Patterns of Clinically Significant Symptoms of Depression Among Heavy Users of Alcohol and Cigarettes
2009

Depression Symptoms in Heavy Alcohol and Cigarette Users

Sample size: 5692 publication Evidence: moderate

Author Information

Author(s): Joan Faith Epstein, Marta Induni, Tom Wilson

Primary Institution: California Department of Public Health

Hypothesis

This study estimates the prevalence of depression and its association with heavy alcohol use and cigarette smoking in California.

Conclusion

Heavy alcohol use and daily smoking are associated with an increased risk of depression.

Supporting Evidence

  • 9.2% of adults in California had clinically significant depressive symptoms.
  • Daily smokers were more than 3 times more likely to have depressive symptoms than nonsmokers.
  • Heavy drinkers were approximately 3 times more likely to have depressive symptoms than nondrinkers.
  • Prevalence of depression was highest among daily smokers who were also heavy drinkers.

Takeaway

People who smoke a lot and drink a lot are more likely to feel very sad. It's important to help those who do both.

Methodology

The study used data from the 2006 California Behavioral Risk Factor Surveillance System and logistic models to analyze the relationship between depression, alcohol use, and smoking.

Potential Biases

Small sample sizes in some subgroups may lead to unstable estimates.

Limitations

The study is cross-sectional, which means it cannot determine causation, and it may miss certain populations due to its telephone survey method.

Participant Demographics

The study included adults aged 18 and older from California, with variations in demographics such as age, race/ethnicity, and income.

Statistical Information

Statistical Significance

p<0.05

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