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Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population

BACKGROUND: Although a significant association between air pollution and mental health has been identified, few studies have addressed this relationship based on cancer diagnosis. This study investigated whether associations between long-term air pollution and mental health conditions differ based o...

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Autores principales: Kim, Hyun-Jin, Min, Jin-young, Seo, Yong-Seok, Min, Kyoung-bok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645076/
https://www.ncbi.nlm.nih.gov/pubmed/34863123
http://dx.doi.org/10.1186/s12885-021-09013-x
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author Kim, Hyun-Jin
Min, Jin-young
Seo, Yong-Seok
Min, Kyoung-bok
author_facet Kim, Hyun-Jin
Min, Jin-young
Seo, Yong-Seok
Min, Kyoung-bok
author_sort Kim, Hyun-Jin
collection PubMed
description BACKGROUND: Although a significant association between air pollution and mental health has been identified, few studies have addressed this relationship based on cancer diagnosis. This study investigated whether associations between long-term air pollution and mental health conditions differ based on whether the individual has been diagnosed with cancer. METHODS: Nationally representative data were used and a total of 38,101 adults were included in the analyses. We assessed mental health factors such as perceived stress, depressive symptoms, and suicidal ideation, and analyzed the associations between these factors and individuals’ annual average exposure to air pollutants, including particulate matter with an aerodynamic diameter ≤ 10 μm (PM(10)), nitrogen dioxide, sulfur dioxide, and carbon monoxide. RESULTS: Compared with the general population, PM(10) exposure in cancer survivors predicted a higher risk of depressive symptoms (odds ratio [OR] =1.34; 95% confidence interval [CI] = 1.06–1.69) and suicidal ideation (OR = 1.29; 95% CI = 1.01–1.64). Notably, the statistically significant relationship between PM(10) exposure and suicidal ideation in cancer survivors disappeared after further adjustment for depressive symptoms (p = 0.3103). This pattern was also observed in the result of propensity score-matched analysis for comparison between cancer survivors and the general population. CONCLUSIONS: This study provides the first evidence that cancer survivors with depressive symptoms may be more susceptible to suicidal ideation in the context of persistent PM(10) exposure.
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spelling pubmed-86450762021-12-06 Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population Kim, Hyun-Jin Min, Jin-young Seo, Yong-Seok Min, Kyoung-bok BMC Cancer Research Article BACKGROUND: Although a significant association between air pollution and mental health has been identified, few studies have addressed this relationship based on cancer diagnosis. This study investigated whether associations between long-term air pollution and mental health conditions differ based on whether the individual has been diagnosed with cancer. METHODS: Nationally representative data were used and a total of 38,101 adults were included in the analyses. We assessed mental health factors such as perceived stress, depressive symptoms, and suicidal ideation, and analyzed the associations between these factors and individuals’ annual average exposure to air pollutants, including particulate matter with an aerodynamic diameter ≤ 10 μm (PM(10)), nitrogen dioxide, sulfur dioxide, and carbon monoxide. RESULTS: Compared with the general population, PM(10) exposure in cancer survivors predicted a higher risk of depressive symptoms (odds ratio [OR] =1.34; 95% confidence interval [CI] = 1.06–1.69) and suicidal ideation (OR = 1.29; 95% CI = 1.01–1.64). Notably, the statistically significant relationship between PM(10) exposure and suicidal ideation in cancer survivors disappeared after further adjustment for depressive symptoms (p = 0.3103). This pattern was also observed in the result of propensity score-matched analysis for comparison between cancer survivors and the general population. CONCLUSIONS: This study provides the first evidence that cancer survivors with depressive symptoms may be more susceptible to suicidal ideation in the context of persistent PM(10) exposure. BioMed Central 2021-12-04 /pmc/articles/PMC8645076/ /pubmed/34863123 http://dx.doi.org/10.1186/s12885-021-09013-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Kim, Hyun-Jin
Min, Jin-young
Seo, Yong-Seok
Min, Kyoung-bok
Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
title Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
title_full Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
title_fullStr Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
title_full_unstemmed Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
title_short Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
title_sort relationship between chronic exposure to ambient air pollution and mental health in korean adult cancer survivors and the general population
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645076/
https://www.ncbi.nlm.nih.gov/pubmed/34863123
http://dx.doi.org/10.1186/s12885-021-09013-x
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