Cigarette smoking, mental health and social support: data from Northwestern First Nation

Mark Daniel, Margaret D. Cargo, Julie Lifshay, Lawrence W. Green

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Background: The prevalence of smoking is high in many Aboriginal Canadian communities; rates of 50% are not uncommon. Aboriginal Canadians suffer a severe burden of smoking-related disease. Research in other populations has linked depression and smoking. It is not known whether mental health or affective measures are related to smoking for any of Canada's First Nations, and this study sought to answer this question. Understanding relations between affect and smoking behaviour is requisite to mounting anti-smoking interventions. Methods: Smoking status and psychosocial measures including depression, mastery, affect balance and social support were obtained in a community-based chronic disease survey for a rural interior Salishan First Nation in British Columbia (Plateau area). Persons surveyed were on-reserve residents (n=187), overweight (body mass index ≥25 kg/m2), with mean age of 44.1 years (standard deviation 15.0). Results: The prevalence of smoking was 48.1%. Adjusted for age, sex and body mass index, smokers relative to nonsmokers had higher (p<0.010) depression (mean 21.3 [CI 95%, 19.1-23.4] vs. 16.1 [14.1-18.0]) and negative affect (18.6 [14.9-22.3] vs. 11.0 [7.6-14.4]), and lower mastery (36.4 [35.5-37.3] vs. 38.1 [37.2-38.9]). A positive relationship between mastery and social support was greater for nonsmokers (p=0.046). Conclusion: Depression and negative affect are associated with smoking among overweight persons in a rural First Nation in British Columbia. Furthermore, smoking is inversely related to mastery, and this relation varies with social support. Longitudinal study is required to determine whether smoking influences mental health and mastery, or the reverse.

Original languageEnglish
Pages (from-to)45-49
Number of pages5
JournalCanadian Journal of Public Health
Volume95
Issue number1
Publication statusPublished - Jan 2004
Externally publishedYes

Fingerprint

Social Support
Mental Health
Smoking
Depression
British Columbia
Body Mass Index
Canada
Longitudinal Studies
Chronic Disease

Cite this

@article{2173d5b0b3be4339bb174d18f0fdc037,
title = "Cigarette smoking, mental health and social support: data from Northwestern First Nation",
abstract = "Background: The prevalence of smoking is high in many Aboriginal Canadian communities; rates of 50{\%} are not uncommon. Aboriginal Canadians suffer a severe burden of smoking-related disease. Research in other populations has linked depression and smoking. It is not known whether mental health or affective measures are related to smoking for any of Canada's First Nations, and this study sought to answer this question. Understanding relations between affect and smoking behaviour is requisite to mounting anti-smoking interventions. Methods: Smoking status and psychosocial measures including depression, mastery, affect balance and social support were obtained in a community-based chronic disease survey for a rural interior Salishan First Nation in British Columbia (Plateau area). Persons surveyed were on-reserve residents (n=187), overweight (body mass index ≥25 kg/m2), with mean age of 44.1 years (standard deviation 15.0). Results: The prevalence of smoking was 48.1{\%}. Adjusted for age, sex and body mass index, smokers relative to nonsmokers had higher (p<0.010) depression (mean 21.3 [CI 95{\%}, 19.1-23.4] vs. 16.1 [14.1-18.0]) and negative affect (18.6 [14.9-22.3] vs. 11.0 [7.6-14.4]), and lower mastery (36.4 [35.5-37.3] vs. 38.1 [37.2-38.9]). A positive relationship between mastery and social support was greater for nonsmokers (p=0.046). Conclusion: Depression and negative affect are associated with smoking among overweight persons in a rural First Nation in British Columbia. Furthermore, smoking is inversely related to mastery, and this relation varies with social support. Longitudinal study is required to determine whether smoking influences mental health and mastery, or the reverse.",
keywords = "Cigarette smoking, Mental Health, Body Mass Index, Native Americans, Health Surveys, Indigenous populations, psychological stress",
author = "Mark Daniel and Cargo, {Margaret D.} and Julie Lifshay and Green, {Lawrence W.}",
year = "2004",
month = "1",
language = "English",
volume = "95",
pages = "45--49",
journal = "Canadian Journal of Public Health",
issn = "0008-4263",
publisher = "Canadian Public Health Association",
number = "1",

}

Cigarette smoking, mental health and social support: data from Northwestern First Nation. / Daniel, Mark; Cargo, Margaret D.; Lifshay, Julie; Green, Lawrence W.

In: Canadian Journal of Public Health, Vol. 95, No. 1, 01.2004, p. 45-49.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cigarette smoking, mental health and social support: data from Northwestern First Nation

AU - Daniel, Mark

AU - Cargo, Margaret D.

AU - Lifshay, Julie

AU - Green, Lawrence W.

PY - 2004/1

Y1 - 2004/1

N2 - Background: The prevalence of smoking is high in many Aboriginal Canadian communities; rates of 50% are not uncommon. Aboriginal Canadians suffer a severe burden of smoking-related disease. Research in other populations has linked depression and smoking. It is not known whether mental health or affective measures are related to smoking for any of Canada's First Nations, and this study sought to answer this question. Understanding relations between affect and smoking behaviour is requisite to mounting anti-smoking interventions. Methods: Smoking status and psychosocial measures including depression, mastery, affect balance and social support were obtained in a community-based chronic disease survey for a rural interior Salishan First Nation in British Columbia (Plateau area). Persons surveyed were on-reserve residents (n=187), overweight (body mass index ≥25 kg/m2), with mean age of 44.1 years (standard deviation 15.0). Results: The prevalence of smoking was 48.1%. Adjusted for age, sex and body mass index, smokers relative to nonsmokers had higher (p<0.010) depression (mean 21.3 [CI 95%, 19.1-23.4] vs. 16.1 [14.1-18.0]) and negative affect (18.6 [14.9-22.3] vs. 11.0 [7.6-14.4]), and lower mastery (36.4 [35.5-37.3] vs. 38.1 [37.2-38.9]). A positive relationship between mastery and social support was greater for nonsmokers (p=0.046). Conclusion: Depression and negative affect are associated with smoking among overweight persons in a rural First Nation in British Columbia. Furthermore, smoking is inversely related to mastery, and this relation varies with social support. Longitudinal study is required to determine whether smoking influences mental health and mastery, or the reverse.

AB - Background: The prevalence of smoking is high in many Aboriginal Canadian communities; rates of 50% are not uncommon. Aboriginal Canadians suffer a severe burden of smoking-related disease. Research in other populations has linked depression and smoking. It is not known whether mental health or affective measures are related to smoking for any of Canada's First Nations, and this study sought to answer this question. Understanding relations between affect and smoking behaviour is requisite to mounting anti-smoking interventions. Methods: Smoking status and psychosocial measures including depression, mastery, affect balance and social support were obtained in a community-based chronic disease survey for a rural interior Salishan First Nation in British Columbia (Plateau area). Persons surveyed were on-reserve residents (n=187), overweight (body mass index ≥25 kg/m2), with mean age of 44.1 years (standard deviation 15.0). Results: The prevalence of smoking was 48.1%. Adjusted for age, sex and body mass index, smokers relative to nonsmokers had higher (p<0.010) depression (mean 21.3 [CI 95%, 19.1-23.4] vs. 16.1 [14.1-18.0]) and negative affect (18.6 [14.9-22.3] vs. 11.0 [7.6-14.4]), and lower mastery (36.4 [35.5-37.3] vs. 38.1 [37.2-38.9]). A positive relationship between mastery and social support was greater for nonsmokers (p=0.046). Conclusion: Depression and negative affect are associated with smoking among overweight persons in a rural First Nation in British Columbia. Furthermore, smoking is inversely related to mastery, and this relation varies with social support. Longitudinal study is required to determine whether smoking influences mental health and mastery, or the reverse.

KW - Cigarette smoking

KW - Mental Health

KW - Body Mass Index

KW - Native Americans

KW - Health Surveys

KW - Indigenous populations

KW - psychological stress

UR - http://www.scopus.com/inward/record.url?scp=0842302387&partnerID=8YFLogxK

M3 - Article

VL - 95

SP - 45

EP - 49

JO - Canadian Journal of Public Health

JF - Canadian Journal of Public Health

SN - 0008-4263

IS - 1

ER -