Elsevier

Public Health

Volume 127, Issue 4, April 2013, Pages 395-396
Public Health

Letter to the Editor
Why are smokers so unhappy?

https://doi.org/10.1016/j.puhe.2013.01.018Get rights and content

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Ethical approval

None sought.

Funding

None declared.

Competing interest

None declared.

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Cited by (6)

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    Interestingly, a couple of population-level assessments of smoking and happiness have also shown associations between these two variables. A 2013 cross-sectional study determined the prevalence of smoking in US states is highly inversely associated (r = −0.69, P < 0.01) with state-specific ratings of happiness using the Gallup and Healthways' Well-Being Index.20 Although it is important to recognize that a correlational finding does not imply a causal relationship between lower amount happiness and higher rates of smoking in US states, these macro-level data describe a landscape of addiction to tobacco smoking and happiness that is much different than that portrayed in tobacco industry promotion and advertising.

  • Smoke and thriving: An ecological study

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