title: Sex differences in the association of psychological distress and tobacco use.
abstract: OBJECTIVE
  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.
authors.affiliation: Rutgers School of Public Health, Center for Tobacco Surveillance and Evaluation Research, New Brunswick, NJ, USA. hrywnama@sph.rutgers.edu.
authors.forename: Mary
authors.initials: M
authors.lastname: Hrywna
authors.affiliation: Rutgers School of Public Health, Center for Tobacco Surveillance and Evaluation Research, New Brunswick, NJ, USA.
authors.forename: Michelle T
authors.initials: MT
authors.lastname: Bover Manderski
authors.affiliation: Rutgers School of Public Health, Center for Tobacco Surveillance and Evaluation Research, New Brunswick, NJ, USA.
authors.forename: Cristine D
authors.initials: CD
authors.lastname: Delnevo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012737:Sex Factors; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D064424:Tobacco Use / Q000453:epidemiology / Q000523:psychology*; D055815:Young Adult