The association of spousal smoking status with the ability to quit smoking: The atherosclerosis risk in communities study

Cobb, Laura K., McAdams-Demarco, Mara A., Huxley, Rachel R., Woodward, Mark, Koton, Silvia, Coresh, Josef and Anderson, Cheryl A.M. (2014) The association of spousal smoking status with the ability to quit smoking: The atherosclerosis risk in communities study. American Journal of Epidemiology, 179 10: 1182-1187. doi:10.1093/aje/kwu041


Author Cobb, Laura K.
McAdams-Demarco, Mara A.
Huxley, Rachel R.
Woodward, Mark
Koton, Silvia
Coresh, Josef
Anderson, Cheryl A.M.
Title The association of spousal smoking status with the ability to quit smoking: The atherosclerosis risk in communities study
Journal name American Journal of Epidemiology   Check publisher's open access policy
ISSN 0002-9262
1476-6256
Publication date 2014-05-15
Year available 2014
Sub-type Article (original research)
DOI 10.1093/aje/kwu041
Open Access Status DOI
Volume 179
Issue 10
Start page 1182
End page 1187
Total pages 6
Place of publication Cary, NC United States
Publisher Oxford University Press
Collection year 2015
Language eng
Subject 2713 Epidemiology
Abstract Smoking is the leading cause of preventable death in the United States. Studies have shown that smoking status tends to be concordant within spouse pairs. This study aimed to estimate the association of spousal smoking status with quitting smoking in US adults. We analyzed data from 4,500 spouse pairs aged 45-64 years from the Atherosclerosis Risk in Communities Study cohort, sampled from 1986 to 1989 from 4 US communities and followed up every 3 years for a total of 9 years. Logistic regression with generalized estimating equations was used to calculate the odds ratio of quitting smoking given that one's spouse is a former smoker or a current smoker compared to a never smoker. Among men and women, being married to a current smoker decreased the odds of quitting smoking (for men, odds ratio (OR) = 0.37, 95% confidence interval (CI): 0.29, 0.46; for women, OR = 0.54, 95% CI: 0.43, 0.68). Among women only, being married to a former smoker increased the odds of quitting smoking (OR = 1.26, 95% CI: 1.04, 1.53). In conclusion, spouses of current smokers are less likely to quit, whereas women married to former smokers are more likely to quit. Smoking cessation programs and clinical advice should consider targeting couples rather than individuals.
Keyword Smoking
Smoking cessation
Spouses
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
 
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