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Original Article

Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011

Hyun Sook Kim, Ph.D., RN1, Yunmi Kim, Ph.D., RN2, Yoon Hee Cho, Ph.D., RN
Korean Journal of Adult Nursing 2016;28(6):609-618.
Published online: December 31, 2016

1Associate Professor, College of Nursing, Eulji University, Seongnam, Korea.

2Professor, College of Nursing, Eulji University, Seongnam, Korea.

Corresponding author: Kim, Yunmi. College of Nursing, Eulji University, 553 Sanseong-daero, Sujeong-gu, Seongnam 13135, Korea. Tel: +82-31-740-7183, Fax: +82-31-740-7359, kyunm@eulji.ac.kr
• Received: August 10, 2016   • Revised: November 17, 2016   • Accepted: November 28, 2016

© 2016 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to investigate the combined influence of smoking and alcohol drinking on suicidal ideation and attempts among Korean adults.
  • Methods
    This cross sectional study used secondary data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. A total of 13,064 adults were included in the study. Logistic regression was used to analyze the combined influence of smoking and alcohol drinking on suicidal ideation and attempts.
  • Results
    Persons who smoke and use alcohol were more likely to report suicidal ideation and attempts than those who did not smoke and reported normal drinking. The group who reported both smoking and harmful drinking/alcohol had significantly higher incidence of suicidal ideation and attempts than the comparison group of non-smoking/normal drinking (Suicidal ideation: Adjusted Odds Ratio [AOR]: 2.13, 95% Confidence Interval [CI]: 1.60~2.83; suicidal attempts: AOR: 3.81, 95% CI: 1.60~9.05).
  • Conclusion
    Based on the results of this study, smoking and alcohol drinking were individually important health behaviors for prevention of suicidal ideation and attempts. Especially, suicidal prevention programs might be needed for adults who smoke and drink at the same time to decrease suicidal ideation and attempt.
  • Key Words: Suicidal ideation; Suicidal attempts; Smoking; Alcohol drinking
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Table 1

Differences of Suicidal Ideation by Sociodemographics and Health-related Characteristics

kjan-28-609-i001.jpg

AUDIT=alcohol use disorder identification test; AD=alcohol dependence.

Table 2

Differences of Suicidal Attempts by Sociodemographics and Health-related Characteristics

kjan-28-609-i002.jpg

AUDIT=alcohol use disorder identification test; AD=alcohol dependence.

Table 3

Independent Effects and Combined Effects of Smoking Status and Alcohol Use on Suicidal Ideation and Suicidal Attempts

kjan-28-609-i003.jpg

Note. Adjusted for age, gender, dwelling type, marital status, education, household income, occupation, physical activity, chronic diseases, activity restriction, sleep hours, total cholesterol. stress and depression; OR=Odds Ratio, CI=Confidence Interval; AD=alcohol dependence.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011
    Korean J Adult Nurs. 2016;28(6):609-618.   Published online December 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.6.609
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    Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011
    Korean J Adult Nurs. 2016;28(6):609-618.   Published online December 31, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.6.609
    Close
    Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011
    Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011

    Differences of Suicidal Ideation by Sociodemographics and Health-related Characteristics

    AUDIT=alcohol use disorder identification test; AD=alcohol dependence.

    Differences of Suicidal Attempts by Sociodemographics and Health-related Characteristics

    AUDIT=alcohol use disorder identification test; AD=alcohol dependence.

    Independent Effects and Combined Effects of Smoking Status and Alcohol Use on Suicidal Ideation and Suicidal Attempts

    Note. Adjusted for age, gender, dwelling type, marital status, education, household income, occupation, physical activity, chronic diseases, activity restriction, sleep hours, total cholesterol. stress and depression; OR=Odds Ratio, CI=Confidence Interval; AD=alcohol dependence.
    Table 1 Differences of Suicidal Ideation by Sociodemographics and Health-related Characteristics

    AUDIT=alcohol use disorder identification test; AD=alcohol dependence.

    Table 2 Differences of Suicidal Attempts by Sociodemographics and Health-related Characteristics

    AUDIT=alcohol use disorder identification test; AD=alcohol dependence.

    Table 3 Independent Effects and Combined Effects of Smoking Status and Alcohol Use on Suicidal Ideation and Suicidal Attempts

    Note. Adjusted for age, gender, dwelling type, marital status, education, household income, occupation, physical activity, chronic diseases, activity restriction, sleep hours, total cholesterol. stress and depression; OR=Odds Ratio, CI=Confidence Interval; AD=alcohol dependence.

    Table 1

    Table 2

    Table 3

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