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Association of cytochrome P450 2A6 polymorphism, anxiety, and environmental factors with cigarette smoking by Thai adults


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Means, standard deviation, and bivariate correlation of the study variables

MeanSD1 Age2 Duration of smoking habit3 Anxiety4 Depression5 Cigarette Nicotine6 consumption dependence
1. Age37.59.99
2. Duration of20.59.98r = 0.93
smoke (years)P < 0.001
3. Anxiety6.53.43r = 0.15r = 0.08
P = 0.09P = 0.36
4. Depression5.13.45r = 0.11r = 0.04r = 0.42
P = 0.23P = 0.65P < 0.001
5. Cigarette11.92.56r = 0.22r = 0.22r = 0.13r = –0.17
consumptionP = 0.01P = 0.013P = 0.14P = 0.06
6. Nicotine3.72.56r = 0.241r = 0.23r = 0.47r = 0.08r = 0.63
dependenceP = 0.006P = 0.009P < 0.001P = 0.36P < 0.001

Comparisons of demographic characteristics according to daily cigarette consumption and nicotine dependence (Fagerstr m Test for Nicotine Dependence score)

Cigarette consumptionNicotine dependence
nMean SDStatistic(df)PMean SDStatistic (df)P
Sex
Male12211.86.87t (125)–0.640.5223.62.58t (7.18)–3.830.006
Female513.86.875.40.89
Education
Primary school3114.49.39χ22.110.3474.22.87F (2,124)1.770.18
Secondary/vocational7711.05.843.42.54
Bachelor’sdegree/higher1911.44.854.21.93
Marital status
Single/divorced/widowed6511.65.84t (112.69)–0.420.6773.72.53t (125)0.070.95
Married6212.17.823.72.61
Employment
Employee/ laborer10812.37.01F (2,124)1.670.1933.62.53F (2,124)0.300.74
Government and state enterprise 1010.05.034.32.87
Own business98.65.963.72.79
Salary (baht)
≤10,0005013.17.22F (2,124)1.650.1964.12.64F (2,124)2.950.06
10,001–15,0003610.46.052.82.47
>15,0004111.76.954.02.43
Alcohol consumption
No3713.66.92t (125)1.840.0684.12.35t (125)1.250.21
Yes9011.26.743.52.64
Caffeine consumption
No3311.25.75t (125)–0.640.5263.62.81t (125)–0.150.88
Yes9412.17.223.72.48

CYP2A6 genotype, anxiety, depression, environmental factors according to daily amount of cigarette consumption and severity of nicotine dependence

Cigarette consumptionNicotine dependence
nMeanSDStatistic(df)PMean SDStatistic (df)P
Smoking household member
No199.85.29t (125)–1.400.1642.22.25t (125)–2.810.006
Yes10812.27.064.02.53
Smoking colleague
No1015.210.35t (9.61)1.090.3034.12.64t (125)0.520.60
Yes11711.66.463.72.56
Anxiety
No11111.66.46t (17.22)–1.000.3313.42.46t (125)–3.96<0.001
Yes1613.99.155.92.11
Depression
No11612.26.88t (125)1.980.053.72.56t (125)–0.170.87
Yes118.05.423.82.75
CYP2A6 genotype
UM/EM7613.17.75c26.090.0483.92.53F (2,124) 2.110.13
IM3510.84.723.72.66
PM168.54.662.52.28

Predictors of cigarette consumption and nicotine dependence

Cigarette consumptionNicotine dependence
bSE(b)95%CI (b)PbSE(b)95%CI (b)P
Model 1
Female sex–0.6263.057–6.68, 5.430.8380.7561.022–1.27, 2.780.461
Age

Age and anxiety variables as a continuous data into the model.

0.1550.0610.03, 0.2760.0120.0360.020–0.005, 0.080.082
Smoking household member

Dummy variable (reference with “no”)

2.0471.669–1.26, 5.350.2221.2080.5580.10, 2.310.032
Anxiety0.1680.177–0.18, 0.520.3440.3090.0590.19, 0.43<0.001
UM/EM

Dummy variable (reference with “Poor metabolizers”)

3.9291.8210.32, 7.530.0330.9770.609–0.23, 2.180.111
IM

Dummy variable (reference with “Poor metabolizers”)

2.1271.988–1.81, 6.060.2870.9700.665–0.35, 2.290.147
Model 2

Model 2 was adjusted for gender, age, and smoking household member.

Anxiety and UM/EM

Dummy variable (reference with “Poor metabolizers”)

0.3630.1670.03, 0.690.0310.2580.0570.15, 0.37<0.001
Anxiety and IM

Dummy variable (reference with “Poor metabolizers”)

0.0490.20–0.35, 0.440.8080.2850.0680.15, 0.42<0.001
Model 3

Model 3 was adjusted for gender, age, and anxiety.

Smoking household member
Smoking and UM/EM

Dummy variable (reference with “Poor metabolizers”)

4.1271.4081.34, 6.140.0041.4270.4710.49, 2.360.003
Smoking household member
Smoking and IM

Dummy variable (reference with “Poor metabolizers”)

1.5741.686–1.76, 4.910.3521.2930.5630.18, 2.410.024
Model 4

Model 4 was adjusted for gender, smoking household member, and anxiety.

Age and UM/EM

Dummy variable (reference with “Poor metabolizers”)

0.1490.0390.07, 0.23<0.0010.0370.0130.01, 0.060.005
Age and IM

Dummy variable (reference with “Poor metabolizers”)

0.0820.046–0.01, 0.170.0710.0310.0150.001, 0.060.043
eISSN:
1875-855X
Language:
English
Publication timeframe:
6 times per year
Journal Subjects:
Medicine, Assistive Professions, Nursing, Basic Medical Science, other, Clinical Medicine