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Stress, attention deficit hyperactivity disorder (ADHD) symptoms and tobacco smoking: The i-Share study

Published online by Cambridge University Press:  23 March 2020

C. Galéra ,
J. Salla ,
I. Montagni ,
S. Hanne-Poujade ,
R. Salamon ,
O. Grondin ,
E. Guichard ,
M.P. Bouvard ,
C. Tzourio  and
G. Michel
C. Galéra*
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France Centre hospitalier Perrens, 33076 Bordeaux, France
J. Salla
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
I. Montagni
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
S. Hanne-Poujade
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
R. Salamon
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
O. Grondin
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
E. Guichard
Affiliation:
Inserm CIC1415, CHRU de Tours, 37044 Tours, France
M.P. Bouvard
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France Centre hospitalier Perrens, 33076 Bordeaux, France
C. Tzourio
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
G. Michel
Affiliation:
UMR1219, université de Bordeaux, 33000Bordeaux, France UMR1219, Inserm, HEALTHY Team, 33000Bordeaux, France
*
*Corresponding author. Bordeaux Population Health Center, Inserm U1219, Team Healthy, University of Bordeaux, 146, rue Léo-Saignat, CS61292, 33076 Bordeaux, France. E-mail address:[email protected] (C. Galéra).
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Abstract

Background:

The contribution of mental health to the risk of smoking is increasingly acknowledged but still insufficiently studied during the key period of student life. In particular, the simultaneous action of stress and Attention Deficit Hyperactivity Disorder (ADHD) symptoms on the risk of smoking remains poorly understood.

Aims:

To assess the effects of stress and ADHD symptoms on tobacco smoking.

Method:

Multivariate modeling was conducted on the French i-Share study (n = 8110, median age 20.3 years, 74.8% females, 32.9% regular/occasional smokers) to evaluate the associations between stress, ADHD symptoms and tobacco smoking, adjusting for potential family/socio-demographic confounders.

Results:

Students with high levels of stress were more likely to smoke > 10 cigarettes/day (adjusted odds ratio (aOR): 1.48, 95% CI: 1.12–1.96) than those with low levels of stress. Students with high levels of ADHD symptoms were more likely to smoke > 10 cigarettes/day (aOR: 2.08, 95% CI: 1.58–2.75) than those with low levels of ADHD symptoms.

Conclusions:

Stress and ADHD contribute independently to the risk of smoking. Interventions targeting each condition are likely to reduce the burden of tobacco use in students.

Keywords

ADHDStressNicotineEpidemiologyStudents
Type
Original article
Information
European Psychiatry , Volume 45 , September 2017 , pp. 221 - 226
Copyright
Copyright © European Psychiatric Association 2017

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