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Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas
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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548752/ https://www.ncbi.nlm.nih.gov/pubmed/28790418 http://dx.doi.org/10.1038/s41598-017-07579-w |
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author | Stubbs, Brendon Veronese, Nicola Vancampfort, Davy Prina, A. Mathew Lin, Pao-Yen Tseng, Ping-Tao Evangelou, Evangelos Solmi, Marco Kohler, Cristiano Carvalho, André F. Koyanagi, Ai |
author_facet | Stubbs, Brendon Veronese, Nicola Vancampfort, Davy Prina, A. Mathew Lin, Pao-Yen Tseng, Ping-Tao Evangelou, Evangelos Solmi, Marco Kohler, Cristiano Carvalho, André F. Koyanagi, Ai |
author_sort | Stubbs, Brendon |
collection | PubMed |
description | 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 | Online Article Text |
id | pubmed-5548752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-55487522017-08-09 Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas Stubbs, Brendon Veronese, Nicola Vancampfort, Davy Prina, A. Mathew Lin, Pao-Yen Tseng, Ping-Tao Evangelou, Evangelos Solmi, Marco Kohler, Cristiano Carvalho, André F. Koyanagi, Ai Sci Rep Article 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. Nature Publishing Group UK 2017-08-08 /pmc/articles/PMC5548752/ /pubmed/28790418 http://dx.doi.org/10.1038/s41598-017-07579-w Text en © The Author(s) 2017 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Stubbs, Brendon Veronese, Nicola Vancampfort, Davy Prina, A. Mathew Lin, Pao-Yen Tseng, Ping-Tao Evangelou, Evangelos Solmi, Marco Kohler, Cristiano Carvalho, André F. Koyanagi, Ai Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas |
title | 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_short | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548752/ https://www.ncbi.nlm.nih.gov/pubmed/28790418 http://dx.doi.org/10.1038/s41598-017-07579-w |
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