association between electronic cigarette use and depression among Thai adolescents: The Thailand National health Examination Survey 2019-2020.

Introduction:
This text presents a study examining the association between electronic cigarette (e-cigarette) use and depression among Thai adolescents. The study uses data from the sixth Thai National health Examination Survey (NhES-VI) and employs the 20-item Centre for Epidemiologic Studies Depression Scale (CES-D) to assess depression. The study also considers various potential confounders in its analysis.

Key Points:

* The study found that ever e-cigarette use was associated with higher risk for depression among Thai adolescents (aOR=1.66; 95% CI: 1.02--2.71; p=0.042).
* Current e-cigarette use also yielded an elevated odds ratio for higher risk for depression, but it did not reach statistical significance (aOR=1.37; 95% CI: 0.77--2.45; p=0.263).
* Other factors associated with increased odds of depression included being female, higher BMI, current alcohol drinking, having a parent with a college degree, having aggressive friends, and experiencing sexual harassment.
* a good relationship with parents was more likely to decrease the odds of depression (aOR=0.60; 95% CI: 0.48--0.75; p<0.001).
* The study relied on the sixth Thai National health Examination Survey (NhES-VI) and employed the 20-item Centre for Epidemiologic Studies Depression Scale (CES-D) to assess depression.
* The study controlled for various potential confounders in its analysis.
* The study was supported by the Faculty of Medicine Ramathibodi hospital, Mahidol University, and the Thai health Promotion Foundation.

Main Message:
The study provides evidence for an association between e-cigarette use and depression among Thai adolescents, with ever e-cigarette use being a significant predictor of higher risk for depression. The study also highlights the importance of considering various potential confounders in analyzing the relationship between e-cigarette use and depression. additionally, the study emphasizes the need for effective screening, prevention, and intervention to reduce adverse outcomes of depression and e-cigarette use among adolescents.

Patanavanich R, Vityananan P, Neelapaichit N, et al. association between electronic cigarette use and depression among Thai adolescents: The Thailand National health Examination Survey 2019-2020. Tobacco induced diseases. 2022;20:103. doi:10.18332/tid/155333