Journal of Preventive Medicine and Public Health

Original Article

Modifying Effect of Suicidal Ideation on the Relationship Between Asthma and Cigarette Use Behaviors Among Korean Adolescents: Jisuk Bae, Eun Young Park, Soon-Woo Park; J Prev Med Public Health. 2011;44(3):118-124. Published online May 17, 2010; DOI: https://doi.org/10.3961/jpmph.2011.44.3.118

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Objectives

Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents.

Methods

We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and non-asthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation.

Results

Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors.

Conclusions

This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

Summary

Citations

Citations to this article as recorded by

Asthme et comportements suicidaires chez les adolescents: revue systématique
M. Underner, G. Peiffer, J. Perriot, I. De Chazeron, N. Jaafari
Revue des Maladies Respiratoires.2022; 39(4): 344. CrossRef
Association between Asthma and Suicidality in 9–12-Year-Old Youths
Kevin W. Hoffman, Elina Visoki, Stirling T. Argabright, Laura M. Schultz, Grace E. Didomenico, Kate T. Tran, Joshua H. Gordon, Barbara H. Chaiyachati, Tyler M. Moore, Laura Almasy, Ran Barzilay
Brain Sciences.2022; 12(12): 1602. CrossRef
Suicidality among patients with asthma: A systematic review and meta-analysis
Yan Zhang, Jun Cheng, Yuanyuan Li, Ruoxi He, Abira A Choudhry, Juan Jiang, Pinhua Pan, Xiaoli Su, Chengping Hu
Journal of Affective Disorders.2019; 256: 594. CrossRef
Asthma and other allergic diseases in relation to suicidal behavior among South Korean adolescents
Chang Hoon Han, Jae Ho Chung
Journal of Psychosomatic Research.2018; 115: 94. CrossRef
The relationship between asthma and suicidal behaviours: a systematic literature review
Emma Barker, Kairi Kõlves, Diego De Leo
European Respiratory Journal.2015; 46(1): 96. CrossRef

English Abstract

Effects of Long-term Fluoride in Drinking Water on Risks of Hip Fracture of the Elderly: An Ecologic Study Based on Database of Hospitalization Episodes.: Eun Young Park, Seung Sik Hwang, Jai Yong Kim, Soo Hun Cho; J Prev Med Public Health. 2008;41(3):147-152.; DOI: https://doi.org/10.3961/jpmph.2008.41.3.147

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Abstract PDF

OBJECTIVES
Fluoridation of drinking water is known to decrease dental caries, particularly in children. However, the effects of fluoridated water on bone over several decades are still in controversy. To assess the risk of hip fracture related to water fluoridation, we evaluated the hip fracture-related hospitalizations of the elderly between a fluoridated city and non-fluoridated cities in Korea. METHODS: Cheongju as a fluoridated area and Chungju, Chuncheon, Suwon, Wonju as non-fluoridated areas were chosen for the study. We established a database of hip fracture hospitalization episode based on the claims data submitted to the Health Insurance Review Agency from January 1995 to December 2002. The hip fracture hospitalization episodes that satisfied the conditions were those that occurred in patients over 65 years old, the injuries had a hip fracture code (ICD-9 820, ICD-10 S72) and the patients were hospitalized for at least 7days. A total of 80,558 cases of hip fracture hospitalization episodes were analyzed. RESULTS: The admission rates for hip fracture increased with the age of the men and women in both a fluoridated city and the non-fluoridated cities (p<0.01). The relative risk of hip fracture increased significantly both for men and women as their age increased. However, any difference in the hip fracture admission rates was not consistently observed between the fluoridated city and the nonfluoridated cities. CONCLUSIONS: We cannot conclude that fluoridation of drinking water increases the risk of hip fracture in the elderly.

Summary

Citations

Citations to this article as recorded by

The Association between Community Water Fluoridation and Bone Diseases: A Natural Experiment in Cheongju, Korea
Naae Lee, Sungchan Kang, Woojoo Lee, Seung-sik Hwang
International Journal of Environmental Research and Public Health.2020; 17(24): 9170. CrossRef
Community water fluoridation and health outcomes in England: a cross‐sectional study
Nicholas Young, John Newton, John Morris, Joan Morris, John Langford, Jonathan Iloya, Diane Edwards, Semina Makhani, Julia Verne
Community Dentistry and Oral Epidemiology.2015; 43(6): 550. CrossRef
Exposure to Fluoride in Drinking Water and Hip Fracture Risk: A Meta-Analysis of Observational Studies
Xin-Hai Yin, Guang-Lei Huang, Du-Ren Lin, Cheng-Cheng Wan, Ya-Dong Wang, Ju-Kun Song, Ping Xu, Yi-Hsiang Hsu
PLOS ONE.2015; 10(5): e0126488. CrossRef
Effects of Life-long Fluoride Intake on Bone Measures of Adolescents
S.M. Levy, J.J. Warren, K. Phipps, E. Letuchy, B. Broffitt, J. Eichenberger-Gilmore, T.L. Burns, G. Kavand, K.F. Janz, J.C. Torner, C.A. Pauley
Journal of Dental Research.2014; 93(4): 353. CrossRef

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