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Daily stress as link between disadvantage and smoking: an ecological momentary assessment study.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: There 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.
      Method: A 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.
      Results: On 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.
      Conclusion: These 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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    • Grant Information:
      R01-DA020742 United States DA NIDA NIH HHS
    • Contributed Indexing:
      Keywords: Daily stress; EMA; Smoking; Social disadvantage
    • Publication Date:
      Date Created: 20191014 Date Completed: 20191217 Latest Revision: 20191217
    • Publication Date:
      20200827
    • Accession Number:
      PMC6790015
    • Accession Number:
      10.1186/s12889-019-7631-2
    • Accession Number:
      31606051
  • Citations
    • ABNT:
      JAHNEL, T. et al. Daily stress as link between disadvantage and smoking: an ecological momentary assessment study. BMC public health, [s. l.], v. 19, n. 1, p. 1284, 2019. DOI 10.1186/s12889-019-7631-2. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31606051. Acesso em: 23 set. 2020.
    • AMA:
      Jahnel T, Ferguson SG, Shiffman S, Schüz B. Daily stress as link between disadvantage and smoking: an ecological momentary assessment study. BMC public health. 2019;19(1):1284. doi:10.1186/s12889-019-7631-2
    • APA:
      Jahnel, T., Ferguson, S. G., Shiffman, S., & Schüz, B. (2019). Daily stress as link between disadvantage and smoking: an ecological momentary assessment study. BMC Public Health, 19(1), 1284. https://doi.org/10.1186/s12889-019-7631-2
    • Chicago/Turabian: Author-Date:
      Jahnel, Tina, Stuart G Ferguson, Saul Shiffman, and Benjamin Schüz. 2019. “Daily Stress as Link between Disadvantage and Smoking: An Ecological Momentary Assessment Study.” BMC Public Health 19 (1): 1284. doi:10.1186/s12889-019-7631-2.
    • Harvard:
      Jahnel, T. et al. (2019) ‘Daily stress as link between disadvantage and smoking: an ecological momentary assessment study’, BMC public health, 19(1), p. 1284. doi: 10.1186/s12889-019-7631-2.
    • Harvard: Australian:
      Jahnel, T, Ferguson, SG, Shiffman, S & Schüz, B 2019, ‘Daily stress as link between disadvantage and smoking: an ecological momentary assessment study’, BMC public health, vol. 19, no. 1, p. 1284, viewed 23 September 2020, .
    • MLA:
      Jahnel, Tina, et al. “Daily Stress as Link between Disadvantage and Smoking: An Ecological Momentary Assessment Study.” BMC Public Health, vol. 19, no. 1, Oct. 2019, p. 1284. EBSCOhost, doi:10.1186/s12889-019-7631-2.
    • Chicago/Turabian: Humanities:
      Jahnel, Tina, Stuart G Ferguson, Saul Shiffman, and Benjamin Schüz. “Daily Stress as Link between Disadvantage and Smoking: An Ecological Momentary Assessment Study.” BMC Public Health 19, no. 1 (October 12, 2019): 1284. doi:10.1186/s12889-019-7631-2.
    • Vancouver/ICMJE:
      Jahnel T, Ferguson SG, Shiffman S, Schüz B. Daily stress as link between disadvantage and smoking: an ecological momentary assessment study. BMC public health [Internet]. 2019 Oct 12 [cited 2020 Sep 23];19(1):1284. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31606051