한국 청소년의 간접흡연 노출과 범불안장애와의 연관성에 관한 연구: 제17차 청소년건강행태온라인조사를 이용하여

• Published in: 보건정보통계학회지 Vol. 47; no. 3; pp. 222 - 231
• Main Authors: 신효민, Hyo-min Shin, 이상준, Sang-jun Lee, 고우림, Woo-rim Ko, 정재연, Jae-yeon Jeong, 고상백, Sang-baek Koh, 도경이, Kyung-yi Do
• Format: Journal Article
• Language: Korean
• Published: 한국보건정보통계학회 30.08.2022
• Subjects: Adolescents; Anxiety disorders; Korea; Tobacco smoke pollution; 예방의학
• ISSN: 2465-8014; 2465-8022
• DOI: 10.21032/jhis.2022.47.3.222

Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 students who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi-square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of exposure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public awareness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.