Are single mothers’ higher smoking rates mediated by dysfunctional coping styles?

BMC Women's Health

Research Article

Stefanie Sperlich¹  Mercy Nyambura Maina¹ 

[1] Medical Sociology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany;

关键词: Coping Strategy;    Coping Style;    Single Mother;    Heavy Smoking;    Substance Consumption;   

DOI  :  10.1186/1472-6874-14-124

 received in 2014-01-24, accepted in 2014-09-25,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundSmoking prevalence has been shown to be considerably higher among single mothers as compared to their married or cohabiting counterparts. This study examines whether this could be attributed to single mothers’ different capability in dealing with stress.MethodsBased on cross-sectional data of 3129 German mothers, the study explores the associations between single motherhood, coping styles and moderate and heavy smoking pattern using a regression-based ‘parallel multiple mediator model’.ResultsSingle mothers showed higher rates of negative coping styles than partnered mothers, holding for ‘self-blame/rumination’ (p < 0.001), ‘blaming others’ (p = 0.048) and in particular for ‘substance consumption’ (p < 0.001). With respect to positive coping styles the findings were heterogeneous: while partnered mothers scored higher on ‘active influence’ (p < 0.001), single mothers showed higher values of ‘positive self-verbalisation’ (p < 0.001). Evidence for a mediating effect of coping styles on the relationship between single motherhood and moderate as well as heavy smoking was only found for ‘substance consumption’. Moreover, single motherhood may moderate the effect of ‘self-blame/rumination’ on heavy smoking (p = 0.025). Against expectations, higher levels of ‘active influence’ were not associated with lower but with significant higher odds of moderate smoking (OR = 1.19).ConclusionSingle mothers compared to partnered mothers showed a different ability to cope with stress. However, only the coping strategy ‘substance consumption’ mediates the relationship between single motherhood and smoking. Exclusively in single mothers, ‘self-blame/rumination’ was associated with heavy smoking, indicating that they might utilize smoking as a way to come to terms with negative ruminative thoughts.

【 授权许可】

CC BY   
© Sperlich and Maina; licensee BioMed Central Ltd. 2014