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...
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Nature Portfolio
2017
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oai:doaj.org-article:88cd71c02cc8486f94723b189f338d382021-12-02T12:32:00ZPerceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas10.1038/s41598-017-07579-w2045-2322https://doaj.org/article/88cd71c02cc8486f94723b189f338d382017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07579-whttps://doaj.org/toc/2045-2322Abstract 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.Brendon StubbsNicola VeroneseDavy VancampfortA. Mathew PrinaPao-Yen LinPing-Tao TsengEvangelos EvangelouMarco SolmiCristiano KohlerAndré F. CarvalhoAi KoyanagiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017) |
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Medicine R Science Q Brendon Stubbs Nicola Veronese Davy Vancampfort A. Mathew Prina Pao-Yen Lin Ping-Tao Tseng Evangelos Evangelou Marco Solmi Cristiano Kohler André F. Carvalho Ai Koyanagi Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
| description |
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. |
| format |
article |
| author |
Brendon Stubbs Nicola Veronese Davy Vancampfort A. Mathew Prina Pao-Yen Lin Ping-Tao Tseng Evangelos Evangelou Marco Solmi Cristiano Kohler André F. Carvalho Ai Koyanagi |
| author_facet |
Brendon Stubbs Nicola Veronese Davy Vancampfort A. Mathew Prina Pao-Yen Lin Ping-Tao Tseng Evangelos Evangelou Marco Solmi Cristiano Kohler André F. Carvalho Ai Koyanagi |
| author_sort |
Brendon Stubbs |
| title |
Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
| title_short |
Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
| title_full |
Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
| title_fullStr |
Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
| title_full_unstemmed |
Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
| title_sort |
perceived stress and smoking across 41 countries: a global perspective across europe, africa, asia and the americas |
| publisher |
Nature Portfolio |
| publishDate |
2017 |
| url |
https://doaj.org/article/88cd71c02cc8486f94723b189f338d38 |
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