{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:00:58Z","timestamp":1789912858940,"version":"4.0.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100004856","name":"New York State Department of Health","doi-asserted-by":"publisher","award":["C034867"],"award-info":[{"award-number":["C034867"]}],"id":[{"id":"10.13039\/100004856","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Frequent mental distress (FMD) is closely related to nicotine use, and its prevalence varies across population groups. Understanding patterns of nicotine use by FMD can help identify groups that are candidates for tobacco prevention and cessation interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using pooled data from annual tobacco-related surveys of adults between 2021 and 2024 in New York, we used Pearson\u2019s F-tests and pair-wise tests to determine differences in the prevalence of FMD in demographic groups. We assessed associations between FMD and tobacco-related behaviors, including novel product use and quitting behavior, in adjusted regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sexual and gender minority adults, young adults, and adults living with disabilities, among other groups, were at higher risk of experiencing FMD. In adjusted models, adults who experienced FMD had higher odds of any nicotine use excluding blunts (adjusted odds ratio [AOR]\u2009=\u20091.39; 95% CI: 1.16-1.67) and including blunts (AOR\u2009=\u20091.48; 95% CI: 1.24-1.77), cigarette use (AOR\u2009=\u20091.44; 95% CI: 1.12-1.85), e-cigarette use (AOR\u2009=\u20091.28; 95% CI: 1.01-1.64), and blunt use (AOR\u2009=\u20091.38; 95% CI: 1.06-1.79) than adults who did not experience FMD. Among adults who currently smoked cigarettes, FMD was associated with higher odds of having made a past-year quit attempt (AOR\u2009=\u20091.55; 95% CI: 1.01-2.38).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adults who experienced FMD had higher adjusted odds of several nicotine use outcomes and a past-year quit attempt. Controlling for demographics, adults with FMD had higher odds of any tobacco use, cigarette use, e-cigarette use, and blunt use, but not cigar, smokeless, hookah, or nicotine pouch use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Controlling for demographic characteristics, adults who experienced FMD had higher odds of any nicotine use, cigarette use, e-cigarette use, and blunt use, but not cigar use, smokeless use, hookah use, or nicotine pouch use. Adults who experienced FMD and currently smoked cigarettes also had higher adjusted odds of a past-year quit attempt. Resources for the prevention and cessation of cigarette use, e-cigarette use, and blunt use may be especially important for adults experiencing FMD. Some demographic groups have higher FMD prevalence and higher odds of tobacco use, making them candidates for both mental health and nicotine-related intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntag197","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:48:05Z","timestamp":1788457685000},"source":"Crossref","is-referenced-by-count":0,"title":["Frequent mental distress: associations with nicotine use behaviors"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1991-4294","authenticated-orcid":false,"given":"Allison M","family":"Schmidt","sequence":"first","affiliation":[{"name":"RTI International , 3040 E. 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Cornwallis Road, Durham, NC 27713 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0976-2629","authenticated-orcid":false,"given":"Ellen","family":"Coats","sequence":"additional","affiliation":[{"name":"RTI International , 3040 E. Cornwallis Road, Durham, NC 27713 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Meek","sequence":"additional","affiliation":[{"name":"RTI International , 3040 E. 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