Long-term associations of helpful and harmful spousal behaviors with smoking cessation

Roski, Joachim; Schmid, Linda; Lando, Harry A.

doi:10.1016/0306-4603(95)00047-x

Cited by 113 publications

(96 citation statements)

References 16 publications

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“…7,8 Negative behaviors, such as nagging the smoker and complaining about smoking, are predictive of relapse. 9,10 Family interventions have become a standard part of most substance abuse programs. Initial trials of partner support for smoking cessation, however, have been disappointing.…”

Section: Does Enhancing Partner Support and Interaction Improve Smokimentioning

confidence: 99%

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Park¹

2004

The Annals of Family Medicine

135

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BACKGROUND We wanted to determine whether an intervention to enhance partner support helps as an adjunct to a smoking cessation program. METHODSWe undertook a meta-analysis of English-language, randomized controlled trials of smoking cessation interventions through July 2002 using the following data sources: Cochrane Tobacco Addiction Group specialized register, Cochrane controlled trials register, CDC Tobacco Information and Prevention Database, MEDLINE, Cancer Lit, EMBASE, CINAHL, PsycINFO, ERIC, PsycLIT, Dissertation Abstracts, SSCI and HealthSTAR, with reviews of bibliographies of included articles. Included were trials that assessed a partner support component with a minimum follow-up of 6 months. The outcomes measured were abstinence and biochemical assessment at 6 to 9 months and more than 12 months after treatment. Partner Interaction Questionnaire scores were primary and secondary outcomes.RESULTS Nine studies (31 articles) met inclusion criteria. Partner defi nition varied among studies. All studies included self-reported smoking cessation rates, but there was limited biochemical validation of abstinence. For self-reported abstinence at 6 to 9 months after treatment, the Peto odds ratio (OR) = 1.08 (95% confi dence interval [CI], 0.81-1.44) and at 12 months Peto OR = 1.0 (95% CI, 0.75-1.34). Sensitivity analysis of studies using live-in, married, and equivalentto-married partners found a higher odds ratio at 6 to 9 months after treatment, Peto OR = 1.64 (95% CI, 0.5-4.64). Sensitivity analysis of studies reporting signifi cant increases in partner support found at 6 to 9 months after treatment Peto OR = 1.83 (95% CI, 0.9-3.47); and at 12 months Peto OR =1.22 (95% CI, 0.67-2.23). CONCLUSIONSInterventions to enhance partner support showed the most promise for clinical practice when implemented with live-in, married, and equivalentto-married partners. Such interventions should focus on enhancing supportive behaviors, while minimizing behaviors critical of smoking. INTRODUCTIONS moking remains the leading cause of preventable disease and death in the United States, causing more than 400,000 deaths annually. 1Smoking cessation is an important behavior change that can have considerable effects on health outcomes. The initiation, maintenance, and cessation of smoking are strongly infl uenced by other family members. Smokers are more likely to marry smokers, to smoke the same number of cigarettes as their spouse, and to quit at the same time.2 In addition, married smokers have higher quit rates than those who are divorced, widowed, or have never married.3 Several studies have shown that support from the spouse is highly predictive of successful smoking cessation. [4][5][6][7] Family interventions have become a standard part of most substance abuse programs. Initial trials of partner support for smoking cessation, however, have been disappointing. In reviewing their own studies of social support interventions for smoking cessation, Lichtenstein and colleagues 11 stated that their interventions did not...

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Section: Does Enhancing Partner Support and Interaction Improve Smokimentioning

confidence: 99%

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Park¹

2004

The Annals of Family Medicine

135

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“…If one person smokes cigarettes in a relationship, it is not uncommon for the partner to also be a smoker (Sutton, 1993). In a study of smoking cessation, just over a third of the sample reported that their partners also smoked (Roski, Schmid, & Lando, 1996). Because this sample consisted of more educated individuals who volunteered for a smoking cessation program, it is possible that this is an underestimate of the rate of smoking behaviors of both partners in the general population or in more at-risk populations.…”

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confidence: 99%

“…McBride et al, 1998;Pollak & Mullen, 1997;Severson et al, 1995;Woodby, Windsor, Snyder, Kohler, & Diclemente, 1999), or enrolled participants who have volunteered for intensive smoking cessations programs (e.g. Mermelstein, Cohen, Lichtenstein, Baer, & Kamarck, 1986;Roski et al, 1996). The specific nature of these samples places some limitations upon the generalizability of the findings.…”

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confidence: 99%

Spousal influence on smoking behaviors in a US community sample of newly married couples

Homish

Leonard

2005

Social Science & Medicine

177

131

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Among married couples, partners often have similar characteristics and behaviors. Among individuals who smoke cigarettes, it is not uncommon for them to have a partner who also smokes. In fact, having a partner who smokes can influence the spouse's initiation of smoking, or return to smoking after a previous quit attempt. Additionally, it is possible that a nonsmoking partner can influence his/her spouse to stop smoking. Participants for this research are from a community sample of couples in the United States. They were recruited at the time they applied for their marriage license and followed through to their second wedding anniversary. Logistic regression models, controlling for demographics, were utilized to determine if a partner's smoking status predicted smoking initiation or relapse over the early years of marriage. Overall, there was some support that a partner's smoking status did influence the other's smoking, although more support was found for spousal influence on relapse than cessation. There was more support for husband's influence compared to wife's influence, nonsmoking wives were more likely to resume smoking in the early years of their marriage if their partners were smokers. Wive's smoking, however, did not predict husband initiation of smoking. These findings suggest that during the transition into marriage, spouses do influence their partners' behaviors. In particular, women are more likely to resume smoking, or return to smoking if their partners smoke.

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“…For instance, studies have estimated the effect of a husband's drinking on the wife's drinking during the transition to marriage and in the newlywed phase (Leonard and Das Eiden 1999;Leonard and Mudar 2004). In the case of smoking, both spousal support and spousal smoking status have been studied (Coppotelli and Orleans 1985;Mermelstein et al 1986;Roski, Schmid, and Lando 1996;Monden, De Graaf, and Kraaykamp 2003;Homish and Leonard 2005). However, these studies often concentrate on earlier phases of marriage, such as the newlywed and childbearing phases (McBride et al 1998;Leonard and Das Eiden 1999).…”

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confidence: 99%

Spousal Concordance in Health Behavior Change

Falba

Sindelar

2007

Health Services Research

225

177

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Objective. This study examines the degree to which a married individual's health habits and use of preventive medical care are influenced by his or her spouse's behaviors. Study Design. Using longitudinal data on individuals and their spouses, we examine changes over time in the health habits of each person as a function of changes in his or her spouse's health habits. Specifically, we analyze changes in smoking, drinking, exercising, cholesterol screening, and obtaining a flu shot. Data Source. This study uses data from the Health and Retirement Study (HRS), a nationally representative sample of individuals born between 1931 and 1941 and their spouses. Beginning in 1992, 12,652 persons (age-eligible individuals as well as their spouses) from 7,702 households were surveyed about many aspects of their life, including health behaviors, use of preventive services, and disease diagnosis. Sample. The analytic sample includes 6,072 individuals who are married at the time of the initial HRS survey and who remain married and in the sample at the time of the 1996 and 2000 waves. Principal Findings. We consistently find that when one spouse improves his or her behavior, the other spouse is likely to do so as well. This is found across all the behaviors analyzed, and persists despite controlling for many other factors. Conclusions. Simultaneous changes occur in a number of health behaviors. This conclusion has prescriptive implications for developing interventions, treatments, and policies to improve health habits and for evaluating the impact of such measures.Key Words. Spouse, smoking, alcohol, exercise, preventive services Smoking, drinking, and obesity have all garnered much attention for their detrimental effects on health and other outcomes. Behaviors such as exercise and a healthy diet, in contrast, can have positive effects on health. Similarly, the use of preventive services, such as cholesterol screening and flu shots, can lead to additional years of life. A critical question is how to improve the health of the public by encouraging healthy decisions. This paper focuses on the role of the spouse in shaping individual's health habits and decisions to use r Health Research and Educational Trust

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Long-term associations of helpful and harmful spousal behaviors with smoking cessation

Cited by 113 publications

References 16 publications

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Does Enhancing Partner Support and Interaction Improve Smoking Cessation? A Meta-Analysis

Spousal influence on smoking behaviors in a US community sample of newly married couples

Spousal Concordance in Health Behavior Change

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