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KMID : 1138720230490040103
Korean Public Health Research
2023 Volume.49 No. 4 p.103 ~ p.115
The Effect of Smoking Behavior and Secondhand Smoke Exposure at Workplace on Mental Health: Focusing on the Changes Before and During COVID-19 Pandemic
Heo Geon

Hwang Ji-Eun
Abstract
Purpose:The objective of this study is to identify the effect of the worker¡¯s smoking behavior and secondhand smoke (SHS) on their mental health before and during COVID-19 in the Republic of Korea.

Methods:Six years of data (2016-2021) from the Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed. Excluding missing values, 13,086 respondents before COVID-19 pandemic (gray collar 3,139, white collar 2,424, pink collar 2,757, blue collar 4,766) and 5,857 respondents during the pandemic (gray collar 1,356, white collar 1,079, pink collar 1,287, blue collar 2,135) were studied. The effect of smoking behavior and SHS on mental health was analyzed by chi-square test and logistic regression analysis.

Results:In this study, we found that the occupation which was exposed most frequently to SHS before and during COVID-19 pandemic was blue collar. Before COVID-19, exposure to SHS was significantly associated with higher stress compared to non-exposure in all occupations except gray collar(p£¼.05). During COVID-19 pandemic, the effect of SHS on worker¡¯s perceived stress was not identified(p£¾.05). Mental counseling experience of gray collar and blue collar was mental health variable which effected by SHS exposure during COVID-19(p£¼.05).

Conclusion:As modern society changes more complicated, workers live with a psychological pressure to adapt. It is reported that worker¡¯s diseases are related to various mental health. Because the way how the worker¡¯s smoking behavior effects their mental health differs by occupational group, targeting strategies selecting the vulnerable group and more sophisticated post-COVID-19 policies should be established.
KEYWORD
Smoking, Tobacco smoke pollution, Mental health, Occupational group, COVID-19
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