Exposure to air pollution and tobacco smoking and their combined effects on depression in six low- and middle-income countries.

Journal: The British journal of psychiatry : the journal of mental science

Volume: 211

Issue: 3

Year of Publication: 2018

Affiliated Institutions:  Hualiang Lin, PhD, Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China; Yanfei Guo, MPH, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China; Paul Kowal, PhD, WHO SAGE, Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland and University of Newcastle Research Centre on Gender, Health and Ageing, Newcastle, Australia; Collins O. Airhihenbuwa, PhD, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA; Qian Di, PhD candidate, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA; Yang Zheng, MPH, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China; Xing Zhao, PhD, west China School of Public Health, Sichuan University, Chengdu, China; Michael G. Vaughn, PhD, Steven Howard, PhD, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA; Mario Schootman, PhD, Department of Epidemiology, College for Public Health and Social Justice, St Louis, Missouri, USA; Aaron Salinas-Rodriguez, MSc, Department Center for Evaluation and Survey Research, National Institute of Public Health, Mexico; Alfred E. Yawson, PhD, School of Public Health, University of Ghana, Ghana; Perianayagam Arokiasamy, PhD, Department of Development Studies, International Institute for Population Sciences, Mumbai, India, Betty Soledad Manrique-Espinoza, PhD, Department Center for Evaluation and Survey Research, National Institute of Public Health, Mexico; Richard B. Biritwum, MD, Department of Community Health, University of Ghana Medical School, Ghana; Stephen P. Rule, PhD, Impact Assessment Research Use & Impact Assessment, Human Sciences Research Council, South Africa; Nadia Minicuci, PhD, CNR, Neuroscience Institute, via Giustiniani, Padova, Italy; Nirmala Naidoo, MS, Somnath Chatterji, PhD, WHO SAGE, Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland; Zhengmin (Min) Qian, MD, PhD, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA; Wenjun Ma, PhD, Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China; Fan Wu, PhD, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China. Hualiang Lin, PhD, Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China; Yanfei Guo, MPH, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China; Paul Kowal, PhD, WHO SAGE, Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland and University of Newcastle Research Centre on Gender, Health and Ageing, Newcastle, Australia; Collins O. Airhihenbuwa, PhD, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA; Qian Di, PhD candidate, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA; Yang Zheng, MPH, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China; Xing Zhao, PhD, west China School of Public Health, Sichuan University, Chengdu, China; Michael G. Vaughn, PhD, Steven Howard, PhD, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA; Mario Schootman, PhD, Department of Epidemiology, College for Public Health and Social Justice, St Louis, Missouri, USA; Aaron Salinas-Rodriguez, MSc, Department Center for Evaluation and Survey Research, National Institute of Public Health, Mexico; Alfred E. Yawson, PhD, School of Public Health, University of Ghana, Ghana; Perianayagam Arokiasamy, PhD, Department of Development Studies, International Institute for Population Sciences, Mumbai, India, Betty Soledad Manrique-Espinoza, PhD, Department Center for Evaluation and Survey Research, National Institute of Public Health, Mexico; Richard B. Biritwum, MD, Department of Community Health, University of Ghana Medical School, Ghana; Stephen P. Rule, PhD, Impact Assessment Research Use & Impact Assessment, Human Sciences Research Council, South Africa; Nadia Minicuci, PhD, CNR, Neuroscience Institute, via Giustiniani, Padova, Italy; Nirmala Naidoo, MS, Somnath Chatterji, PhD, WHO SAGE, Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland; Zhengmin (Min) Qian, MD, PhD, College for Public Health and Social Justice, Saint Louis University, St Louis, Missouri, USA; Wenjun Ma, PhD, Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China; Fan Wu, PhD, Shanghai Municipal Centre for Disease Control and Prevention, Shanghai, China zqian@slu.edu.

Abstract summary 

Little is known about the joint mental health effects of air pollution and tobacco smoking in low- and middle-income countries.To investigate the effects of exposure to ambient fine particulate matter pollution (PM) and smoking and their combined (interactive) effects on depression.Multilevel logistic regression analysis of baseline data of a prospective cohort study ( = 41 785). The 3-year average concentrations of PM were estimated using US National Aeronautics and Space Administration satellite data, and depression was diagnosed using a standardised questionnaire. Three-level logistic regression models were applied to examine the associations with depression.The odds ratio (OR) for depression was 1.09 (95% C11.01-1.17) per 10 μg/m increase in ambient PM, and the association remained after adjusting for potential confounding factors (adjusted OR = 1.10, 95% CI 1.02-1.19). Tobacco smoking (smoking status, frequency, duration and amount) was also significantly associated with depression. There appeared to be a synergistic interaction between ambient PM and smoking on depression in the additive model, but the interaction was not statistically significant in the multiplicative model.Our study suggests that exposure to ambient PM may increase the risk of depression, and smoking may enhance this effect.

Authors & Co-authors:  Lin Hualiang H Guo Yanfei Y Kowal Paul P Airhihenbuwa Collins O CO Di Qian Q Zheng Yang Y Zhao Xing X Vaughn Michael G MG Howard Steven S Schootman Mario M Salinas-Rodriguez Aaron A Yawson Alfred E AE Arokiasamy Perianayagam P Manrique-Espinoza Betty Soledad BS Biritwum Richard B RB Rule Stephen P SP Minicuci Nadia N Naidoo Nirmala N Chatterji Somnath S Qian Zhengmin Min ZM Ma Wenjun W Wu Fan F

Study Outcome 

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Statistics
Citations :  Anwar J, Mpofu E, Matthews LR, Shadoul AF, Brock KE. Reproductive health and access to healthcare facilities: risk factors for depression and anxiety in women with an earthquake experience. BMC Public Health 2011; 11: 523.
Authors :  22
Identifiers
Doi : 10.1192/bjp.bp.117.202325
SSN : 1472-1465
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England