Evidence map›Paper›PMID 26439764›Full record

SynthesisSocial science & medicine (1982)2015

The downside of tobacco control? Smoking and self-stigma: A systematic review.

Rebecca J Evans-Polce, Joao M Castaldelli-Maia, Georg Schomerus, Sara E Evans-Lacko

Abstract readSystematic Review
In one paragraph

Synthesis in Social science & medicine (1982), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

91 citing papers in PubMed.

  1. Harnessing Hope and Bolstering Knowledge of How to Quit: A Qualitative Investigation of Including Efficacy Content in Tobacco Risk Communication via Daily SMS.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  6. Preguntas Sobre Cáncer (Questions About Cancer): Analysis of Spanish Inquiries to the National Cancer Institute's Cancer Information Service.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
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  10. Journal of health communication · 2026
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  15. Financial Stress and Tobacco Expenditure in Australian Households: A Cross-Sectional Analysis of Prevalence and Association Across Wealth and Income Levels.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  19. Perceptions of Smoking Stigma Among African Americans: A Qualitative Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  20. Review

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rebecca J Evans-PolceThe Methodology Center and Prevention Research Center, Pennsylvania State University, University Park, PA, USA. Electronic address: revanspolce@psu.edu.
Joao M Castaldelli-MaiaDepartment of Psychiatry, Medical School, University of Sao Paulo, São Paulo, SP, Brazil; Department of Neuroscience, Medical School, Fundação do ABC, Santo André, SP, Brazil.
Georg SchomerusDepartment of Psychiatry and Psychotherapy, University of Greifswald, Greifswald, Germany; Helios Hanseklinikum Stralsund, Stralsund, Germany.
Sara E Evans-LackoDepartment of Health Service and Population Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Funding

THE REFINEMENT &APPLICATION OF MEDICAL DECISION MAKING IN PREVENTION SCIENCESP50DA010075 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI MURPHY, SUSAN A · 1996 to 2014
$24.5M
Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI COLLINS, LINDA M · 2015 to 2019
$13.9M
PREVENTION AND METHODOLOGY TRAINING (PAMT)T32DA017629 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI Eric D Claus, Rina D Eiden · 2005 to 2026
$9.5M
NIDA NIH HHS P50 DA010075NIDA NIH HHS P50DA010075NIDA NIH HHS P50 DA039838NIDA NIH HHS T32 DA017629NIDA NIH HHS T32DA017629
6 · The paper itself

Abstract

objectiveLittle is known about the consequences of tobacco smoking stigma on smokers and how smokers may internalize smoking-related stigma. This review summarizes existing literature on tobacco smoking self-stigma, investigating to what extent smokers are aware of negative stereotypes, agree with them and apply them to themselves.

methodsWe carried out a systematic search of Pubmed/Web of Science/PsycInfo databases for articles related to smoking self-stigma through June 2013. Reference lists and citations of included studies were also checked and experts were contacted. After screening articles for inclusion/exclusion criteria we performed a quality assessment and summarized findings according to the stages of self-stigma as conceptualized in Corrigan's progressive model of self-stigma (aware, agree, apply and harm). Initial searches yielded 570 articles.

resultsThirty of these articles (18 qualitative and 12 quantitative studies) met criteria for our review. Awareness of smoking stigma was virtually universal across studies. Coping strategies for smoking stigma and the degree to which individuals who smoke internalized this stigma varied both within and across studies. There was considerable variation in positive, negative, and non-significant consequences associated with smoking self-stigma. Limited evidence was found for subgroup differences in smoking-related stigma.

conclusionWhile there is some evidence that smoking self-stigma leads to reductions in smoking, this review also identified significant negative consequences of smoking self-stigma. Future research should assess the factors related to differences in how individuals respond to smoking stigma. Public health strategies which limit the stigmatization of smokers may be warranted.

Indexed as

Social StigmaHealth PolicyHumansModels, PsychologicalSmokingStereotypingSelf-stigmaSmokingStigmaTobacco use

Identifiers

PMID26439764
PMCPMC4630105

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.