Differences in spousal influence on smoking cessation by gender and education among Japanese couples

BMC Public Health

Hideki Hashimoto¹  Misato Takada¹  Naoki Kondo¹  Daisuke Takagi¹ 

[1] Department of Health and Social Behavior, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan

关键词: Education;    Spousal influence;    Smoking cessation;    Japan;   

Others  :  1122941
DOI  :  10.1186/1471-2458-14-1184

 received in 2014-01-30, accepted in 2014-11-07,  发布年份 2014

【 摘 要 】

Background

Previous studies have reported that spousal non-smoking has a spillover effect on the partner’s cessation. However, discussion is lacking on the factors modifying that association. We examined whether the spillover effect of spousal non-smoking was associated with the couple’s educational attainment.

Methods

We used paired marital data from the Japanese Study on Stratification, Health, Income, and Neighborhood (J-SHINE), which targeted residents aged 25–50 years in four Japanese municipalities. We selected a spouse smoker at the time of marriage (target respondent), and set his/her smoking status change (continued or quit smoking after marriage) as an outcome, regressed on the counterpart’s smoking status (continued smoking or non-smoking) and combinations of each couple’s educational attainment as explanatory variables using log-binomial regression models (n =1001 targets; 708 men and 293 women).

Results

Regression results showed that a counterpart who previously quit smoking or was a never-smoker was associated with the target male spouse’s subsequent cessation. However, for women, the association between husband’s non-smoking and their own cessation was significant only for couples in which both spouses were highly educated.

Conclusions

Our findings suggest that a spouse’s smoking status is important for smoking cessation interventions in men. For women, however, a couple’s combined educational attainment may matter in the interventions.

【 授权许可】

   
2014 Takagi et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Orgnization for Economic Cooperation and Development: OECD Health Data 2012. Paris: Organization for Economic Cooperation and Development; 2012.
• [2]Ikeda N, Saito E, Kondo N, Inoue M, Ikeda S, Satoh T, Wada K, Stickley A, Katanoda K, Mizoue T: What has made the population of Japan healthy? Lancet 2011, 378:1094-1105.
• [3]Japan Tobacco: National smoking rates survey in 2013. 2013. [http://www.jti.co.jp/investors/press_releases/2013/0730_01.html webcite] (in Japanese)
• [4]Coambs RB, Li S, Kozlowski LT: Age interacts with heaviness of smoking in predicting success in cessation of smoking. Am J Epidemiol 1992, 135:240-246.
• [5]Bjornson W, Rand C, Connett JE, Lindgren P, Nides M, Pope F, Buist AS, Hoppe-Ryan C, O’Hara P: Gender differences in smoking cessation after 3 years in the Lung Health Study. Am J Public Health 1995, 85:223-230.
• [6]Cavelaars A, Kunst A, Geurts J, Crialesi R, Grötvedt L, Helmert U, Lahelma E, Lundberg O, Matheson J, Mielck A: Educational differences in smoking: international comparison. Br Med J 2000, 320:1102.
• [7]Hymowitz N, Sexton M, Ockene J, Grandits G: Baseline factors associated with smoking cessation and relapse. Prev Med 1991, 20:590-601.
• [8]Tillgren P, Haglund BJ, Lundberg M, Romelsjö A: The sociodemographic pattern of tobacco cessation in the 1980s: results from a panel study of living condition surveys in Sweden. J Epidemiol Community Health 1996, 50:625-630.
• [9]Homish GG, Leonard KE: Spousal influence on smoking behaviors in a US community sample of newly married couples. Soc Sci Med 2005, 61:2557-2567.
• [10]Monden CW, de Graaf ND, Kraaykamp G: How important are parents and partners for smoking cessation in adulthood? An event history analysis. Prev Med 2003, 36:197-203.
• [11]Roski J, Schmid LA, Lando HA: Long-term associations of helpful and harmful spousal behaviors with smoking cessation. Addict Behav 1996, 21:173-185.
• [12]Sutton G: Do men grow to resemble their wives, or vice versa? J Biosoc Sci 1993, 25:25-29.
• [13]Falba TA, Sindelar JL: Spousal concordance in health behavior change. Health Serv Res 2008, 43:96-116.
• [14]Ross CE, Mirowsky J, Goldsteen K: The impact of the family on health: the decade in review. J Marriage Fam 1990, 52:1059-1078.
• [15]House JS: Understanding social factors and inequalities in health: 20th century progress and 21st century prospects. J Health Soc Behav 2002, 43:125-142.
• [16]Umberson D: Gender, marital status and the social control of health behavior. Soc Sci Med 1992, 34:907-917.
• [17]Monden CW, van Lenthe F, De Graaf ND, Kraaykamp G: Partner’s and own education: does who you live with matter for self-assessed health, smoking and excessive alcohol consumption? Soc Sci Med 2003, 57:1901-1912.
• [18]Bloch KV, Klein CH, Nogueira AR, Salis LHA: Socioeconomic aspects of spousal concordance for hypertension, obesity, and smoking in a community of Rio de Janeiro, Brazil. Arq Bras Cardiol 2003, 80:179-186.
• [19]Blau PM, Blum TC, Schwartz JE: Heterogeneity and intermarriage. Am Sociol Rev 1982, 47:45-62.
• [20]Blau PM, Beeker C, Fitzpatrick KM: Intersecting social affiliations and intermarriage. Social Forces 1984, 62:585-606.
• [21]Glenn ND: A note on estimating the strength of influences for religious endogamy. J Marriage Fam 1984, 46:725-727.
• [22]Schoen R, Wooldredge J: Marriage choices in North Carolina and Virginia, 1969–71 and 1979–81. J Marriage Fam 1989, 51:465-481.23.
• [23]Takada M, Kondo N, Hideki H, for the J-SHINE Data Management Committee: Japanese study on stratification, health, income, and neighborhood: study protocol and profiles of participants. J Epidemiol 2014, 24:334-344.
• [24]Zhang J, Yu KF: What’s the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. JAMA 1998, 280:1690-1691.
• [25]Petersen M, Deddens J: A comparison of two methods for estimating prevalence ratios. BMC Med Res Methodol 2008, 8:1. BioMed Central Full Text
• [26]Rogers W: Regression standard errors in clustered samples. Stata Tech Bull 1994, 3:19-23.
• [27]Umberson D: Family status and health behaviors: social control as a dimension of social integration. J Health Soc Behav 1987, 28:306-319.
• [28]Westmaas JL, Wild TC, Ferrence R: Effects of gender in social control of smoking cessation. Health Psychol 2002, 21:368-376.