ArticleBMC public health2019
Daily stress as link between disadvantage and smoking: an ecological momentary assessment study.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- Smoking cessation behavior, nicotine addiction, and mental health among current smokers in Klang Valley, Malaysia- a cross-sectional questionnaire survey.BMC public health · 2025Article
- Higher nicotine dependence and greater smoking abstinence in parental than non-parental smokers: a secondary analysis of smoking cessation trials.Frontiers in public health · 2025Article
- Associated factors of smoking behaviors among industrial workers in Myanmar: the role of modifying factors and individual beliefs, guided by the health belief model.Frontiers in public health · 2025Article
- The Connection Between Stress and Women's Smoking During the Perinatal Period: A Systematic Review.Brain sciences · 2024Review
- Gut microbiota connects the brain and the heart: potential mechanisms and clinical implications.Psychopharmacology · 2024Review
- School climate and school identification as determinants of smoking conventional cigarettes or vaping among adolescents in China: Stress-coping mediation mechanisms.Tobacco induced diseases · 2024Article
- A qualitative study on the influence of COVID-19 on smoking behaviors through changing social and physical contexts.Health education research · 2023Article
- Helping low-income smokers quit: findings from a randomized controlled trial comparing specialized quitline services with and without social needs navigation.Lancet regional health. Americas · 2023Article
- Dynamic models of stress-smoking responses based on high-frequency sensor data.NPJ digital medicine · 2021Article
- Tobacco treatment clinics in urban public housing: feasibility and outcomes of a hands-on tobacco dependence service in the community.BMC public health · 2021Article
- Potential mechanisms linking psychological stress to bone health.International journal of medical sciences · 2021Review
- "They Were Willing to Work with Me and Not Pressure Me": A Qualitative Investigation into the Features of Value of a Smoking Cessation in Pregnancy Program for Aboriginal and Torres Strait Islander Women.International journal of environmental research and public health · 2020Article
- Stress during pregnancy: An ecological momentary assessment of stressors among Black and White women with implications for maternal health.Women's health (London, England)Article
- Structural Racism as a Contributor to Lung Cancer Incidence and Mortality Rates Among Black Populations in the United States.Cancer control : journal of the Moffitt Cancer CenterArticle
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Authors and funding
4 authors.
Funding
Abstract
backgroundThere is a well-established social gradient in smoking, but little is known about the underlying behavioral mechanisms. Here, we take a social-ecological perspective by examining daily stress experience as a process linking social disadvantage to smoking behavior.
methodA sample of 194 daily smokers, who were not attempting to quit, recorded their smoking and information about situational and contextual factors for three weeks using an electronic diary. We tested whether socioeconomic disadvantage (indicated by educational attainment, income and race) exerts indirect effects on smoking (cigarettes per day) via daily stress. Stress experience was assessed at the end of each day using Ecological Momentary Assessment methods. Data were analyzed using random effects regression with a lower-level (2-1-1) mediation model.
resultsOn the within-person level lower educated and African American smokers reported significantly more daily stress across the monitoring period, which in turn was associated with more smoking. This resulted in a small significant indirect effect of daily stress experience on social disadvantage and smoking when using education and race as indicator for social disadvantage. No such effects were found when for income as indicator for social disadvantage.
conclusionThese findings highlight the potential for future studies investigating behavioral mechanisms underlying smoking disparities. Such information would aid in the development and improvement of interventions to reduce social inequality in smoking rates and smoking rates in general.
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