Psychosocial Stressors and Cigarette Smoking Among African American Adults in Midlife

Psychosocial stress is a significant risk factor for smoking, and Blacks experience higher levels of psychosocial stress relative to other racial/ethnic groups. Limited research has comprehensively examined psychosocial stressors in relation to smoking among Blacks. We examined psychosocial stressor...

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Bibliographic Details
Published in:Nicotine & tobacco research 2012-10, Vol.14 (10), p.1161-1169
Main Authors: Slopen, Natalie, Dutra, Lauren M., Williams, David R., Mujahid, Mahasin S., Lewis, Tené T., Bennett, Gary G., Ryff, Carol D., Albert, Michelle A.
Format: Article
Language:English
Subjects:
Adult
African Americans - psychology
Aged
Aged, 80 and over
Demography
Female
Humans
Life Change Events
Male
Middle Aged
Original Investigation
ORIGINAL INVESTIGATIONS
Residence Characteristics
Risk Factors
Smoking - epidemiology
Smoking - psychology
Socioeconomic Factors
Stress, Psychological - complications
Wisconsin - epidemiology
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Summary:Psychosocial stress is a significant risk factor for smoking, and Blacks experience higher levels of psychosocial stress relative to other racial/ethnic groups. Limited research has comprehensively examined psychosocial stressors in relation to smoking among Blacks. We examined psychosocial stressors in relation to smoking status (current, previous, and never) in middle-aged Blacks (34-85 years, n = 592) from Milwaukee, Wisconsin, a subset of the Midlife in the United States Study II (2004-2006). Eleven stressor domains were assessed, including psychological and physical work stress, work-family conflict, perceived inequality, relationship stress, neighborhood stress, discrimination, financial stress, recent problems, stressful events, and childhood adversity. We also calculated a cumulative score. Multinomial models were adjusted for age, gender, education, and income. Seven of the 11 stressors and the cumulative score were associated with higher odds of being a current smoker compared with a never-smoker: neighborhood, financial, relationship, and psychological work stress, perceived inequality, stressful events, childhood adversity (p values
ISSN:1462-2203
1469-994X
DOI:10.1093/ntr/nts011