ArticleInternational journal of behavioral medicine2015
Joint Association of Active and Passive Smoking with Psychiatric Distress and Violence Behaviors in a Representative Sample of Iranian Children and Adolescents: the CASPIAN-IV Study.
Article in International journal of behavioral medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Unhealthy behaviors associated with mental health disorders: a systematic comparative review of diet quality, sedentary behavior, and cannabis and tobacco use.Frontiers in public health · 2023Pooled it
- Relationship Between Secondhand Smoke Exposure and Depressive Symptoms: A Systematic Review and Dose⁻Response Meta-Analysis.International journal of environmental research and public health · 2019Pooled it
- Secondhand smoke exposure and mental health in adults: a meta-analysis of cross-sectional studies.Social psychiatry and psychiatric epidemiology · 2016Pooled it
- Is passive smoking associated with acute stress response? An observational real-world study.Frontiers in public health · 2026Observational
- Association between secondhand smoke exposure and anxiety among adolescents: A nationwide cross-sectional study.Tobacco induced diseases · 2024Article
- The Association between Physical Environment and Externalising Problems in Typically Developing and Neurodiverse Children and Young People: A Narrative Review.International journal of environmental research and public health · 2023Review
- Socioeconomic inequality in violent behaviors, life dissatisfaction, and self-rated health in pediatric population: the CASPIAN-V study.BMC psychiatry · 2022Article
- Trend of passive smoking and associated factors in Iranian children and adolescents: the CASPIAN studies.BMC public health · 2022Article
- Classification of psychiatric symptoms using deep interaction networks: the CASPIAN-IV study.Scientific reports · 2021Article
- Prevalence and correlates of lifestyle behavior, anxiety and depression in Chinese college freshman: A cross-sectional survey.International journal of nursing sciences · 2021Article
- Determining correlates of the average number of cigarette smoking among college students using count regression models.Scientific reports · 2020Article
- Application of group smoothly clipped absolute deviation method in identifying correlates of psychiatric distress among college students.BMC psychiatry · 2020Article
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- Factors associated with current tobacco use among adolescents and young students.Jornal de pediatriaArticle
- Effect of parent-child relationship on physical aggression among adolescents: Global school-based student health survey.Health psychology openArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health and smoking have been receiving increasing attention in adolescents all over the world. Although some studies have assessed the independent association of active/passive smoking with mental health, joint association of active and passive smoking with mental health remains unclear. PURPOSE: This study was designed to evaluate the joint association of smoking status (active and passive smoking) with psychiatric distress and violent behaviors in Iranian children and adolescents.
methodIn this national survey, 13,486 students, aged 6-18 years, living in rural and urban areas of 30 provinces of Iran were selected via multistage, cluster sampling method. Psychiatric distress (including worthless, angriness, worrying, insomnia, confusion, depression, and anxiety), violence behaviors (including bullying, victim, and physical fight), and smoking status (nonsmoker, only passive smoker, only active smoker, and active and passive smoker) were assessed. The questionnaire was prepared based on the World Health Organization Global School-based Student Health Survey (WHO-GSHS). Data were analyzed by the Stata package.
resultsPsychiatric distress and violent behaviors had linearly positive association with smoking status (p trend < 0.001). Compared to "nonsmoker" group, participants who were exposed to passive smoking besides active tobacco use were at increased risk of having angriness (odds ratio (OR) 2.55, 95 % confidence interval (CI) 1.86-3.48), worrying (OR 1.66, 95 % CI 1.24-2.20), and anxiety (OR 1.99, 95 % CI 1.52-2.61) and victim (OR 1.77, 95 % CI 1.34-2.33) and bully behaviors (OR 3.08, 95 % CI 2.33-4.07).
conclusionThe current findings suggest that active and passive tobacco smoking has synergistic effect on psychiatric distress. Since majority of smokers with psychiatric distress do not receive mental health services or counseling on smoking, strategies to address mental health problems and smoking prevention should be included as a part of school health services.
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