菸、酒、檳榔使用行為與憂鬱症狀之相關性探討

Using Bevior of Tobacco, Alcohol, and Betel Nuts and Depressive symptoms Among Adults in Taiwan

謝侑伶(Yu-Lin Hsieh)

指導教授 ： 郭乃文

臺北醫學大學/公共衛生暨營養學院/醫務管理學研究所/碩士(2007年)

https://doi.org/10.6831/TMU.2007.00074

摘要

目的：探討菸、酒、檳榔使用行為與憂鬱症狀之關係。
方法：資料來自「民國91年台灣地區國民健康促進知識、態度與行為調查」，選取15歲以上民眾為母體，採取分層抽樣法與PPS(Probability Proportional to Size)抽樣，本研究選取18歲以上成年人25,517位為研究樣本，扣除訪談代答與填答不全，共24,662位，憂鬱症狀以台灣憂鬱篩選問卷評估，以總分大於或等於19分者，界定為有憂鬱症狀者。經權數調整後，以百分比描述樣本特性與分佈，最後並以羅吉斯迴歸分析，試圖尋找最適合預測憂鬱症狀的迴歸模型。
結果：研究結果發現有憂鬱症狀者有1214位，佔5.24%，女性憂鬱症狀比率高於男性(6.67% vs 3.83%)。女性、年齡、外省籍、其他省籍、離婚或分居、無工作、沒有收入者、個人月收入1-9,999元、有慢性疾病者者有較高憂鬱症狀危險性。使用多項式邏吉斯迴歸調整性別、年齡、籍貫、教育程度、婚姻狀況、工作型態、個人月收入、慢性疾病之結果顯示每日吸菸1-20支者其憂鬱症狀危險性為目前無吸菸者1.31倍(95%C.I. =1.09-1.57)，每日吸菸21-35支者其憂鬱症狀危險性為目前無吸菸者1.92倍(95%C.I. =1.20-3.10)，每日吸菸36支(含)以上者其憂鬱症狀危險性為目前無吸菸者2.18倍(95%C.I. =1.42-3.34)，飲酒程度微醺者其憂鬱症狀危險性為目前未飲酒者1.35倍(95%C.I. =1.05-1.74)，但每日嚼食檳榔量與憂鬱症狀並無達統計顯著相關性。
結論：本研究結果顯示憂鬱症狀與菸、酒使用有關係。臨床憂鬱相關治療與心理衛生預防政策應注意菸、酒使用關係，建議未來公共衛生與臨床治療應主動積極篩選評估，其早期發現，早期治療。

關鍵字

吸菸 ； 飲酒 ； 嚼食檳榔 ； 憂鬱症狀

並列摘要

Aims: This study aimed to investigate and explore the association between depression symptoms and readily-substance-use behaviors, such as smoking, drinking and betel nut chewing.
Methods: The subjects were selected from registered permanent residents and aged over 18 years old in Taiwan from 2002 National Survey on Knowledge, Attitude and Practice of Health Promotion. Stratified sampling with selection probability proportional to size (PPS design) was used. There were 25,517 subjects in survey, and 24662 subjects analyzed. Depression symptoms were scored using Taiwanese Depression Questionnaire, score of 19 or more was defined as having depression symptoms. Wieghted prevalence, by gender, age, and response rate, was caculated and used in multivariate logistic regression model.
Results: The prevalence rate of depressive symptoms currently was 5.24%, and among female (6.67%) was singinificantly higher than male (3.83%). .Female gender, age, immigrant, separated or divorce, unemployment, income under 10,000, and physical illiness had associated with a higher level of depressive symptoms.
Multivariate logistic regression analysis adjusting for gender, age, province, education, married status, oppupation, income, physical illiness showed that daily smoking cigarette over 35 had an odds ration of 2.18 (95%CI=1.42-3.34) for significant depressive symptoms compared to 21-35 cigarette (OR=1.92, 95%CI=1.20-3.10),1-20 cigarette (OR=1.31, 95%CI=1.09-1.57), and no smoking (OR=1), then middle consumption of drinking had an odds of 1.35 (95%CI=1.05-1.74) for significant depressive symptoms compared to non-drinking. But betel nuts baviors had not significant associtation of depressive symptoms.
Conclusions: Smoking and drinking behaviors were related to depression symptoms. The depression-associated treatment and prevention program should take smoking and drinking behaviors into account.

並列關鍵字

Tobacco ； Alcohol ； Betel nuts ； Depressive symptoms

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