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

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Version 2 2024-06-05, 06:13
Version 1 2019-11-18, 15:04
journal contribution
posted on 2024-06-05, 06:13 authored by LK Cobb, MA McAdams-Demarco, Rachel HuxleyRachel Huxley, M Woodward, S Koton, J Coresh, CAM Anderson
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. © 2014 The Author 2014. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved.

History

Journal

American Journal of Epidemiology

Volume

179

Pagination

1182-1187

Location

Oxford, Eng.

Open access

  • Yes

ISSN

0002-9262

eISSN

1476-6256

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Issue

10

Publisher

Oxford Academic

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