Parent smoker role conflict and planning to quit smoking: a cross-sectional study

BMC Public Health

Jonathan P Winickoff¹  Heide Woo²  Sybil Murphy¹  Emara Nabi-Burza¹  Bethany Hipple¹  Janelle Dempsey⁴  Victoria Weiley²  Nicole Hall¹  Yuchiao Chang³  Nancy A Rigotti¹  Joan Friebely¹ 

[1] Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, MA, USA;Pediatric Research in Office Settings, American Academy of Pediatrics, Elk Grove Village, IL, USA;General Medicine Division, Massachusetts General Hospital, Boston, MA, USA;Center for Child and Adolescent Health Research and Policy, Massachusetts General Hospital, Boston, MA, USA

关键词: Parent child dyad;    Smoking cessation;    Pediatrics;    Tobacco control;    Stages of change;    Readiness to quit;    Tobacco smoke exposure;    Parent smoker role conflict;    Parent smoker identity;   

Others  :  1162515
DOI  :  10.1186/1471-2458-13-164

 received in 2012-07-05, accepted in 2013-01-31,  发布年份 2013

【 摘 要 】

Background

Role conflict can motivate behavior change. No prior studies have explored the association between parent/smoker role conflict and readiness to quit. The objective of the study is to assess the association of a measure of parent/smoker role conflict with other parent and child characteristics and to test the hypothesis that parent/smoker role conflict is associated with a parent’s intention to quit smoking in the next 30 days. As part of a cluster randomized controlled trial to address parental smoking (Clinical Effort Against Secondhand Smoke Exposure—CEASE), research assistants completed exit interviews with 1980 parents whose children had been seen in 20 Pediatric Research in Office Settings (PROS) practices and asked a novel identity-conflict question about “how strongly you agree or disagree” with the statement, “My being a smoker gets in the way of my being a parent.” Response choices were dichotomized as “Strongly Agree” or “Agree” versus “Disagree” or “Strongly Disagree” for the analysis. Parents were also asked whether they were “seriously planning to quit smoking in 30 days.” Chi-square and logistic regression were performed to assess the association between role conflict and other parent/children characteristics. A similar strategy was used to determine whether role conflict was independently associated with intention to quit in the next 30 days.

Methods

As part of a RTC in 20 pediatric practices, exit interviews were held with smoking parents after their child’s exam. Parents who smoked were asked questions about smoking behavior, smoke-free home and car rules, and role conflict. Role conflict was assessed with the question, “Please tell me how strongly you agree or disagree with the statement: ‘My being a smoker gets in the way of my being a parent.’ (Answer choices were: “Strongly agree, Agree, Disagree, Strongly Disagree.”)

Results

Of 1980 eligible smokers identified, 1935 (97%) responded to the role-conflict question, and of those, 563 (29%) reported experiencing conflict. Factors that were significantly associated with parent/smoker role conflict in the multivariable model included: being non-Hispanic white, allowing home smoking, the child being seen that day for a sick visit, parents receiving any assistance for their smoking, and planning to quit in the next 30 days. In a separate multivariable logistic regression model, parent/smoker role conflict was independently associated with intention to quit in the next 30 days [AOR 2.25 (95% CI 1.80-2.18)].

Conclusion

This study demonstrated an association between parent/smoker role conflict and readiness to quit. Interventions that increase parent/smoker role conflict might act to increase readiness to quit among parents who smoke.

Trial registration

Clinical trial registration number: NCT00664261.

【 授权许可】

   
2013 Friebely et al; licensee BioMed Central Ltd.

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