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Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas.


ABSTRACT: Within recent years, there has been a seismic shift in smoking rates from high-income to low- and middle-income countries (LMICs). Evidence indicates that perceived stress may comprise a barrier for smoking cessation, but little is known about the association of perceived stress and smoking in LMICs. We conducted a cross-sectional, community-based study comprising 217,561 people [mean age 38.5 (SD?=?16.1) years, 49.4% males]. A perceived stress score [range 2 (lowest-stress) 10 (highest-stress)] was computed from the Perceived Stress Scale. Multivariable logistic regression analyses were conducted. In the overall sample, a one-unit increase in perceived-stress resulted in a 5% increased odds of smoking (OR?=?1.05; 95%CI?=?1.03-1.06). Increased stress was associated with smoking in Africa (OR?=?1.06; 95%CI?=?1.04-1.09), Americas (OR?=?1.03; 95%CI?=?1.01-1.05), and Asia (OR?=?1.06; 95%CI?=?1.04-1.08), but not Europe (OR?=?0.99; 95%CI?=?0.95-1.02). Increasing levels of perceived stress were significantly associated with heavy smoking (?30 cigarettes per day) among daily smokers (OR?=?1.08; 95%CI?=?1.02-1.15). A country-wide meta-analysis showed that perceived stress is associated with daily smoking in most countries. Prospective studies are warranted to confirm/refute this relationship, which may have meaningful public health implications.

SUBMITTER: Stubbs B 

PROVIDER: S-EPMC5548752 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas.

Stubbs Brendon B   Veronese Nicola N   Vancampfort Davy D   Prina A Mathew AM   Lin Pao-Yen PY   Tseng Ping-Tao PT   Evangelou Evangelos E   Solmi Marco M   Kohler Cristiano C   Carvalho André F AF   Koyanagi Ai A  

Scientific reports 20170808 1


Within recent years, there has been a seismic shift in smoking rates from high-income to low- and middle-income countries (LMICs). Evidence indicates that perceived stress may comprise a barrier for smoking cessation, but little is known about the association of perceived stress and smoking in LMICs. We conducted a cross-sectional, community-based study comprising 217,561 people [mean age 38.5 (SD = 16.1) years, 49.4% males]. A perceived stress score [range 2 (lowest-stress) 10 (highest-stress)]  ...[more]

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