Noella A Dietz, Taghrid Asfar, Alberto J Caban-Martinez, Kenneth D Ward, Katerina Santiago, Estefania C Ruano-Herreria, Laura A McClure, David J Lee
{"title":"Developing a Worksite-based Culturally Adapted Smoking Cessation Intervention for Male Hispanic/Latino Construction Workers.","authors":"Noella A Dietz, Taghrid Asfar, Alberto J Caban-Martinez, Kenneth D Ward, Katerina Santiago, Estefania C Ruano-Herreria, Laura A McClure, David J Lee","doi":"10.1017/jsc.2018.16","DOIUrl":"https://doi.org/10.1017/jsc.2018.16","url":null,"abstract":"<p><strong>Introduction: </strong>Over 2.6 million Hispanic/Latino construction workers (CWs) live in the US; 91% of South Florida CWs are Hispanic/Latino. CWs have higher smoking and lower cessation rates than other workers. Limited access to cessation services, worksite turnover, and lack of interventions tailored to culture/occupation hinder cessation. Partnering with worksite food trucks to deliver unique cessation interventions may improve these efforts.</p><p><strong>Aims: </strong>To explore a novel cessation approach, assess worker/worksite acceptability, and seek input into intervention development.</p><p><strong>Methods: </strong>In 2016, we conducted five semi-structured focus groups with 37 daily smoking Hispanic/Latino CWs. Constant comparative analysis was used to examine <i>a priori</i> themes regarding smoking behaviors, cessation treatments, intervention delivery, cultural adaptation, and quit interest.</p><p><strong>Results: </strong>CWs reported tremendous job stress. Most smoking occurred during the workday and most CWs did not use Nicotine Replacement Therapy with past quit attempts. Most CWs were open to a worksite face-to-face group cessation intervention before work (many underutilize breaks and feel pressure to keep working). CWs felt it unnecessary to tailor the intervention to Hispanics/Latinos indicating smokers are the same regardless of race/ethnicity.</p><p><strong>Conclusions: </strong>Findings demonstrate the need to consider work environments, job demands/stress, and worker preferences when developing accessible and acceptable cessation interventions.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 2","pages":"73-82"},"PeriodicalIF":0.9,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2018.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37390262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle R vanDellen, Megan A Lewis, Benjamin A Toll, Isaac M Lipkus
{"title":"Do Couple-Focused Cessation Messages Increase Motivation to Quit Among Dual-Smoker Couples?","authors":"Michelle R vanDellen, Megan A Lewis, Benjamin A Toll, Isaac M Lipkus","doi":"10.1017/jsc.2018.19","DOIUrl":"https://doi.org/10.1017/jsc.2018.19","url":null,"abstract":"<p><strong>Introduction: </strong>Dual-smoker couples are a highly prevalent group who report low motivation to quit smoking.</p><p><strong>Aims: </strong>This study tested the effect of a messaging intervention (couples- vs. individual-focused smoking outcomes) on motivation to quit among dual-smoker couples and examined the moderating effect of perceived support.</p><p><strong>Methods: </strong>A total of 202 individuals in 101 dual-smoker couples were randomized by dyad using a 2 (frame: gain/loss) by 2 (outcome focus: individual/couple) factorial design. Participants reviewed scenarios of either positive or negative outcomes of quitting versus not quitting as they applied to either the individual or the couple. Participants then reported their own motivation to quit and motivation for their partner to quit. The main outcome was motivation to quit smoking.</p><p><strong>Results: </strong>No main effects of framing or message focus emerged. Significant interactions between message focus and negative support predicted motivation for self and partner to quit. Individuals who reported lower negative support reported greater motivation for self to quit and less motivation for partner to quit after reviewing couple- (vs. individual-) focused messages.</p><p><strong>Conclusions: </strong>Individuals in dual-smoker couples typically report low motivation to quit smoking. Couple-focused messages may increase motivation to quit among individuals who are not receiving negative support from their partners.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 2","pages":"95-103"},"PeriodicalIF":0.9,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2018.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37328992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco Cartujano-Barrera, Jaime Perales, E. Arana, L. Cox, H. Yeh, E. Ellerbeck, K. Richter, A. Cupertino
{"title":"Increasing access to smoking cessation treatment among Latino smokers using case management.","authors":"Francisco Cartujano-Barrera, Jaime Perales, E. Arana, L. Cox, H. Yeh, E. Ellerbeck, K. Richter, A. Cupertino","doi":"10.1017/JSC.2019.1","DOIUrl":"https://doi.org/10.1017/JSC.2019.1","url":null,"abstract":"Disparities exist among Latino smokers with respect to knowledge and access to smoking cessation resources. This study tested the feasibility of using case management (CM) to increase access to pharmacotherapy and quitlines among Latino smokers.Latino smokers were randomized to CM (n = 40) or standard care (SC, n = 40). All participants received educational materials describing how to utilize pharmacy assistance for cessation pharmacotherapy and connect with quitlines. CM participants received four phone calls from staff to encourage pharmacotherapy and quitline use. At 6-months follow-up, we assessed the utilization of pharmacotherapy and quitline. Additional outcomes included self-reported smoking status and approval for pharmacotherapy assistance.Using intention-to-treat analysis, CM produced higher utilization than SC of both pharmacotherapy (15.0% versus 2.5%; P = 0.108) and quitlines (12.5% versus 5.0%; P = 0.432), although differences were not statistically significant. Approval for pharmacotherapy assistance programs (20.0% versus 0.0%; P = 0.0005) was significantly higher for CM than SC participants. Self-reported point-prevalence smoking abstinence at 6-months were 20.0% and 17.5% for CM and SC, respectively (P = 0.775).CM holds promise as an effective intervention to connect Latino smokers to evidence-based cessation treatment.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 3 1","pages":"168-175"},"PeriodicalIF":0.9,"publicationDate":"2019-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42774882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rosemary Hiscock, Deborah Arnott, Martin Dockrell, Louise Ross, Andy McEwen
{"title":"Stop Smoking Practitioners' understanding of e-cigarettes' use and efficacy with particular reference to vapers' socioeconomic status.","authors":"Rosemary Hiscock, Deborah Arnott, Martin Dockrell, Louise Ross, Andy McEwen","doi":"10.1017/jsc.2018.9","DOIUrl":"10.1017/jsc.2018.9","url":null,"abstract":"<p><p><b>Introduction:</b> We have undertaken four online surveys of Stop Smoking Service (SSS) practitioners in England, between 2011 and 2016, in order to enhance our understanding of e-cigarettes: a fast moving new phenomenon. It is important to understand whether e-cigarettes can ameliorate or exacerbate health inequalities given that smoking is one of the most serious causes of excessive mortality and morbidity among disadvantaged groups globally. <b>Aims:</b> To update findings of previous surveys and examine socioeconomic status differences in e-cigarette use and efficacy. <b>Methods:</b> Analysis was undertaken of electronic surveys, particularly, the most recent 2016 survey (<i>n</i> = 514) and 2015/16 SSS client routine monitoring data. <b>Results:</b> SSS practitioners were becoming more positive about e-cigarettes: 42% agreed that e-cigarettes were a good thing compared with 15% in 2011. Reported use of e-cigarettes among SSS clients was low (about 3%) despite higher quit rates (63% of clients reported being quit at four week follow-up, compared with 51% overall). Where socioeconomic differences in e-cigarettes' efficacy for quitting were identified, affluent and working smokers were advantaged. <b>Conclusions:</b> Low use of e-cigarettes by clients and practitioner opinions suggest that further education of SSS staff is needed if they are to adopt the current service recommendations about e-cigarettes.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 1","pages":"21-31"},"PeriodicalIF":0.9,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining e-cigarette purchases and cessation in a consumer panel of smokers.","authors":"Zachary Cahn, Regine Haardörfer, Michael Lewis, Yanwen Wang, Carla J Berg","doi":"10.1017/jsc.2018.11","DOIUrl":"10.1017/jsc.2018.11","url":null,"abstract":"<p><strong>Objectives: </strong>Examine correlates of initiation of e-cigarette use among smokers and determine the impact of e-cigarette use on cessation among smokers in a national U.S. consumer panel.</p><p><strong>Methods: </strong>This study used the Nielsen Homescan Panel data from 2011 to 2013, augmented with state-specific measures of tobacco control activities, to examine 1) correlates of single and repeat e-cigarette purchasing among panelists currently purchasing cigarettes; and 2) correlates of \"cessation\". Participating panelists scanned all retail purchases, and Nielsen recorded over 3 million product types. The key explanatory variable for cessation was e-cigarette purchase. Parallel analysis was conducted for conventional nicotine replacement therapy (NRT) purchase. Cessation was defined as no purchases for at least 6 months and no subsequent purchases until the end of 2013. Analysis was conducted in 2015. E-cigarettes tracked by Nielsen during this period were cig-a-like products resembling tobacco cigarettes in appearance.</p><p><strong>Results: </strong>Single e-cigarette purchase was associated with whether the panelist resided in a single person male household and bought a higher volume of cigarettes. Repeat purchase was associated with higher state cigarette taxes, less stringent state public smoke-free policies, lower cigarette prices, and more frequent cigarette purchasing. Cessation was associated with repeat e-cigarette purchasing, repeat NRT purchasing, younger age, lower monthly cigarette volume, less frequent purchasing of cigarettes, less recent cigarette purchase at baseline, and single e-cigarette purchase before baseline.</p><p><strong>Conclusions: </strong>Both individual and policy variables were associated with e-cigarette use. Repeat e-cigarette purchase was associated with cigarette purchase discontinuation, as were various smoking intensity measures.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 1 1","pages":"32-41"},"PeriodicalIF":0.9,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46209545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Shayne Gallaway, Eric Tai, Elizabeth A Rohan
{"title":"Smoking Cessation Treatment Programs Offered at Hospitals Providing Oncology Services.","authors":"Michael Shayne Gallaway, Eric Tai, Elizabeth A Rohan","doi":"10.1017/jsc.2018.15","DOIUrl":"https://doi.org/10.1017/jsc.2018.15","url":null,"abstract":"<p><strong>Background: </strong>Many people with cancer continue smoking despite evidence that it negatively effects cancer treatment, worsens chemotherapy toxicity, and increases risk for a second cancer.</p><p><strong>Aims: </strong>We examined tobacco treatment services offered to cancer patients at hospitals providing oncology services, including National Cancer Institute (NCI)-Designated Cancer Centers (NDCCs).</p><p><strong>Methods: </strong>We examined survey data of 6,400 U.S. hospitals from 2008 to 2015 to determine the manner in which tobacco treatment/cessation program services were provided among NDCCs and non-NDCC hospitals providing oncology services (HPOs).</p><p><strong>Results: </strong>From 2008 to 2015, 784 responses from NDCCs and 18,281 responses from HPOs were received. NDCCs (86%) reported significantly higher tobacco treatment/cessation programs owned by the hospital compared to HPOs (68%) (<i>p</i> < 0.001). Among NDCCs, there was a significant increasing trend of tobacco treatment/cessation programs reported owned by the hospital, the health system, or other contractual mechanism from 2008 to 2015 (<i>p</i> = 0.03).</p><p><strong>Conclusions: </strong>More than 80% of oncology providing hospitals report providing tobacco cessation programs, with higher percentages reported in NDCCs. As hospitals implement smoking cessation programs, partnerships between hospitals and cancer coalitions could help bring tobacco cessation activities to communities they both serve, and link discharged patients to these cessation resources so they can continue quit attempts that they initialised while hospitalised.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 1","pages":"65-71"},"PeriodicalIF":0.9,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2018.15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36353097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Rodriguez, Tiffanie Goulazian, Andrew A Strasser, Jennifer O Loughlin, Erika N Dugas, Chol Kuoiloi, Brian L Hitsman, Robert Schnoll
{"title":"The Role of the Subjective Importance of Smoking (SIMS) in Cessation and Abstinence.","authors":"Daniel Rodriguez, Tiffanie Goulazian, Andrew A Strasser, Jennifer O Loughlin, Erika N Dugas, Chol Kuoiloi, Brian L Hitsman, Robert Schnoll","doi":"10.1017/jsc.2018.7","DOIUrl":"https://doi.org/10.1017/jsc.2018.7","url":null,"abstract":"<p><strong>Introduction: </strong>Each year about two thirds of U.S. smokers make a quit attempt. Yet, less than 5% remain abstinent three months post-quit date. One factor that may affect abstinence is negative feelings about the self-associated with being a smoker (disequilibrium), particularly if smoking is important to the sense of self and one is trying to quit.</p><p><strong>Aims: </strong>We evaluated a multivariate structural equation model proposing that smoking's subjective importance to a smoker would influence carbon monoxide verified smoking abstinence at 24 weeks (post-quit date). Further, we assessed whether the relation would be moderated by the smoker's experience of disequilibrium.</p><p><strong>Methods: </strong>Participants were 440 regular smokers taking part in a clinical trial assessing the effectiveness of different durations of nicotine replacement therapy use. Participants completed the subjective importance of smoking survey at baseline and were assessed for carbon monoxide verified seven-day point prevalence abstinence at 24 weeks.</p><p><strong>Results: </strong>Using exploratory structural equation modelling, the subjective importance of smoking was associated with point prevalence abstinence at 24 weeks, but only for smokers with high disequilibrium.</p><p><strong>Conclusions: </strong>The results of this study suggest that experiencing negative feelings about being a smoker could motivate smokers to remain abstinent, despite the importance of smoking to the smoker's sense of self.</p>","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"14 1","pages":"1-11"},"PeriodicalIF":0.9,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/jsc.2018.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25536272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin R. Brady, Tracy E. Crane, Patrick A. O’Connor, U. Nair, Nicole P. Yuan
{"title":"Electronic cigarette use and tobacco cessation in a state-based quitline","authors":"Benjamin R. Brady, Tracy E. Crane, Patrick A. O’Connor, U. Nair, Nicole P. Yuan","doi":"10.1017/JSC.2019.2","DOIUrl":"https://doi.org/10.1017/JSC.2019.2","url":null,"abstract":"Evidence is mixed on e-cigarette's effectiveness as a tobacco cessation aid. Research suggests that e-cigarette users face greater barriers to quitting tobacco.To examine the association between e-cigarette use and tobacco cessation outcomes among quitline callers.We examined 2,204 callers who enrolled and completed 7-month follow-up surveys between April 2014 and January 2017. We examined the association between any e-cigarette use and tobacco cessation. We also evaluated these relationships by e-cigarette use patterns between enrollment and 7-month follow-up: sustained, adopted, discontinued, and non-use. We used multivariable logistic regression to control for caller characteristics, tobacco history, and program utilization.Overall, 18% of callers reported using e-cigarettes at enrollment, follow-up, or both. Compared to non-users, e-cigarette users were more likely to be younger, non-Hispanic, and report a mental health condition. The adjusted odds of tobacco cessation were not statistically different for callers who used e-cigarettes compared to those who did not (adjusted odds ratios = 1.02, 95% confidence interval 0.79–1.32). Results were similar when examining cessation by patterns of e-cigarette use.E-cigarette use was not associated with tobacco cessation. This suggests that e-cigarette use may neither facilitate nor deter tobacco cessation among quitline callers. Future research should continue exploring how e-cigarette use affects quitting.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"38 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56981535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Wang, Erin S. Rogers, S. Fu, A. Gravely, S. Noorbaloochi, S. Sherman
{"title":"Characterizing e-cigarette use in veteran smokers with mental health conditions","authors":"John Wang, Erin S. Rogers, S. Fu, A. Gravely, S. Noorbaloochi, S. Sherman","doi":"10.1017/JSC.2019.16","DOIUrl":"https://doi.org/10.1017/JSC.2019.16","url":null,"abstract":"The use of electronic cigarettes (e-cigarettes) in smokers with mental health conditions (MHC) is not well understood.This study aims to compare e-cigarette users and non-users among veteran smokers with MHC to characterize differences in smoking behavior, motivation to quit, psychological distress, primary psychiatric diagnosis, and other factors.Baseline survey data were used from a randomized smoking cessation trial enrolling smokers with MHC from four Veterans Health Administration hospitals. Participants were categorized as current, former (having ever tried an e-cigarette), or never e-cigarette users. Pearson's χ2 and ANOVA Type-3 F-tests were used to test the bivariate associations between e-cigarette use and variables measured.Among 1,836 participants, mean age was 58 years (STD ± 12.5), 87% were male, 15% were current e-cigarette users (n = 275), and 27% were former users (n = 503). Sixty-five percent of e-cigarette users reported ‘wanting to quit smoking’ as a primary reason. Mean readiness to quit smoking (1–10) was 7.2, 6.8, and 6.4 for current, former, and never e-cigarette users, respectively (P = 0.0002). Sixty-three percent of current and former users and 55% of never-users reported some mental distress on Kessler-6 scale (P = 0.0003, OR = 1.4, 95% CI 1.1–1.7). A primary psychiatric diagnosis of alcohol or substance use disorder was recorded for 50% of current or former users and 60% of never-users (P = 0.0003, OR = 0.69, 95% CI 0.56–0.84).E-cigarette users were more ready to quit and most often reported using e-cigarettes to assist with quitting. E-cigarette users had more psychological distress and were less likely to have substance use disorders as their primary psychiatric diagnosis.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2019.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56981532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Partner Smoking, Relationship Satisfaction and Parental Stress on Tobacco Use","authors":"A. Foulstone, T. Kifle, A. Kelly","doi":"10.1017/JSC.2018.37","DOIUrl":"https://doi.org/10.1017/JSC.2018.37","url":null,"abstract":"Despite declines in tobacco use during pregnancy and after childbirth, smoking remains unacceptably high among many parents. Smoking maintenance or relapse may be common in couple relationships when the other parent continues to smoke, when relationship satisfaction is low, or parental stress high.To examine the longitudinal influence of partner tobacco use, relationship satisfaction and parental stress on tobacco use after childbirth.Data was obtained from 115 Australian heterosexual adult couples (Mean age = 31.8) who reported being pregnant in the previous year and the female partner was a previous or current smoker. A household longitudinal survey was administered in which measures of tobacco use, relationship satisfaction and parental stress were assessed on four occasions over nine years.Overall reductions in tobacco use occurred over the nine-year assessment period, although a small percentage (9.6%) of parents reported being daily smokers at every assessment. Similarly, a small proportion (13.1%) of parents relapsed to using tobacco during the assessment period. A random effects binary logit model indicated that mothers and fathers were more likely to continue or relapse to tobacco use if their partners smoked. Mothers were more likely to quit smoking if they became pregnant between the assessment waves, but for males, having a pregnant partner was not a significant predictor of tobacco cessation.While pregnancy is associated with smoking cessation for mothers, both mothers and fathers are at elevated risk of continued tobacco smoking or relapse if their partner smokes during the first nine years after childbirth. For parents who continue to smoke cigarettes or relapse after childbirth, engagement of the partner in smoking cessation may be a key factor in promoting positive outcomes.","PeriodicalId":39350,"journal":{"name":"Journal of Smoking Cessation","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2018-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JSC.2018.37","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46637617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}