationship With Smoking: A Cross-Sectional Analysis of Adolescents Across South-East Asia

Cited by 3 publications

References 30 publications

The Mediating Effect of Depression on the Relationship between Loneliness and Substance Use in Korean Adolescents

The Mediating Effect of Depression on the Relationship between Loneliness and Substance Use in Korean Adolescents

Trends of ischemic heart disease mortality attributable to smoking in the five countries with the highest number of smokers during 1990–2019: an age-period-cohort analysis

Exploring Loneliness, Trust, and Psychosocial Meanings Among Primary Care Attendees: A Cross-Sectional Study From a General Practice Setting in Crete, Greece

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