Association between electronic cigarette use and depression among Thai adolescents: The Thailand National Health Examination Survey 2019-2020
Issued Date
2022-11-01
Resource Type
eISSN
16179625
Scopus ID
2-s2.0-85144583555
Journal Title
Tobacco Induced Diseases
Volume
20
Issue
November
Rights Holder(s)
SCOPUS
Bibliographic Citation
Tobacco Induced Diseases Vol.20 No.November (2022)
Suggested Citation
Patanavanich R., Vityananan P., Neelapaichit N., Chariyalertsak S., Kessomboon P., Assanangkornchai S., Taneepanichskul S., Aekplakorn W. Association between electronic cigarette use and depression among Thai adolescents: The Thailand National Health Examination Survey 2019-2020. Tobacco Induced Diseases Vol.20 No.November (2022). doi:10.18332/tid/155333 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85381
Title
Association between electronic cigarette use and depression among Thai adolescents: The Thailand National Health Examination Survey 2019-2020
Other Contributor(s)
Abstract
INTRODUCTION Depression and e-cigarette use among adolescents are two health burdens. However, the association between these dual problems have been less studied, especially in low- and middle-income countries. This study examined the association between depression and e-cigarette use among adolescents in Thailand. METHODS This cross-sectional study used the sub-sample of the sixth Thai National Health Examination Survey conducted between 2019 and 2020. A total of 4237 adolescents aged 10-19 years were included. Self-reported depression was captured using the 20-item Centre for Epidemiologic Studies Depression Scale (CES-D). We applied a complex survey multiple logistic regression to assess whether e-cigarette use was associated with depression. RESULTS The mean age of the participants was 14.6 years, 5.3% were ever e-cigarette users, and 2.9% were current e-cigarette users. 37.8% of the participants were categorized at risk for depression. Among e-cigarette users, 51.6% of ever e-cigarette users and 52.9% of current e-cigarette users were at risk for depression. Multiple logistic regression revealed that ever e-cigarette users were at higher risk for depression (AOR=1.66; 95% CI: 1.02-2.71; p=0.042) than never e-cigarette users. Current e-cigarette was not associated with a higher risk for depression (AOR=1.37; 95% CI: 0.77-2.45; p=0.263). CONCLUSIONS E-cigarette use and depression among adolescents are global public health concerns. There is also a need for effective screening, prevention, and intervention to reduce adverse outcomes of e-cigarette use and depression. In addition, the government should strengthen current policies and close legal loopholes to prevent the tobacco industry tactics and keep e-cigarettes away from adolescents.