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

Abstract 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...

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Autores principales:	Hyun-Jin Kim, Jin-young Min, Yong-Seok Seo, Kyoung-bok Min
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Ambient air pollution Chronic exposure cancer Depressive symptoms Perceived stress Suicidal ideation Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/90cdc3f16c6b452b889ae4309176e4ba
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spelling	oai:doaj.org-article:90cdc3f16c6b452b889ae4309176e4ba2021-12-05T12:19:35ZRelationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population10.1186/s12885-021-09013-x1471-2407https://doaj.org/article/90cdc3f16c6b452b889ae4309176e4ba2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12885-021-09013-xhttps://doaj.org/toc/1471-2407Abstract 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 (PM10), nitrogen dioxide, sulfur dioxide, and carbon monoxide. Results Compared with the general population, PM10 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 PM10 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 PM10 exposure.Hyun-Jin KimJin-young MinYong-Seok SeoKyoung-bok MinBMCarticleAmbient air pollutionChronic exposurecancerDepressive symptomsPerceived stressSuicidal ideationNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBMC Cancer, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ambient air pollution Chronic exposure cancer Depressive symptoms Perceived stress Suicidal ideation Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Ambient air pollution Chronic exposure cancer Depressive symptoms Perceived stress Suicidal ideation Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Hyun-Jin Kim Jin-young Min Yong-Seok Seo Kyoung-bok Min Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population
description	Abstract 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 (PM10), nitrogen dioxide, sulfur dioxide, and carbon monoxide. Results Compared with the general population, PM10 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 PM10 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 PM10 exposure.
format	article
author	Hyun-Jin Kim Jin-young Min Yong-Seok Seo Kyoung-bok Min
author_facet	Hyun-Jin Kim Jin-young Min Yong-Seok Seo Kyoung-bok Min
author_sort	Hyun-Jin Kim
title	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_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_sort	relationship between chronic exposure to ambient air pollution and mental health in korean adult cancer survivors and the general population
publisher	BMC
publishDate	2021
url	https://doaj.org/article/90cdc3f16c6b452b889ae4309176e4ba
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Relationship between chronic exposure to ambient air pollution and mental health in Korean adult cancer survivors and the general population

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