Unraveling smoking ties: How tobacco use is embedded in couple interactions

Bottorff, Joan L.; Kalaw, Cecilia; Johnson, Joy L.; Chambers, Natalie A.; Stewart, Miriam; Greaves, Lorraine; Kelly, Mary

doi:10.1002/nur.20085

Cited by 48 publications

(44 citation statements)

References 26 publications

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“…We investigated how three prepregnancy patterns of tobacco-related couple interactions previously identified (Bottorff, Kalaw, Johnson, Chambers et al, 2005) were affected by the onset of pregnancy and by the woman's efforts and process of tobacco reduction. We began with the following research questions:…”

Section: Introductionmentioning

confidence: 99%

Couple dynamics during women's tobacco reduction in pregnancy and postpartum

Bottorff

Kalaw

Johnson

et al. 2006

Nicotine & Tobacco Res.

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Smoking cessation during pregnancy is often temporary; many women relapse postpartum. To develop strategies for supporting successful long-term smoking cessation, we conducted a qualitative study to explore the influence of couple interactions on women's tobacco reduction within the context of pregnancy and the postpartum period. A total of 28 women who quit or reduced smoking for pregnancy and their partners were interviewed following delivery and at 3-6 months postpartum. Open-ended, individual interviews elicited the challenges posed by the women's tobacco reduction and how their partners influenced their cessation efforts. The use of constant comparative analytic strategies focusing on women's processes, experiences, and responses revealed that unquestioned expectations for pregnant women's cessation created the social context of compelled tobacco reduction. Women's engagement in tobacco reduction in this context fundamentally altered couples' previously established tobacco-related routines. The intensity of these changes varied depending on the couples' established interaction patterns with respect to tobacco (i.e., disengaged, conflictual, or accommodating) and was a source of conflict for some couples. The findings offer novel ways to understand smoking cessation during pregnancy that provide new directions for research and for tailoring smoking cessation interventions.

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Section: Introductionmentioning

confidence: 99%

Couple dynamics during women's tobacco reduction in pregnancy and postpartum

Bottorff

Kalaw

Johnson

et al. 2006

Nicotine & Tobacco Res.

Self Cite

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“…Our findings coincide with other studies showing the importance of the strategies that individuals devise to withstand pressures from their surroundings [35] and the feeling of being supported by their significant others, family and friends in the attempt to remain a nonsmoker. [12,36] Our study adds evidence that beliefs and social context are interrelated and give the individual a sense of being able -or not-to manage the urge to smoke in the long term.…”

Section: Main Findingsmentioning

confidence: 65%

“…Recognizing that PHC professionals have an active role in smoking cessation programs, [44] and in light of our findings, it would be helpful if PHC professionals went beyond clinical practice guidelines [12] to incorporate what has been called "living work". [45] In other words, a less structured approach that designs interventions "on the spot" with the individual patient requires subjective, relationship skills to respond to the dynamics of the smoking cessation process.…”

Section: Main Findingsmentioning

confidence: 99%

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Smoking cessation assisted by primary healthcare professionals

Codern-Bové

2016

JNEP

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Background: The effectiveness of smoking cessation treatments has been well studied, but most smokers quit without assistance from a health professional. To further improve our understanding of how primary healthcare efforts can benefit patients who attempt to quit, we need a deeper understanding of how the process unfolds when assisted by a primary healthcare professional and how this is experienced by the smoker. Objective: To construct an emergent model of the smoking cessation process assisted by a primary healthcare professional. Methods: Data were collected from video recordings of primary healthcare professionals in office sessions to promote smoke cessation in Barcelona Province (Catalonia, Spain). Thirteen smokers and their primary healthcare professionals engaged in 24 preparatory sessions and 23 follow-up sessions. Data were analysed according to Constant Comparative Analysis Method along with conceptual and theoretical frameworks. Results: Smoking cessation is a social process that is shaped by interactions and relationships with primary healthcare professionals. Four categories explain the process: 1) Feeling addicted and wanting help to quit smoking; 2) Preparing to quit smoking: anticipating abstinence; 3) Managing smoking abstinence: a positive or transitional process; and 4) Controlling the urge to smoke: a central process in smoking cessation. Conclusions: Primary healthcare professionals treat smoking behaviours as a health problem and supervise the process of enabling the smoker to learn how to control the urge to smoke. Learning to control smoking abstinence is not always enough to enable the individual to reorganize and restructure daily life without cigarettes. Primary healthcare professionals should be encouraged to incorporate not only logic and scientific evidence but also the subjectivity of the patient's attitude into efforts to better respond to the changing, complex nature of the smoking cessation process.

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“…Research by Bottorff, Kalaw, Johnson, Chambers, Stewart, Greaves, and Kelly (2005) considered the meanings attributed to smoking within couple relationships, identifying supportive and critical constructions within and between different couples and across situations. For example, in couples where both partners smoked, smoking was often conducted jointly and signified intimacy and unity, whereas in couples where one partner only smoked arrangements were negotiated to accommodate smoking opportunities, with the non-smoking partner attending to children for example while the other partner smoked out of sight as a courtesy.…”

mentioning

confidence: 99%