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Title: Does Resilience Moderate the Relationship Between Stress and Smoking Status?
Austin Authors: Tsourtos, George;Ward, Paul R;Miller, Emma R;Hill, Kathy;Barton, Christopher;Wilson, Carlene J ;Woodman, Richard
Affiliation: School of Midwifery, University of South Australia, Adelaide, South Australia, Australia
College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia
Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders Drive, Bedford Park SA, Australia
Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia
Department of Psychology and Counselling, School of Psychology and Public Health, College of Science, Health and Engineering, Latrobe University, Victoria, Australia
Department of General Practice, Monash University, Melbourne, Victoria, Australia
Issue Date: 2019
Date: 2019-01-13
Publication information: Substance use & misuse 2019; 54(3): 412-425
Abstract: There is a growing evidence that resilience to stress can promote nonsmoking. However, few studies have undertaken quantitative research to investigate whether resilience, generated by internal and external factors, moderates the impact of stress on the likelihood of smoking. This study aims to help fill this knowledge gap in relation to smokers and ex-smokers, and those people who have never smoked. A large online cross-sectional survey was administered in Australia (2015-2016) to collect data on demographic variables, levels of internal and external resilience, and stress from current and past smokers (n = 400) and those who have never-smoked (n = 921). Logistic regressions were employed to test our hypotheses. Most participants were female (82%) and ranged between 18 and 77 years. Higher levels of reported perceived stress and stress-related variables did significantly predict smoking. The combined impact of internal and external resilience factors predicted never-smoking and lessened the relationship between perceived stress and stress-related variables, and the likelihood of smoking. These results are important because they suggest that the social environment should be developed to augment social support and internal properties such as developing "a strong sense of purpose in life" to encourage people not to commence smoking, rather than focus on smoking cessation.
DOI: 10.1080/10826084.2018.1501066
ORCID: 0000-0002-4151-8856
Journal: Substance use & misuse
PubMed URL: 30638106
Type: Journal Article
Subjects: Resilience and smoking
internal and external resilience
stress and smoking
Appears in Collections:Journal articles

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