Sex Differences in the Association of Psychological Distress and Tobacco Use

Objectives: To examine sex differences in the relationship between serious psychological distress (SPD) and tobacco use. Methods: The 2010 National Health Interview Survey data (N = 26,907) were examined to assess tobacco use among adults with and without SPD. Prevalence and odds ratios (OR) were calculated. The possible moderating effect of sex was examined. Results: Lifetime and current use of cigarettes, cigars and smokeless tobacco (SLT) was more prevalent among those with SPD. Sex interaction terms were significant when modeling lifetime and current cigar and SLT use. The adjusted OR for all tobacco outcomes was greater for women than for men. Conclusions: Findings suggest a stronger association of SPD and tobacco use for women.