American Journal of Epidemiology, Vol 152, Issue 7 651-657, Copyright © 2000 by Oxford University Press
K Ismail, A Sloggett and B De Stavola
A prospective panel cohort design was used to investigate whether mental
disorders common in the general population increase the likelihood of
increased cigarette smoking at 12 months follow-up. By 1995, the last year
for which data were available, a random sample of 12,057 persons aged 16-75
years residing in private households in Great Britain had been recruited.
At each of five annual waves, the main exposure, past mental disorder, was
derived from assessments of psychiatric morbidity as measured by the
General Health Questionnaire- 12. Increased cigarette smoking was derived
from observations of number of cigarettes smoked and was defined by an
increase of five or more per day relative to the previous calendar year.
After logistic regression analysis, persons with a common mental disorder
were about 30% more likely to have increased their cigarette smoking over
the previous year (odds ratio = 1.29, 95% confidence interval: 1.16, 1.43).
The estimated effect in the youngest (16-21 years) and oldest (51-75 years)
age groups was higher than that in the middle (31-50 years) age group (odds
ratios = 1.50, 1.57, and 1.12, respectively; test for interaction, chi2 =
6.8 (3 df), p = 0.078). These findings indirectly support the hypothesis
that common mental disorders may have an enduring effect of increasing
cigarette smoking a year later.
ARTICLES
Do common mental disorders increase cigarette smoking? Results from five waves of a population-based panel cohort study
Department of Psychological Medicine, Guy's, King's and St. Thomas' School of Medicine, London, England, United Kingdom. khalida.ismail@iop.kcl.ac.uk
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