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Relationship between Secondhand Smoke Exposure and Depressive Symptoms: A Systematic Review and Dose–Response Meta-Analysis

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  • Changlin Han

    (School of Public Health, Guangdong Pharmaceutical University, 283 Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

  • Yangqun Liu

    (School of Public Health, Guangdong Pharmaceutical University, 283 Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

  • Xiao Gong

    (School of Public Health, Guangdong Pharmaceutical University, 283 Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

  • Xiaohua Ye

    (School of Public Health, Guangdong Pharmaceutical University, 283 Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

  • Junli Zhou

    (School of Public Health, Guangdong Pharmaceutical University, 283 Jianghai Dadao, Haizhu District, Guangzhou 510310, China)

Abstract

Previous studies have suggested an association between secondhand smoke (SHS) exposure and risk of depressive symptoms. However, it remains unclear whether there is a dose–response relationship. The effect estimates were pooled using fixed-effect or random-effect models based on homogeneity analysis. The dose–response meta-analysis was performed by linear and non-linear regression. Subgroup analyses were conducted to explore the possible sources of heterogeneity. Twenty-four studies were included in this meta-analysis. SHS exposure was significantly associated with increased odds of depressive symptoms (odds ratio (OR) = 1.32, 95% confidence interval (CI) 1.25–1.39). For SHS exposure expressed as an ordinal variable, the dose–response meta-analysis revealed a monotonically increasing relationship between SHS exposure and depressive symptoms. A similar dose–response relationship was observed for SHS exposure expressed as a continuous variable (OR = 1.57, 95% CI = 1.26–1.87). Our findings suggest that SHS exposure is associated with increasing odds of depressive symptoms in a dose–response manner.

Suggested Citation

  • Changlin Han & Yangqun Liu & Xiao Gong & Xiaohua Ye & Junli Zhou, 2019. "Relationship between Secondhand Smoke Exposure and Depressive Symptoms: A Systematic Review and Dose–Response Meta-Analysis," IJERPH, MDPI, vol. 16(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1356-:d:223006
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    References listed on IDEAS

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    2. Sònia Torres & Carla Merino & Beatrix Paton & Xavier Correig & Noelia Ramírez, 2018. "Biomarkers of Exposure to Secondhand and Thirdhand Tobacco Smoke: Recent Advances and Future Perspectives," IJERPH, MDPI, vol. 15(12), pages 1-25, November.
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    4. Jingya Huang & Bin Xu & Dan Guo & Ting Jiang & Wei Huang & Guocong Liu & Xiaohua Ye, 2018. "Dose–Response Relationships between Second-Hand Smoke Exposure and Depressive Symptoms among Adolescents in Guangzhou, China," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    5. Nicola Orsini & Rino Bellocco & Sander Greenland, 2006. "Generalized least squares for trend estimation of summarized dose–response data," Stata Journal, StataCorp LP, vol. 6(1), pages 40-57, March.
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    Cited by:

    1. van der Eijk, Yvette & Woh, Joanne, 2023. "Is secondhand smoke associated with mental health issues? A narrative review of the evidence and policy implications," Health Policy, Elsevier, vol. 136(C).
    2. Markus Braun & Doris Klingelhöfer & Gerhard M. Oremek & David Quarcoo & David A. Groneberg, 2020. "Influence of Second-Hand Smoke and Prenatal Tobacco Smoke Exposure on Biomarkers, Genetics and Physiological Processes in Children—An Overview in Research Insights of the Last Few Years," IJERPH, MDPI, vol. 17(9), pages 1-25, May.

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