The Influence of Parity and Smoking in the Social Environment on Tobacco Consumption among Daily Smoking Women in Denmark

Mueller, Luise; Munk, Christian; Thomsen, Birthe Lykke; Frederiksen, Kirsten; Kjær, Susanne K.

doi:10.1159/000101554

Cited by 7 publications

(6 citation statements)

References 19 publications

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“…Existing studies have shown that being in a high smoking prevalence environment is associated with an increased likelihood of smoking. [46][47][48][49] In our study, the data showed that a lower rate in the MRP was not a protective factor for men's smoking, compared with women; although this clearly suggests that moving to a low smoking prevalence environment would not reduce smoking in men, the reasons still need to be explored. Qualitative research from China found that men's smoking was considered 'normal' 50 or acceptable, which might mean that men who smoke are not as sensitive to environmental changes.…”

Section: Discussioncontrasting

confidence: 55%

Gender differences in social environmental changes associated with smoking: a cross-sectional study from Chinese internal migrants

Zhang

Yun

et al. 2022

BMJ Open

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ObjectivesTo identify clues for women’s tobacco control, this study analyses the gender differences in social environmental changes associated with smoking and the interaction between the environment and individuals’ social integration.Design, setting and participantsA cross-sectional design and secondary analysis were used among Chinese internal migrants. Data were from the 2012 Migrant Dynamics Monitoring Survey in China with participants aged 15–59 years old (75 416 women and 83 140 men) who resided in cities for more than 1 month.Primary and secondary outcome measuresSocial environmental changes were measured by differences in smoking prevalence and women’s empowerment between the migrant-receiving province (MRP) and migrant-sending province (MSP). Social participation and duration of stay (DOS) were adopted as indicators of social integration. Stratified analysis and binary logistic regression models were used to determine the dependent variable (smoking status) and environmental changes after controlling for age, education, income and happiness.ResultsDifferences in the smoking prevalence environment (lower in MRP, OR 0.70, 95% CI 0.60 to 0.83; higher rate in MRP, OR 1.79, 95% CI 1.35 to 2.37) and women’s empowerment (lower rate in MRP, OR 0.80, 95% CI 0.68 to 0.97; higher rate in MRP, OR 1.15, 95% CI 1.00 to 1.33) between MRP and MSP were positively correlated with women’s smoking. In men, however, migrating to an area with lower smoking prevalence could not reduce smoking risk, whereas moving to an area with higher women’s empowerment could. A long DOS was an independent risk factor for smoking in women (ranged from 1.20 to 2.00 in various environmental changes scenarios) but a protective factor for men. An interaction between environmental changes and social integration could not be verified.ConclusionsTobacco control strategies should consider gender differences, especially women who are experiencing social environmental changes.

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Section: Discussioncontrasting

confidence: 55%

Gender differences in social environmental changes associated with smoking: a cross-sectional study from Chinese internal migrants

Zhang

Yun

et al. 2022

BMJ Open

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“…For African-American women living in subsidized housing in two south-eastern US states, while stronger social cohesion was found to be associated with lower smoking, living in a neighborhood with higher social cohesion was not associated with smoking prevalence 44 . For women in Denmark and Finland, social network factors, including presence of smokers in women’s social networks, was central to smoking behavior 45,46 . Among Aboriginal women in Western Australia, smoking was seen as a stress reducer that helped women cope with social and economic pressures, and, therefore, was seen more for its benefit than for its detrimental health impact 47 .…”

Section: Discussionmentioning

confidence: 99%

A social-contextual investigation of smoking among rural women: multi-level factors associated with smoking status and considerations for cessation

Nemeth¹,

Thomson²,

Lü³

et al. 2018

RRH

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“…Due to shifted population norms among Aboriginal and Torres Strait Islander Australians, factors used to predict smoking in non‐indigenous populations are not effective for Indigenous Australians. Socioeconomic status, 22 age, 23 parity and gravidity, 24 have been identified as important predictors of continued smoking during pregnancy among non‐indigenous groups. Although this study only had sufficient power to detect very large differences, it is feasible that the demographic characteristics and high population rate of smoking may differentiate Aboriginal and Torres Strait Islander women to such an extent that a different set of markers is required to predict smoking status.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes regarding smoking during pregnancy among Aboriginal and Torres Strait Islander women

Gilligan

Sanson‐Fisher

DʼEste

et al. 2009

Medical Journal of Australia

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Objective: To identify factors associated with antenatal smoking and explore characteristics of smoking behaviour among pregnant Aboriginal and Torres Strait Islander women. Design and setting: Cross‐sectional study using interviewer‐administered questionnaires of 145 pregnant Aboriginal and Torres Strait Islander women attending a health service in Far North Queensland between November 2005 and December 2006. Main outcome measures: Prevalence of self‐reported smoking; predictors and patterns of smoking in early pregnancy; and relationships between smoking and the prevalence of predisposing, enabling and reinforcing factors, including women's knowledge about and attitudes towards smoking and the risks involved. Results: Of 145 women, 41% (n = 60) reported being daily or occasional smokers. Knowledge about harms of smoking was generally high. Women who were smokers had a significantly higher rate of smoking partners (n = 36) than women who were non‐smokers (n = 31) (77% v 41%, P < 0.001). Level of daily stress was significantly higher among smokers than non‐smokers (P = 0.001). Conclusion: Shifted population norms among Aboriginal and Torres Strait Islanders are accompanied by a shift in the factors that can effectively differentiate between smokers and non‐smokers within this population. Rather than the traditional, mainstream predictors of antenatal smoking, interventions with Aboriginal and Torres Strait Islander women should focus on the social environment, and the influences of social networks and partners on the behaviour of individuals.

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The Influence of Parity and Smoking in the Social Environment on Tobacco Consumption among Daily Smoking Women in Denmark

Cited by 7 publications

References 19 publications

Gender differences in social environmental changes associated with smoking: a cross-sectional study from Chinese internal migrants

Gender differences in social environmental changes associated with smoking: a cross-sectional study from Chinese internal migrants

A social-contextual investigation of smoking among rural women: multi-level factors associated with smoking status and considerations for cessation

Knowledge and attitudes regarding smoking during pregnancy among Aboriginal and Torres Strait Islander women

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