Ruopeng An1, Xiaoling Xiang2. 1. Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, USA. Electronic address: ran5@illinois.edu. 2. Feinberg School of Medicine, Northwestern University, USA.
Abstract
OBJECTIVE: To examine the relationship between smoking, heavy drinking and depression among U.S. middle-aged and older adults. METHOD: Individual-level data came from 1992-2012 waves of the Health and Retirement Study. Smoking was ascertained from self-reported cigarette smoking status at the time of interview. Heavy drinking was defined as one or more drinks per day on average or four or more drinks on any occasion in the past three months for women, and two or more drinks per day on average or four or more drinks on any occasion in the past three months for men. Depression was defined as scoring three and above on the eight-item Center for Epidemiologic Studies Depression Scale. Cox proportional hazards regressions were performed to examine the relationship between smoking, heavy drinking and depression. RESULTS: Compared to non-smokers, smokers free from depression and heavy drinking at baseline were 20% (95% confidence interval: 12-28%) and 34% (20-50%) more likely to develop depression and engage in heavy drinking during follow-up period, respectively. Compared to non-depressed participants, participants with depression who were nonsmokers and non-heavy drinkers at baseline were 41% (14-74%) and 18% (6-31%) more likely to smoke and engage in heavy drinking during follow-up, respectively. Compared to non-heavy drinkers, heavy drinkers who were nonsmokers at baseline were 60% (26-104%) more likely to smoke during follow-up. CONCLUSION: Health promotion programs in midlife and older age should be mindful of the associations between smoking, heavy drinking and depression in order to improve intervention effectiveness.
OBJECTIVE: To examine the relationship between smoking, heavy drinking and depression among U.S. middle-aged and older adults. METHOD: Individual-level data came from 1992-2012 waves of the Health and Retirement Study. Smoking was ascertained from self-reported cigarette smoking status at the time of interview. Heavy drinking was defined as one or more drinks per day on average or four or more drinks on any occasion in the past three months for women, and two or more drinks per day on average or four or more drinks on any occasion in the past three months for men. Depression was defined as scoring three and above on the eight-item Center for Epidemiologic Studies Depression Scale. Cox proportional hazards regressions were performed to examine the relationship between smoking, heavy drinking and depression. RESULTS: Compared to non-smokers, smokers free from depression and heavy drinking at baseline were 20% (95% confidence interval: 12-28%) and 34% (20-50%) more likely to develop depression and engage in heavy drinking during follow-up period, respectively. Compared to non-depressed participants, participants with depression who were nonsmokers and non-heavy drinkers at baseline were 41% (14-74%) and 18% (6-31%) more likely to smoke and engage in heavy drinking during follow-up, respectively. Compared to non-heavy drinkers, heavy drinkers who were nonsmokers at baseline were 60% (26-104%) more likely to smoke during follow-up. CONCLUSION: Health promotion programs in midlife and older age should be mindful of the associations between smoking, heavy drinking and depression in order to improve intervention effectiveness.
Authors: Marilisa Berti de Azevedo Barros; Margareth Guimarães Lima; Renata Cruz Soares de Azevedo; Lhais Barbosa de Paula Medina; Claudia de Souza Lopes; Paulo Rossi Menezes; Deborah Carvalho Malta Journal: Rev Saude Publica Date: 2017-06-01 Impact factor: 2.106
Authors: Myrthe C Bruin; Hannie C Comijs; Rob M Kok; Roos C Van der Mast; Julia F Van den Berg Journal: Int J Geriatr Psychiatry Date: 2018-04-24 Impact factor: 3.485