Frequent Mental Distress: Associations with Nicotine Use Behaviors

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ID: 327466
2026
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Ranked #119 of 140 articles by views in nicotine & tobacco research : official journal of the society for research on nicotine and tobacco

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Abstract
Abstract Introduction Frequent mental distress (FMD) is closely related to nicotine use, and its prevalence varies across population groups. Understanding patterns of nicotine use by FMD can help identify groups that are candidates for tobacco prevention and cessation interventions. Methods Using pooled data from annual tobacco-related surveys of adults between 2021–2024 in New York, we used Pearson’s F-tests and pair-wise tests to determine differences in the prevalence of FMD in demographic groups. We assessed associations between FMD and tobacco-related behaviors, including novel product use and quitting behavior, in adjusted regression models. Results Sexual and gender minority adults, young adults, and adults living with disabilities, among other groups, were at higher risk of experiencing FMD. In adjusted models, adults who experienced FMD had higher odds of any nicotine use excluding blunts (AOR=1.39; 95% CI: 1.16–1.67) and including blunts (AOR=1.48; 95% CI: 1.24–1.77), cigarette use (AOR=1.44; 95% CI: 1.12–1.85), e-cigarette use (AOR=1.28; 95% CI: 1.01–1.64), and blunt use (AOR=1.38; 95% CI: 1.06–1.79) than adults who did not experience FMD. Among adults who currently smoked cigarettes, FMD was associated with higher odds of having made a past-year quit attempt (AOR=1.55; 95% CI: 1.01–2.38). Conclusions Adults who experienced FMD had higher adjusted odds of several nicotine use outcomes and a past-year quit attempt. Controlling for demographics, adults with FMD had higher odds of any tobacco use, cigarette use, e-cigarette use, and blunt use, but not cigar, smokeless, hookah, or nicotine pouch use.
Reference Key
openalex_W7207679419 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Allison M. Schmidt, Elizabeth Brown, James Nonnemaker, Riley Hein, Ellen M. Coats, Caroline Meek, Laura Hunter, Gina O’Sullivan
Journal nicotine & tobacco research : official journal of the society for research on nicotine and tobacco
Year 2026
DOI
10.1093/ntr/ntag197
URL
https://doi.org/10.1093/ntr/ntag197
Keywords Keywords not found

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