“…Compared with nonsmokers, smokers show several characteristics likely to interfere with obtaining mammography: higher depression, anxiety, and negative affect (48-52); higher perceived stress and more objective stressors (48,51,53,54); stronger external locus of control and lower self-efficacy (48,53,55); lower value placed on health (55); less effective skills at mood management and fewer coping resources (56,57); lower cancer worry and lower perceived risk, including for cervical and breast cancer (58)(59)(60)(61)(62)(63)(64); lower knowledge about harms of smoking (65); the presence of other household smokers and less social support for quitting (57,66); a weaker future time perspective and stronger present orientation (67,68); body dissatisfaction and unfavorable body image (69,70); more perceived racial discrimination (71); and a tendency to have less social integration or cooperation with others, discussed as characteristics of being nonconformist, impulsive, antisocial, sensation-seeking, or having less desire for social interaction (72)(73)(74)(75)(76). Smoking status may, therefore, be an important factor to consider when defining women at higher-risk of not having mammograms, as a targeted group for intervention.…”