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Major Article

The effect of secondhand smoke exposure on self-satisfaction and perceived freedom of life choice

, MSORCID Icon, , MSORCID Icon, , MS, , BS, , BS, , MS, , BS, , BS, , BS, , BS, , BS, , BS, , BS & , PhD show all
Pages 439-445 | Received 19 Oct 2020, Accepted 28 Nov 2021, Published online: 14 Feb 2022
 

Abstract

Objective: The present study aims to examine whether secondhand smoke exposure (SHSE) in university students can affect three indices of self-satisfaction related to depression as indiced by appearance, weight, and freedom of life choice. Participants: We collected data from 740 nonsmoking students in the summer of 2018, of which 57.84% were exposed to secondhand smoke. Methods: Depressive symptoms, SHSE, smoking status, weight satisfaction, appearance satisfaction, and freedom of life choice were self-reported via a questionnaire. Results: The generalized linear analyses revealed that SHSE was linked to lower scores of perceived freedom of life choice but not significantly associated with weight nor appearance satisfaction. The mediation analyses indicated that perceived freedom of life choice fully mediated the association between SHSE and depressive symptoms. Conclusions: These findings shed light on the importance of SHSE and its effects on mental health in university students. Preventive strategies should therefore locally target university campuses.

Conflict of interest disclosure

The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of China and received approval from the South China Normal University.

Funding

This study was supported by the Sun Yat-sen University Challenge Cup Competition (2018) and the General topics of the 13th Five-Year plan for development of philosophy and Social Science in Guangzhou China of 2018 (Dr. Zengjian Wang) (Grant NO. 2018GZYB06).