Social Status, Stress, and Adolescent Smoking

Finkelstein, Daniel; Kubzansky, Laura D.; Goodman, Elizabeth

doi:10.1016/j.jadohealth.2006.04.011

Cited by 119 publications

(129 citation statements)

References 33 publications

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“…It was designed to reflect material living conditions, and its link with adolescents' health and health behaviour, including with smoking, was observed 18, 20. The SSS was conceived to capture the subjective internalized perception of social status 19, and was shown to be linked strongly to several health measures among adolescents 21, including smoking 22. SSS was measured with responses on a 10‐category scale to the question: ‘Imagine that this ladder depicts how country society is made up.…”

Section: Methodsmentioning

confidence: 99%

The association between personal income and smoking among adolescents: a study in six European cities

Perelman¹,

Alves²,

Pfoertner

et al. 2017

Addiction

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AimsThis study investigates the link between personal income and smoking among adolescents, and aims to answer the following questions: (i) to what extent is personal income related to smoking, independent of family socio‐economic status (SES) and (ii) does the association between personal income and smoking apply to different subpopulations?DesignCross‐sectional study.SettingSix cities from European countries (Amersfoort, the Netherlands; Coimbra, Portugal; Hannover, Germany; Latina, Italy; Namur, Belgium; Tampere, Finland) in 2013.ParticipantsA school‐based sample of 10 794 adolescents aged 14–17 years.MeasurementsWe modelled smoking experimentation, weekly smoking, daily smoking and (among daily smokers) smoking intensity as function of personal income, adjusting for age, sex, family SES, parental smoking and country. We tested interactions between personal income and covariates. Stratification analyses were performed for the variables for which interactions were significant.FindingsAdolescents in the highest income quintile were more likely to be smoking experimenters [odds ratio (OR) = 1.87; P < 0.01], weekly smokers (OR = 3.51; P < 0.01) and daily smokers (OR = 4.55; P < 0.01) than those in the lowest quintile. They also consumed more cigarettes per month (β = 0.79; P < 0.01). Adjusting for family SES did not modify the significance of relationships, and increased the magnitude of the association for daily smoking. None of the interactions between covariates and personal income was significant for smoking measures. For the intensity of smoking, the interaction was significant for SES. The stratified analysis showed a non‐significant association between smoking intensity and personal income among the oldest adolescents and those with the lowest SES background, while significant among younger and higher SES backgrounds.ConclusionIn the Netherlands, Portugal, Germany, Italy, Belgium and Finland, adolescents' personal income is related positively to smoking behaviours independent of family socio‐economic status (SES). However, among low socio‐economic status adolescent daily smokers, the association between the intensity of smoking and personal income is weaker.

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Section: Methodsmentioning

confidence: 99%

The association between personal income and smoking among adolescents: a study in six European cities

Perelman¹,

Alves²,

Pfoertner

et al. 2017

Addiction

View full text Add to dashboard Cite

show abstract

“…Psychosocial stressors, such as childhood abuse, low socioeconomic status, or other nonspecific stressors, have been consistently associated with increased risk for smoking initiation (Schepis and Rao, 2005). For example, a recent study (Finkelstein et al, 2006) showed that adolescents who experience higher baseline stress were more likely to become smokers. However, it is a matter of controversy whether smoking reduces or increases the response to stressors.…”

Section: Introductionmentioning

confidence: 99%

“…Smokers usually report reduced stress levels after smoking (Coan, 1973;McArthur et al, 1958;Parrott, 1995); and some adolescents use smoking as a mechanism to cope with stressors (Koval et al, 2004). On the other hand, smokers, particularly during adolescence, reported significantly higher levels of perceived stress than nonsmokers (Croghan et al, 2006;Finkelstein et al, 2006), and quitting smoking leads to reduced stress (Carey et al, 1993;Chassin et al, 2002;Cohen and Lichtenstein, 1990).…”

Section: Introductionmentioning

confidence: 99%

Chronic Nicotine Self-Administration Augments Hypothalamic–Pituitary–Adrenal Responses to Mild Acute Stress

Chen

Sharp

2007

Neuropsychopharmacol

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We investigated the effect of chronic nicotine self-administration (SA) on hypothalamic-pituitary-adrenal (HPA) hormonal responses to acute stressors. Adult male Sprague-Dawley rats were given access to nicotine (0.03 mg/kg) for 23 h per day for 20 days. On day 1 of acquisition of nicotine SA, plasma levels of both adrenocorticotropin and corticosterone were significantly increased 15-30 min after the first dose of nicotine. These hormonal changes were no longer significant on day 3, when adrenocorticotropin levels were o60 pg/ml and corticosterone levels were o110 ng/ml during the hour after the first dose of nicotine. Chronic nicotine SA (20 days) significantly augmented (2-3-fold) both hormonal responses to mild foot shock stress (0.6 mA, 0.5 s per shock, 5 shocks per 5 min), but did not affect hormonal responses to moderate shock (1.2 mA, 0.5 s per shock, 5 shocks per 5 min), lipopolysaccharide or immobilization. Similar data were obtained in Lewis rats. These results provide further support for the concept that chronic nicotine SA is a stressor. In alignment with the effects of other stressors, nicotine activated the HPA axis on the first day of SA, but desensitization occurred with repeated exposure. Furthermore, chronic nicotine SA selectively cross-sensitized the HPA response to a novel stressor. These observations suggest that nicotine may selectively increase the HPA response to stressors in human smokers.

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“…On the contrary, the effect of SEP might be controversial in the relationship with smoking among adolescents Ritterman et al, 2009). Although most studies have reported the elevated risk of smoking with the lower SEP in adolescence (Finkelstein et al, 2006;Ritterman et al, 2009;Thakur et al, 2013), other results are varying and even reversed .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, some studies have suggested the importance of subjective SEP indicators in adolescents (Finkelstein et al, 2006;Ritterman et al, 2009). As adolescents may be less aware of objective SEPs which are mainly composed of parental SEP, the perceived SEP may better indicate how adolescents identify their actual economic circumstances (Goodman et al, 2003;Karvonen and Rahkonen, 2011).…”

Section: Introductionmentioning

confidence: 99%

Objective and Subjective Socioeconomic Position and Current Smoking Among Korean Adolescents

Ko¹,

Lee²,

Kim³

2014

Asian Pacific Journal of Cancer Prevention

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Social Status, Stress, and Adolescent Smoking

Cited by 119 publications

References 33 publications

The association between personal income and smoking among adolescents: a study in six European cities

The association between personal income and smoking among adolescents: a study in six European cities

Chronic Nicotine Self-Administration Augments Hypothalamic–Pituitary–Adrenal Responses to Mild Acute Stress

Objective and Subjective Socioeconomic Position and Current Smoking Among Korean Adolescents

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