Perceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans.
Adult
Cross-Sectional Studies
Female
Humans
Middle Aged
Military Personnel
/ statistics & numerical data
Perception
Prevalence
Risk Factors
Sex Offenses
/ statistics & numerical data
Sexual Harassment
/ statistics & numerical data
Stress, Psychological
/ epidemiology
Surveys and Questionnaires
Tobacco Use Disorder
/ epidemiology
United States
/ epidemiology
Veterans
/ statistics & numerical data
Journal
Women's health issues : official publication of the Jacobs Institute of Women's Health
ISSN: 1878-4321
Titre abrégé: Womens Health Issues
Pays: United States
ID NLM: 9101000
Informations de publication
Date de publication:
Historique:
received:
05
03
2019
revised:
11
03
2020
accepted:
12
03
2020
pubmed:
23
4
2020
medline:
25
8
2020
entrez:
23
4
2020
Statut:
ppublish
Résumé
Rates of smoking and related health consequences are higher for women veterans as compared with their civilian counterparts, and trauma is a known risk factor associated with smoking. Military sexual trauma is prevalent among women veterans and associated with deleterious health outcomes, including tobacco use. However, research has not examined variables that may explain this association. The purpose of the present study was to examine the association between deployment sexual trauma (DST; military sexual trauma that occurs during deployment) and nicotine dependence, and whether perceived stress is a potential explanatory variable (i.e., mediator) in this relationship. Cross-sectional associations and Hayes mediation models were examined using baseline interview data from the Survey of Experiences of Returning Veterans sample (352 recently returned women veterans). DST was associated with postdeployment nicotine dependence and greater perceived stress. Further, perceived stress was a significant mediator between DST and binary nicotine dependence (indirect effect [standard error] of DST on nicotine dependence through perceived stress, 0.04 [0.01]; 95% confidence interval, 0.01-0.07; odds ratio, 1.04; p < .01) when controlling for education. Findings suggest that perceived stress may be a clinical target for decreasing nicotine dependence among women veterans who have experienced DST.
Sections du résumé
BACKGROUND
Rates of smoking and related health consequences are higher for women veterans as compared with their civilian counterparts, and trauma is a known risk factor associated with smoking. Military sexual trauma is prevalent among women veterans and associated with deleterious health outcomes, including tobacco use. However, research has not examined variables that may explain this association. The purpose of the present study was to examine the association between deployment sexual trauma (DST; military sexual trauma that occurs during deployment) and nicotine dependence, and whether perceived stress is a potential explanatory variable (i.e., mediator) in this relationship.
METHODS
Cross-sectional associations and Hayes mediation models were examined using baseline interview data from the Survey of Experiences of Returning Veterans sample (352 recently returned women veterans).
RESULTS
DST was associated with postdeployment nicotine dependence and greater perceived stress. Further, perceived stress was a significant mediator between DST and binary nicotine dependence (indirect effect [standard error] of DST on nicotine dependence through perceived stress, 0.04 [0.01]; 95% confidence interval, 0.01-0.07; odds ratio, 1.04; p < .01) when controlling for education.
CONCLUSIONS
Findings suggest that perceived stress may be a clinical target for decreasing nicotine dependence among women veterans who have experienced DST.
Identifiants
pubmed: 32317136
pii: S1049-3867(20)30017-7
doi: 10.1016/j.whi.2020.03.001
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
214-220Informations de copyright
Published by Elsevier Inc.