The role of smoking in social networks on smoking cessation and relapse among adults: A longitudinal study

The role of smoking in social networks on smoking cessation and relapse among adults: A longitudinal study
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DOI:
10.1016/j.ypmed.2017.02.012
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发表时间:
2017-06-01
影响因子:
5.1
通讯作者:
van Lenthe, Frank J.
van Lenthe, Frank J.
中科院分区:
医学2区
文献类型:
--
作者:
Blok, David J.;de Vlas, Sake J.;van Lenthe, Frank J.

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了解社交网络中戒烟和复吸的传播情况可能会为进一步遏制吸烟流行提供新方法。然而,社交网络成员中的吸烟行为是否决定成年人的戒烟和复吸尚不清楚。本研究于 2013 年 3 月收集了参与荷兰社会科学纵向互联网研究 (LISS) 小组的 4623 名成年人的纵向数据,并于 2014 年进行了随访。使用逻辑回归来检验社交网络中吸烟者比例与 (1) 戒烟 (n = 762) 和 (2) 吸烟之间的关系复发(n = 1905)。根据网络规模、年龄、性别和教育程度对分析进行了调整。社交网络中吸烟者比例最高的受访者戒烟的可能性较小(OR = 0.25;95% CI = 0.11-0.66),而且复吸的可能性更大(6.08;3.01-12.00)。戒烟和复吸与家庭成员和朋友中吸烟者的比例关系最为密切。家庭以外的家庭吸烟者比例与戒烟和复吸无关。综上所述,社交网络中的吸烟行为,尤其是家庭成员和朋友之间的吸烟行为,与戒烟和复吸密切相关。这些发现进一步支持吸烟在社交网络中的传播,并为基于网络的干预措施(特别是包括家庭成员和朋友)提供了证据。 (C) 2017 年作者。由爱思唯尔公司出版
Understanding the spread of smoking cessation and relapse within social networks may offer new approaches to further curb the smoking epidemic. Whether smoking behavior among social network members determines smoking cessation and relapse of adults however, is less known.For this study, longitudinal data of 4623 adults participating in the Dutch Longitudinal Internet Studies for the Social sciences (LISS) panel were collected in March 2013 with a follow-up in 2014. Logistic regression was used to examine the association between the proportion of smokers in social networks, and (1) smoking cessation (n = 762) and (2) smoking relapse (n = 1905). Analyses were adjusted for the size of the network, age, sex, and education.Respondents with the largest proportion of smokers in their social network were less likely to quit smoking (OR = 0.25; 95% CI = 0.11-0.66) and more likely to experience a relapse (6.08; 3.01-12.00). Smoking cessation and relapse were most strongly associated with the proportion of smokers among household members and friends. The proportion of smokers in family outside the household was not related to smoking cessation and smoking relapse.In conclusion, smoking behavior in social networks, especially among household members and friends, is strongly associated with smoking cessation and relapse. These findings further support the spread of smoking within social networks, and provide evidence for network-based interventions, particularly including household members and friends. (C) 2017 The Authors. Published by Elsevier Inc.