Perceptions of Smoking-Related Risk and Worry Among Dual-Smoker Couples
Perceptions of Smoking-Related Risk and Worry Among Dual-Smoker Couples
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DOI：
10.1093/ntr/nts210
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发表时间：
2013-03-01
影响因子：
4.7
通讯作者：
Lipkus, Isaac M.
中科院分区：
文献类型：
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作者：
Ranby, Krista W.;Lewis, Megan A.;Lipkus, Isaac M.
简介：与吸烟伴侣关系密切的人戒烟率较低，复发率较高。虽然戒烟的愿望通常与对自身健康的担忧有关，但对双重吸烟者夫妇与戒烟相关的心理社会因素知之甚少。本研究从夫妻双方的角度探讨吸烟观念与戒烟意愿的关系。参与者年龄在21-67岁之间（M = 43.0，SD = 11.3），吸烟4-51年（M = 22.9，SD = 11.3）。个人的戒烟欲望与担心伴侣的健康有关（r = 0.29，p <0.01），如果伴侣继续吸烟，（r = 0.39，p <0.001），以及认为自己吸烟已造成伴侣身体伤害（r = 0.38，p <0.001）。在夫妇中，伴侣在担心吸烟对自己的危害方面是适度一致的（r = .30，p < .05）和伴侣（r = 0.30，p <0.05），自我感知的疾病风险（r = 0.26，p <0.05）和伴侣（r = 0.24，p <0.05），并希望伴侣退出（r = 0.34，p <0.01）。参与者有一个非常强烈的愿望（78% = 7的1-7级），他们的合作伙伴的帮助，如果他们试图quitch.Conclusions：双吸烟者夫妇的健康风险增加，由于暴露于被动吸烟和自己的吸烟。伴侣对吸烟危害的感知风险和担忧可能是戒烟努力的重要杠杆点。干预措施可以通过考虑伴侣双方的信仰，帮助伴侣制定戒烟计划和相互支持来进行。
Introduction: Quit rates are lower and relapse rates are higher for people in close relationships with a partner who smokes. Although desire to quit is often related to health concerns for one's self, much less is known about psychosocial factors associated with quitting in dual-smoker couples. This study investigated relations among beliefs about smoking and desire to quit from both partners' perspectives.Methods: We recruited 63 couples in which both partners smoke daily. Participants were aged 21-67 (M = 43.0, SD = 11.3) and had been smoking for 4-51 years (M = 22.9, SD = 11.3).Results: Individuals' desire to quit related to worry about partner's health (r = .29, p < .01), perceived risk of partner getting a disease if the partner continues to smoke (r = .39, p < .001), and belief that own smoking has caused partner physical harm (r = .38, p < .001). Within couples, partners were modestly concordant with regard to worry about harm of smoking for oneself (r = .30, p < .05) and partner (r = .30, p < .05), perceived risk of disease for oneself (r = .26, p < .05) and partner (r = .24, p < .05), and desire that partner quit (r = .34, p < .01). Participants had an extremely strong desire (78% = 7 on 1-7 scale) for their partner's help if they attempt to quit.Conclusions: Dual-smoker couples are at heightened health risks due to exposure to passive smoke and their own smoking. Partners' perceived risk and worry about the harms of smoking could be important leverage points for smoking cessation efforts. Interventions can be informed by considering both partners' beliefs and by helping partners develop plans for quitting and supporting each other.