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


Jahnel, T and Ferguson, SG and Shiffman, S and Schuz, B, Daily stress as link between disadvantage and smoking: an ecological momentary assessment study, Bmc Public Health, 19 Article 1284. ISSN 1471-2458 (2019) [Refereed Article]


Copyright Statement

Copyright 2019 The Author(s) Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1186/s12889-019-7631-2


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.

Item Details

Item Type:Refereed Article
Keywords:nicotine, tobacco control, stress
Research Division:Psychology
Research Group:Clinical and health psychology
Research Field:Health psychology
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Behaviour and health
UTAS Author:Jahnel, T (Ms Tina Jahnel)
UTAS Author:Ferguson, SG (Professor Stuart Ferguson)
UTAS Author:Schuz, B (Dr Benjamin Schuez)
ID Code:135322
Year Published:2019
Web of Science® Times Cited:10
Deposited By:Medicine
Deposited On:2019-10-13
Last Modified:2019-11-06
Downloads:19 View Download Statistics

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