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Psychosocial stress and cigarette smoking persistence, cessation, and relapse over 9-10 years: a prospective study of middle-aged adults in the United States.
- Source :
-
Cancer causes & control : CCC [Cancer Causes Control] 2013 Oct; Vol. 24 (10), pp. 1849-63. Date of Electronic Publication: 2013 Jul 17. - Publication Year :
- 2013
-
Abstract
- Purpose: Year-to-year decreases in smoking in the US have been observed only sporadically in recent years, which suggest a need for intensified efforts to identify those at risk for persistent smoking. To address this need, we examined the association between a variety of psychosocial stressors and smoking persistence, cessation, and relapse over 9-10 years among adults in the United States (n = 4,938, ages 25-74).<br />Methods: Using information provided at baseline and follow-up, participants were categorized as non-smokers, persistent smokers, ex-smokers, and relapsed smokers. Stressors related to relationships, finances, work-family conflict, perceived inequality, neighborhood, discrimination, and past-year family problems were assessed at baseline and follow-up.<br />Results: High stress at both assessments was associated with greater odds of persistent smoking for stressors related to relationships, finances, work, perceived inequality, past-year family problems, and a summary score. Among respondents who were smokers at baseline, high stress at both time points for relationship stress, perceived inequality, and past-year family problems was associated with nearly double the odds of failure to quit.<br />Conclusions: Interventions to address psychosocial stress may be important components within smoking cessation efforts.
- Subjects :
- Adult
Aged
Female
Humans
Longitudinal Studies
Male
Middle Aged
Prospective Studies
Stress, Psychological epidemiology
Stress, Psychological psychology
United States epidemiology
Young Adult
Smoking epidemiology
Smoking psychology
Smoking Cessation psychology
Smoking Cessation statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1573-7225
- Volume :
- 24
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Cancer causes & control : CCC
- Publication Type :
- Academic Journal
- Accession number :
- 23860953
- Full Text :
- https://doi.org/10.1007/s10552-013-0262-5