{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:51:12Z","timestamp":1790787072170,"version":"4.1.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:00:00Z","timestamp":1584921600000},"content-version":"unspecified","delay-in-days":934,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["europsy-journal.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0924933800087800_abst0005\" sec-type=\"other\"><jats:title>Background:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087800_abst0010\" sec-type=\"other\"><jats:title>Aims:<\/jats:title><jats:p>To assess the effects of stress and ADHD symptoms on tobacco smoking.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087800_abst0015\" sec-type=\"methods\"><jats:title>Method:<\/jats:title><jats:p>Multivariate modeling was conducted on the French i-Share study (<jats:italic>n<\/jats:italic> = 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.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087800_abst0020\" sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>Students with high levels of stress were more likely to smoke &gt; 10 cigarettes\/day (adjusted odds ratio (aOR): 1.48, 95% CI: 1.12\u20131.96) than those with low levels of stress. Students with high levels of ADHD symptoms were more likely to smoke &gt; 10 cigarettes\/day (aOR: 2.08, 95% CI: 1.58\u20132.75) than those with low levels of ADHD symptoms.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800087800_abst0025\" sec-type=\"conclusions\"><jats:title>Conclusions:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2017.07.007","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:15Z","timestamp":1501632015000},"page":"221-226","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Stress, attention deficit hyperactivity disorder (ADHD) symptoms and tobacco smoking: The i-Share study"],"prefix":"10.1017","volume":"45","author":[{"given":"C.","family":"Gal\u00e9ra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Salla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Montagni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hanne-Poujade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Salamon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Grondin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Guichard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.P.","family":"Bouvard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Tzourio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Michel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,3,23]]},"reference":[{"key":"S0924933800087800_bib0140","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2013.04.010"},{"key":"S0924933800087800_bib0110","doi-asserted-by":"publisher","DOI":"10.1177\/1087054712459558"},{"key":"S0924933800087800_bib0090","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1441.016"},{"key":"S0924933800087800_bib0080","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.07.008"},{"key":"S0924933800087800_bib0075","doi-asserted-by":"publisher","DOI":"10.1007\/7854_2011_148"},{"key":"S0924933800087800_bib0070","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2015.04.005"},{"key":"S0924933800087800_bib0035","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.04.011"},{"key":"S0924933800087800_bib0015","first-page":"E05","article-title":"Smoking initiation among young adults in the United States and Canada, 1998\u20132010: a systematic review","volume":"9","author":"Freedman","year":"2012","journal-title":"Prev Chronic Dis"},{"key":"S0924933800087800_bib0010","volume-title":"Les niveaux d\u2019usage de drogues en France en 2014","author":"Beck","year":"2015"},{"key":"S0924933800087800_bib0005","unstructured":"[1] World Health Organization, WHO report on the global tobacco epidemic, 2015: raising taxes on tobacco; 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