ArticleScientific reports2017
Perceived stress and smoking across 41 countries: A global perspective across Europe, Africa, Asia and the Americas.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
73 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Family Socioeconomic Position and Lung Cancer Risk: A Meta-Analysis and a Mendelian Randomization Study.Frontiers in public health · 2022Pooled it
- Knowledge and awareness of and perception towards cardiovascular disease risk in sub-Saharan Africa: A systematic review.PloS one · 2017Pooled it
- The effect of probiotic supplementation on perceived stress and bowel function in healthy young adults: evidence from a randomized controlled trial in Makkah.Frontiers in nutrition · 2025Trial
- A process evaluation of 'We Can Quit': a community-based smoking cessation intervention targeting women from areas of socio-disadvantage in Ireland.BMC public health · 2022Trial
- Effect of interventions for stress management on blood pressure changes in healthy adults: a systematic review and meta-analysis.Journal of human hypertension · 2026Review
- Healthy Lifestyle Behaviors and Technostress: A Combined Lifestyle Score Analysis in 104,175 Spanish Workers.Nutrients · 2026Article
- Article
- Sex Differences in Cigarette Smoking Among Hispanic and Non-Hispanic Black All of Us Participants: The Relative Importance of Sociodemographic Characteristics and Social Determinants of Health.Journal of racial and ethnic health disparities · 2026Article
- Salivary Testosterone Concentration and Cognitive Impairment among Japanese Older Adults in the Toon Health Study.Neuroepidemiology · 2026Article
- The role of health behaviors in links between stress and epigenetic aging.Brain, behavior, & immunity - health · 2026Article
- Developmental Cascades From Prenatal Tobacco, Tobacco-cannabis Co-exposure to Early school-age externalizing Problems.Research on child and adolescent psychopathology · 2026Article
- Can depression, anxiety and stress predict smoking? An analysis of mental health correlates university young adults in Saudi Arabia.Journal of family medicine and primary care · 2026Article
- Factors of pet ownership associated with human health: A representative cross-sectional survey of Switzerland.PloS one · 2026Article
- Behavioral smoking cessation outcomes among industrial workers in Myanmar following a health belief model-based health education and mobile phone short message service intervention.Frontiers in public health · 2026Article
- Smoking Abstinence Self-Efficacy, Decisional Balance, and Quitting Desire Among Adult Smokers in Saudi Arabia: Gender-Based Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Allostatic load score and lifestyle factors in the SWAN cohort: A longitudinal analysis.Public health in practice (Oxford, England) · 2025Article
- The role of glucocorticoid and nicotinic acetylcholine receptors in the reward-enhancing effects of nicotine in the ICSS procedure in male and female rats.Drug and alcohol dependence · 2025Article
- Quality of life among healthcare workers in the hospitals and primary healthcare centers in Gaza Strip: a cross-sectional study.BMC psychology · 2025Article
- Perception of stress and its association with socioeconomic, behavioral and clinical characteristics of woman, Vitória, 2022: a cross-sectional study.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- The Connection Between Stress and Women's Smoking During the Perinatal Period: A Systematic Review.Brain sciences · 2024Review
13 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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