Psychological Distress Among Smokers in the United States: 2008-2014

Michael J Zvolensky, Charles Jardin, Melanie M Wall, Misato Gbedemah, Deborah Hasin, Stewart A Shankman, Matthew W Gallagher, Jafar Bakhshaie, Renee D Goodwin, Michael J Zvolensky, Charles Jardin, Melanie M Wall, Misato Gbedemah, Deborah Hasin, Stewart A Shankman, Matthew W Gallagher, Jafar Bakhshaie, Renee D Goodwin

Abstract

Introduction: Decline in smoking in the United States has slowed over the past 25 years. Mental health problems are common among smokers, and may be an impediment to quitting and remaining abstinent. The study investigated the relationship between serious (past-30-day) psychological distress (SPD) and smoking, estimated trends in the prevalence of SPD among current, former, and never smokers in the United States from 2008 to 2014, and investigated whether heterogeneity in these trends varied by sociodemographic characteristics.

Methods: Data were drawn from the National Household Survey on Drug Use (NSDUH), an annual cross-sectional study of persons ages 12 and over (N = 270 227). SPD and smoking in the past 30 days were examined using logistic regression models among adults 18 and older. The prevalence of SPD was examined annually among current, former, and never smokers from 2008 to 2014.

Results: SPD increased among smokers in the United States from 2008 to 2014. An increase in SPD was more rapid among non-daily smokers than daily smokers. The prevalence of SPD was higher among younger smokers, those with less formal education and lower annual family income and higher among current smokers than former and never smokers. The relationships between SPD and smoking were stronger among smokers with higher education levels and annual family income.

Conclusions: Our findings suggest an increase in SPD among smokers over time and that as smoking has declined, those with SPD are comprising a greater proportion of the remaining smokers. Results suggest that mental health must be integrated into mainstream tobacco control efforts.

Implications: The greater prevalence and increasing rate of Serious Psychological Distress among smokers, relative to former- and never-smokers, from 2008 to 2014 provides support that the greater mental health burden among smokers may be contributing to the slowed reduction in smoking prevalence in the United States. In addition, relationships between SPD and smoking were consistently stronger among smokers with higher levels of education and annual family income. Such results suggest the necessity of incorporating mental health treatments in tobacco use reduction efforts.

Figures

Figure 1.
Figure 1.
Acute psychological distress among smokers, former smokers, and never smokers: 2008–2014.
Figure 2.
Figure 2.
Acute psychological distress among daily and non-daily smokers: 2008–2014.

References

    1. Jha P, Ranson MK, Nguyen SN, Yach D.Estimates of global and regional smoking prevalence in 1995, by age and J Public Health.2002;92(6):1002–1006.
    1. King B, Dube S, Kaufmann R, Shaw L, Pechacek T. Current Cigarette Smoking Among Adults Aged ≥18 Years --- United States, 2005--2010.Atlanta, GA:Center for Disease Control and Prevention (CDC);2011.
    1. World Health Organization [WHO].Who Report on the Global Tobacco Epidemic, 2011.Italy:World Health Organization;2011.
    1. Substance Abuse and Mental Health Services Administration (SAMHSA).Results from the 2013 National Survey on Drug Use and Health (NSDUH): Summary of National Findings.Rockville, MD:Substance Abuse and Mental Health Services Administration;2014.
    1. Substance Abuse and Mental Health Services Administration (SAMHSA).Results from the 2012 National Survey on Drug Use and Health (NSDUH): Summary of National Findings.Rockville, MD:Substance Abuse and Mental Health Services Administration;2013.
    1. Substance Abuse and Mental Health Services Administration (SAMHSA).Results from the 2011 National Survey on Drug Use and Health (NSDUH): Summary of National Findings.Rockville, MD:Substance Abuse and Mental Health Services Administration;2012.
    1. U.S. Department of Health and Human Services.The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General.Atlanta, GA:U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health;2014.
    1. Substance Abuse and Mental Health Services Administration (SAMHSA).Results from the 2010 National Survey on Drug Use and Health (NSDUH): Summary of National Findings Rockville, MD:Substance Abuse and Mental Health Services Administration;2011.
    1. Ng M, Freeman MK, Fleming TD, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012.JAMA.2014;311(2):183–192.
    1. Lawrence D, Mitrou F, Zubrick SR.Non-specific psychological distress, smoking status and smoking cessation: United States National Health Interview Survey 2005.BMC Public Health.2011;11(1):256.
    1. Leung J, Gartner C, Dobson A, Lucke J, Hall W.Psychological distress is associated with tobacco smoking and quitting behaviour in the Australian population: evidence from national cross-sectional surveys.Aust N Z J Psychiatry.2011;45(2):170–178.
    1. Kiviniemi MT, Orom H, Giovino GA.Psychological distress and smoking behavior: the nature of the relation differs by race/ethnicity.Nicotine Tob Res.2011;13(2):113–119.
    1. Chaiton MO, Cohen JE, O’Loughlin J, Rehm J.A systematic review of longitudinal studies on the association between depression and smoking in adolescents.BMC Public Health.2009;9(1):356.
    1. Fluharty M, Taylor AE, Grabski M, Munafò MR.The association of cigarette smoking with depression and anxiety: a systematic review.Nicotine Tob Res.2017;19(1):3–13.
    1. Boden JM, Fergusson DM, Horwood LJ.Cigarette smoking and depression: tests of causal linkages using a longitudinal birth J Psychiatry.2010;196(6):440–446.
    1. Richards JM, Stipelman BA, Bornovalova MA, Daughters SB, Sinha R, Lejuez CW.Biological mechanisms underlying the relationship between stress and smoking: state of the science and directions for future work.Biol Psychol.2011;88(1):1–12.
    1. McClave AK, McKnight-Eily LR, Davis SP, Dube SR.Smoking characteristics of adults with selected lifetime mental illnesses: results from the 2007 National Health Interview J Public Health.2010;100(12):2464–2472.
    1. Lawrence D, Hafekost J, Hull P, Mitrou F, Zubrick SR.Smoking, mental illness and socioeconomic disadvantage: analysis of the Australian National Survey of Mental Health and Wellbeing.BMC Public Health.2013;13:462.
    1. Carter KN, van der Deen FS, Wilson N, Blakely T.Smoking uptake is associated with increased psychological distress: results of a national longitudinal study.Tob Control.2014;23(1):33–38.
    1. Warner KE, Burns DM.Hardening and the hard-core smoker: concepts, evidence, and implications.Nicotine Tob Res.2003;5(1):37–48.
    1. Dube SR, Caraballo RS, Dhingra SS, et al. The relationship between smoking status and serious psychological distress: findings from the 2007 Behavioral Risk Factor Surveillance . J. Public Health.2009;54(suppl 1):68–74.
    1. Substance Abuse and Mental Health Services Administration (SAMHSA).Results from the 2013 National Survey on Drug Use and Health (NSDUH): Mental Health Detailed Tables.Rockville, MD:Substance Abuse and Mental Health Services Administration;2014.
    1. Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress.Psychol Med.2002;32(6):959–976.
    1. Kessler RC, Barker PR, Colpe LJ, et al. Screening for serious mental illness in the general population.Arch Gen Psychiatry.2003;60(2):184–189.
    1. Bieler GS, Brown GG, Williams RL, Brogan DJ.Estimating model-adjusted risks, risk differences, and risk ratios from complex survey J Epidemiol.2010;171(5):618–623.
    1. Weiss JW, Mouttapa M, Cen S, Johnson CA, Unger J.Longitudinal effects of hostility, depression, and bullying on adolescent smoking initiation.J Adolesc Health.2011;48(6):591–596.
    1. Gfroerer J, Dube SR, King BA, Garrett BE, Babb S, McAfee T. Vital signs: Current cigarette smoking among adults aged ≥ 18 years with mental illness—United States, 2009–2011.Atlanta, GA:Center for Disease Control and Prevention (CDC);2013.
    1. Taylor AE, Fluharty ME, Bjørngaard JH, et al. Investigating the possible causal association of smoking with depression and anxiety using Mendelian randomisation meta-analysis: the CARTA consortium.BMJ Open.2014;4(10):e006141.
    1. Holma IA, Holma KM, Melartin TK, Ketokivi M, Isometsä ET.Depression and smoking: a 5-year prospective study of patients with major depressive disorder.Depress Anxiety.2013;30(6):580–588.
    1. Dierker LC, Avenevoli S, Stolar M, Merikangas KR.Smoking and depression: an examination of mechanisms of J Psychiatry.2002;159(6):947–953.
    1. Tindle HA, Shiffman S.Smoking cessation behavior among intermittent smokers versus daily J Public Health.2011;101(7):e1–e3.
    1. Dunbar MS, Shadel WG, Tucker JS, Edelen MO.Use of and reasons for using multiple other tobacco products in daily and nondaily smokers: associations with cigarette consumption and nicotine dependence.Drug Alcohol Depend.2016;168:156–163.
    1. Scharf D, Shiffman S.Are there gender differences in smoking cessation, with and without bupropion? Pooled- and meta-analyses of clinical trials of Bupropion SR.Addiction.2004;99(11):1462–1469.
    1. Smith PH, Kasza KA, Hyland A, et al. Gender differences in medication use and cigarette smoking cessation: results from the International Tobacco Control Four Country Survey.Nicotine Tob Res.2015;17(4):463–472.
    1. Schepis TS, Tapscott BE, Krishnan-Sarin S.Stress-related increases in risk taking and attentional failures predict earlier relapse to smoking in young adults: a pilot investigation.Exp Clin Psychopharmacol.2016;24(2):110–119.
    1. Musso F, Bettermann F, Vucurevic G, Stoeter P, Konrad A, Winterer G.Smoking impacts on prefrontal attentional network function in young adult brains.Psychopharmacology (Berl).2007;191(1):159–169.

Source: PubMed

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