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A Cross-Sectional Study of Happiness and Smoking Cessation among Parents.

ABSTRACT: INTRODUCTION:Smoking cessation among adults is associated with increased happiness. This association has not been measured in parents, a subset of adults who face uniquely stressful and challenging circumstances that can affect happiness. AIMS:To determine if parental smoking cessation is associated with increased happiness and to identify characteristics of parental quitters who experience increased happiness. METHODS:1355 parents completed a 12-month follow-up interview from a U.S. national trial, Clinical Effort Against Secondhand Smoke Exposure (CEASE). Multivariable logistic regression examined if level of happiness was independently associated with quitting smoking and identified characteristics associated with feeling happier after quitting smoking. RESULTS/FINDINGS:Parents' level of happiness was independently associated with quitting smoking (aOR=1.60, 95% CI=1.42-1.79). Factors associated with increased happiness among quitters include engaging in evidence-based cessation assistance (aOR=2.69, 95% CI=1.16-6.26), and adopting strictly enforced smoke-free home (aOR=2.55, 95% CI=1.19-5.48) and car (aOR=3.85, 95% CI=1.94-7.63) policies. Additionally, parents who believed that being a smoker got in the way of being a parent (aOR=5.37, 95% CI=2.61-11.07) and who believed that thirdhand smoke is harmful to children (aOR=3.28, 95% CI=1.16-9.28) were more likely to report feeling happier after quitting. CONCLUSIONS:Parents who quit smoking reported being happier than parents who did not quit. Though prospective studies can clarify what factors cause an increase in happiness, letting pediatricians know that most parents who smoke report being happier when quitting may facilitate communication with parents around cessation. TRIAL REGISTRATION:ClinicalTrials.gov, Identifier: NCT00664261.

SUBMITTER: Drehmer JE

PROVIDER: S-EPMC5289385 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature

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A Cross-Sectional Study of Happiness and Smoking Cessation among Parents.

Drehmer Jeremy E JE Hipple Bethany B Ossip Deborah J DJ Nabi-Burza Emara E Winickoff Jonathan P JP

Journal of smoking cessation 20150324 1

<h4>Introduction</h4>Smoking cessation among adults is associated with increased happiness. This association has not been measured in parents, a subset of adults who face uniquely stressful and challenging circumstances that can affect happiness.<h4>Aims</h4>To determine if parental smoking cessation is associated with increased happiness and to identify characteristics of parental quitters who experience increased happiness.<h4>Methods</h4>1355 parents completed a 12-month follow-up interview f ...[more]

PMID: 28163788

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Project description:OBJECTIVES:Our study aimed to evaluate the effectiveness of general practitioners' (GPs') smoking cessation support (SCS). STUDY DESIGN:We carried out a cross-sectional study between February and April 2016. SETTING AND PARTICIPANT:A sample of 2904 regular smokers aged 18 years or older was selected randomly from 18 general medical practices involved in a national representative, general medical practice-based morbidity monitoring system. The GPs surveyed the selected adults and identified 708 regular smokers. MAIN OUTCOME MEASURES:Multivariate logistic regression models have been applied to evaluate the determinants (age, gender, education, smoking-related comorbidity, smoking intensity, intention to quit smoking and nicotine dependence) of provision of GP-mediated SCS such as brief intervention, pharmacological and non-pharmacological programmatic support. RESULTS:According to the survey, 24.4% of the adults were regular smokers, 30% of them showed high nicotine dependence and 38.2% willing to quit smoking. Most of the smokers were not participated in SCS by GPs: brief intervention, programmatic non-pharmacological support and pharmacotherapy were provided for 25%, 7% and 2% of smokers, respectively. Low-nicotine-dependence individuals were less (OR 0.30, 95%?CI 0.12 to 0.75), patients with intention to quit were more (OR 1.49, 95%?CI 1.00 to 2.22) likely to receive a brief intervention. Vocational (OR 1.71, 95%?CI 1.13 to 2.59) and high school education (OR 2.08, 95%?CI 1.31 to 3.31), chronic obstructive pulmonary disease and cardiovascular diseases (OR 3.34, 95%?CI 1.04 to 10.68; OR 3.91, 95%?CI 2.33 to 6.54) increased the probability to receive support by GP. CONCLUSIONS:Although there are differences among smokers' subgroups, the SCS in Hungarian primary care is generally insufficient, compared with guidelines. Practically, the pharmacological support is not included in Hungarian GPs' practice. GPs should increase substantially the working time devoted to SCS, and the organisation of primary healthcare should support GPs in improving SCS services.

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A Cross-Sectional Study of Happiness and Smoking Cessation among Parents.

Publications

A Cross-Sectional Study of Happiness and Smoking Cessation among Parents.

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