ArticleInternational journal of environmental research and public health2018
Dose⁻Response Relationships between Second-Hand Smoke Exposure and Depressive Symptoms among Adolescents in Guangzhou, China.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- 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
- Associations of dietary patterns and screen time with depressive symptoms among adolescents in Shandong Province, China.BMC public health · 2025Article
- Is secondhand smoke exposure associated with depressive symptoms among secondary school students in Malaysia? Findings from a national school-based study.Tobacco induced diseases · 2025Article
- Article
- Adolescents' exposure to secondhand smoke and its association with susceptibility to smoking and mental health in Lagos, Nigeria.The Pan African medical journal · 2023Article
- Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature.Brain sciences · 2021Review
- Associations of exposure to secondhand smoke with hypertension risk and blood pressure values in adults.Environmental health and preventive medicine · 2021Article
- The prevalence of secondhand smoke exposure and related factors among schoolchildren in Northeast Thailand.F1000Research · 2020Article
- Malaysian adolescents' exposure to secondhand smoke in the car of their parents/guardians: A nationwide cross-sectional school-based study.Tobacco induced diseases · 2020Article
- Exposure to secondhand smoke in vehicles among Canadian adolescents: Years after the adoption of smoke-free car laws.Addictive behaviors reports · 2019Article
- Setting-Specific and Symptom-Specific Association between Secondhand Smoke Exposure and Depressive Symptoms.International journal of environmental research and public health · 2019Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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