Secondhand smoke exposure and mental health in adults: a meta-analysis of cross-sectional studies

Zeng, Yanni; Li, Yamin

doi:10.1007/s00127-015-1164-5

Cited by 33 publications

(22 citation statements)

References 55 publications

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“…While some studies have found no association between tobacco use and STS (Craun & Bourke ), other studies have shown that nicotine has anxiolytic effects that may alleviate some symptoms of anxiety and traumatic stress (Kutlu et al ; Morissette et al ). Conversely, since recent studies have demonstrated that second‐hand tobacco smoke exposure is associated with addictive behaviours and psychological distress (Okoli ; Zeng & Li ), greater second‐hand tobacco smoke exposure may increase a person's vulnerability to STS, but this association is merely speculative at this point. In addition, having a history of a behavioural health problem and recent alcohol use were variables also associated with BO, as has been found in other studies (Creedy et al ; Guo et al ; Rath et al ).…”

Section: Discussionmentioning

confidence: 99%

A cross‐sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre

Okoli

Seng

Otachi

et al. 2019

Int J Mental Health Nurs

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Compassion satisfaction (CS) among healthcare professionals is a sense of gratification derived from caring for their suffering patients. In contrast, compassion fatigue, often a consequence of burnout (BO) and secondary traumatic stress (STS), is detrimental to healthcare professionals' productivity and patient care. While several studies have examined CS, BO, and STS among healthcare professionals, the majority have assessed samples in specific disciplines. However, the comparative differences in these factors by discipline or work setting are not well known. The aims of this study were to examine the differences in CS, BO, and STS by discipline and work setting, and to assess demographic, work-related, and behavioural factors associated with these outcomes. An electronic survey was administered (N = 764) at a large academic medical centre in the southeast United States. Questions elicited demographic variables, workrelated factors, behavioural/lifestyle factors, experience with workplace violence, and the Professional Quality of Life Scale. Findings of the study determined that the rates of CS, BO, and STS vary across healthcare disciplines and work settings. Demographic, work-related, behavioural, and work setting (i.e., experience of workplace violence) factors were differentially associated with experiences of CS, BO, and STS. The results of the study suggest two potential areas for research, specifically workplace violence and sleep quality as a means of further understanding reduced CS and increased BO and STS among healthcare workers. These findings have important implications for future research and policy interventions to enhance healthcare workers' health and safety.

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Section: Discussionmentioning

confidence: 99%

A cross‐sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre

Okoli

Seng

Otachi

et al. 2019

Int J Mental Health Nurs

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“…Epidemiology evidence about the relation between SHS exposure and depressive symptoms has been reported mainly among adults [ 14 , 15 , 16 , 17 , 18 , 19 ], and current evidence is inconsistent. A few studies have demonstrated significant relations [ 14 , 15 , 16 , 17 , 18 ], while a nonsignificant relation was found in another report [ 19 ]. Compared to the number of studies on adults, few studies report on this relation in adolescents [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Dose–Response Relationships between Second-Hand Smoke Exposure and Depressive Symptoms among Adolescents in Guangzhou, China

Huang

Guo

et al. 2018

IJERPH

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There has been little focus on the possible association between second-hand smoke (SHS) exposure and depressive symptoms among adolescents. Thus, this study aimed to explore the dose–response relationships between SHS exposure and depressive symptoms among adolescents and differentiate these associations in setting-specific exposure and severity-specific outcomes. A cross-sectional study was conducted using a stratified cluster sampling method to obtain a representative sample of high school students in Guangzhou, China. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Univariable and multivariable logistic regression models were used to explore the potential associations between SHS exposure and depressive symptoms. Among 3575 nonsmoking students, 29.6% were classified as having probable depressive symptoms and 9.6% had severe depressive symptoms. There were monotonically increasing dose–response relationships between setting-specific (public places, homes, or indoor/outdoor campuses) SHS exposure and severity-specific (probable or severe) depressive symptoms. When examining these relations by source of exposure, we also observed similar dose–response relationships for SHS exposure in campuses from smoking teachers and from smoking classmates. Our findings suggest that regular SHS exposure is associated with a significant, dose-dependent increase in risk of depressive symptoms among adolescents, and highlight the need for smoke-free environments to protect the health of adolescents.

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“…However, the potential relationship between SHS exposure and depressive disorders has not been well established. Although there is increasing evidence for this association, the current findings are inconsistent [13,14,15,16,17,18,19,20]. For example, SHS exposure was significantly associated with increased risk of depressive symptoms in some studies [15,16], but non-significant relations were observed in other studies [14].…”

Section: Introductionmentioning

confidence: 94%

Setting-Specific and Symptom-Specific Association between Secondhand Smoke Exposure and Depressive Symptoms

Huang

Xia

et al. 2019

IJERPH

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Few studies have focused on the potential relationship between secondhand smoke (SHS) exposure and depressive symptoms. This study aimed to explore the potential association between SHS exposure and depressive symptoms and differentiate this association in setting-specific exposure and symptom-specific outcomes. A cross-sectional study was conducted in Guangdong province of China from September to December 2010 using a multistage sampling method to randomly sample adults aged 18 years and older. SHS exposure was defined as inhalation by non-smokers of the smoke exhaled from smokers for at least 1 day a week in the past 30 days. Depressive symptoms were measured using the nine-item Patient Health Questionnaire. The zero-inflate negative binomial regression models were used to explore the associations between SHS exposure and depressive symptoms. A total of 2771 non-smokers were included in this study, with mean age of 49.6 ± 14.0 years and 70.3% of females. The prevalence of depressive symptoms was significantly higher in participants with SHS exposure than in those without exposure (incidence rate ratio (IRR) = 1.32, 95% confidence interval (CI) 1.16–1.51), and there were similar positive associations for SHS exposure in medical facilities (IRR = 1.37, 95% CI 1.17–1.61) and in schools (IRR = 1.46, 95% CI 1.20–1.77). Notably, there was a monotonically increasing dose-response relationship between frequency of SHS exposure and depressive symptoms. When differentiating this relationship by the dimensions of depressive symptoms, there were similar dose-response relationships for cognitive-affective and somatic symptoms. When differentiating this relationship by sex, only females showed a significant dose-response relationship. Our findings suggest dose-response relationships between SHS exposure and depressive symptoms in sex-specific and symptom-specific manners. Future longitudinal studies are needed to establish the biological mechanisms of the impact of SHS exposure.

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Secondhand smoke exposure and mental health in adults: a meta-analysis of cross-sectional studies

Abstract: Exposure to SHS among non-smoker is associated with depressive symptoms and psychological distress, emphasizing the significance of reducing SHS exposure at a population level.

Cited by 33 publications

References 55 publications

A cross‐sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre

A cross‐sectional examination of factors associated with compassion satisfaction and compassion fatigue across healthcare workers in an academic medical centre

Dose–Response Relationships between Second-Hand Smoke Exposure and Depressive Symptoms among Adolescents in Guangzhou, China

Setting-Specific and Symptom-Specific Association between Secondhand Smoke Exposure and Depressive Symptoms

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