This cross-national study explored the relationship between tobacco use and subjective well-being indicators (e.g. life satisfaction, happiness, and perceived health status) in university students from 29 low-, middle- and high-income countries. Data were collected from 20 355 university students (median age 20 years, interquartile range = 3), from Africa (n = 5 191), Asia (n = 12 070), and the Americas (n = 3 094). Of the students, 12.2% were current tobacco users, 6.0% occasional, and 6.2% daily or almost daily tobacco users. In unadjusted linear regression analysis, university students who were daily or almost daily tobacco users were less likely satisfied with life and had poorer perceived health. Students who were occasional tobacco users were less likely happy. The lower life satisfaction, happiness and perceived health status effect of tobacco users disappeared after adjusting for age, sex, wealth status, country, social support, physical activity, and fruit and vegetable consumption. The information that tobacco use was not associated with greater well-being may counteract the misperception of the tobacco industry that tobacco use improves well-being.

这项跨国研究探讨了来自29个低，中，高收入国家的大学生的烟草使用与主观幸福感指标（例如生活满意度，幸福感和感知的健康状况）之间的关系。数据来自20 355名大学生（中位年龄20岁，四分位间距= 3），非洲（n = 5 191），亚洲（n = 12 070）和美洲（n= 3094）。在这些学生中，目前的烟草使用者为12.2％，偶发者为6.0％，每天或几乎每天为6.2％。在未经调整的线性回归分析中，每天或几乎每天吸烟的大学生对生活的满意度较低，并且对健康的感知较差。偶尔吸烟的学生快乐的可能性较小。在调整了年龄，性别，财富状况，国家，社会支持，体育锻炼以及水果和蔬菜的消费量之后，烟草使用者的较低的生活满意度，幸福感和对健康状况的感知影响消失了。烟草使用与更好的福祉没有关系的信息可能抵消了烟草业对烟草使用改善福祉的误解。