Marital life course events and smoking behaviour in Sweden 1980-2000

Marital life course events and smoking behaviour in Sweden 1980-2000
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DOI:
10.1016/j.socscimed.2005.08.009
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发表时间:
2006-03-01
影响因子:
5.4
通讯作者:
Nystedt, P
Nystedt, P
中科院分区:
医学2区
文献类型:
--
作者:
Nystedt, P

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婚姻对吸烟的保护作用在文献中得到了广泛的证实。然而,关于吸烟行为与各种婚姻生活事件之间的动态联系,以及在这方面是否存在性别差异,人们知之甚少。在这篇文章中,从压力相关的角度分析了婚姻生活过程与吸烟之间的联系,并控制了其他社会经济特征。我们使用了瑞典纵向微观生活条件调查数据库1980-2000中的81,000人的信息,该数据库是从所有16-84岁的瑞典人样本中随机抽取的。在数据的小组部分,对当前吸烟状态和参与者吸烟行为变化的逻辑回归进行了估计。婚姻生活过程与吸烟行为密切相关,结婚或结婚表明吸烟风险低,婚姻破裂表明风险高。离婚的人吸烟的程度比丧偶的人高,而且有迹象表明,离婚意味着比丧偶意味着更高的风险,既有染上/旧病复发的风险,对女性来说,也无法戒烟。此外,结果表明,男性戒烟与与伴侣同居之间的联系更强,而女性更受婚姻破裂后开始吸烟的倾向的影响。在妻子年龄大于丈夫的家庭中,已婚对吸烟的保护作用随着配偶之间的年龄差异而减少。综上所述,这些结果产生了一个相当复杂的婚姻生活过程中吸烟行为的模式。此外,人们感觉到的经济压力与吸烟和无法戒烟密切相关。控制这一影响仍然会在吸烟中留下社会经济地位的梯度。(C)2005爱思唯尔有限公司。保留所有权利。
The protective effect of marriage on smoking has been extensively established in the literature. However, less is known about the dynamics of how smoking behaviour is connected to various marital life course events, and whether there are any gender discrepancies in this respect. In this article the connection between the marital life course and smoking is analysed from a stress-related perspective controlling for other socio-economic characteristics. We use information on 81,000 individuals from the Swedish longitudinal micro-level ULF (Survey of Living Conditions) database 1980-2000, which is randomly drawn from the sample population of all Swedes aged 16-84. Logistic regressions on current smoking status and changes in smoking behaviour of participants in the panel part of the data are estimated. The marital life course is strongly linked to smoking behaviour with being or getting married indicating low smoking risks and marital disruption indicating high risks. The divorced smoke to a higher extent than the widowed and there are signs that getting divorced implies higher risks than becoming widowed, both of taking up/relapsing and, for women, not being able to quit. Further, the results indicate that the connection between smoking cessation and living with a partner is stronger for men, whereas women are more affected by the propensity to start smoking after marital disruption. The protective effect of being married on smoking decreases with the age difference between spouses in households where the wife is older than the husband. Taken together, the results yield a rather complex pattern of smoking behaviour over the marital life course. Further, perceived financial stress is strongly connected to smoking and not being able to quit. Controlling for this effect still leaves a socio-economic status gradient in smoking. (c) 2005 Elsevier Ltd. All rights reserved.