Berg Carla J, Zheng Pinpin, Kegler Michelle C
Rollins School of Public Health, Emory University, Atlanta, Georgia.
School of Public Health, Fudan University, Shanghai, China.
J Smok Cessat. 2016 Dec;11(4):199-202. doi: 10.1017/jsc.2014.25. Epub 2014 Nov 21.
Spousal support predicts smoking cessation. China is the world's largest consumer of tobacco, with drastic differences in smoking prevalence among men and women. Thus, understanding marital interactions around husbands' smoking has implications for cultures with similarly large gender disparities in smoking.
We examined interactions among family members regarding husbands' smoking in homes with small children in Shanghai.
In Spring 2013, we conducted in-person semi-structured interviews among 13 male smokers and 17 female nonsmokers recruited from an urban and a suburban community in Shanghai.
RESULTS/FINDINGS: To encourage husbands' cessation or reduction, some women reported intervening either directly or indirectly through their children, emphasizing the health consequences for the smoker and the family. Some women reported not conversing about cessation due to concern about conflict, tolerance, or resignation. Women reported that their husbands' responses to anti-smoking messages from family members included promises to quit in the future or noting the strength of the nicotine addiction and the disadvantages of quitting. Men reported the importance of smoking in work/culture and argued against the research about the harms of smoking.
Interventions targeting motivators for cessation among men and to support women in encouraging their husbands' cessation should be developed.
配偶支持有助于戒烟。中国是全球最大的烟草消费国，男性和女性的吸烟率存在巨大差异。因此，了解围绕丈夫吸烟的婚姻互动情况，对于吸烟性别差异同样巨大的文化背景具有重要意义。
我们研究了上海有小孩家庭中家庭成员围绕丈夫吸烟的互动情况。
2013年春季，我们对从上海一个城区和一个郊区社区招募的13名男性吸烟者和17名女性非吸烟者进行了面对面的半结构化访谈。
为了鼓励丈夫戒烟或减少吸烟量，一些女性报告称，她们会直接干预或通过孩子间接干预，强调吸烟对吸烟者本人和家庭健康的影响。一些女性报告称，由于担心冲突、容忍或顺从，她们不会谈论戒烟问题。女性报告称，丈夫对家庭成员反吸烟信息的反应包括承诺未来戒烟，或者指出尼古丁成瘾的严重性以及戒烟的弊端。男性则强调吸烟在工作/文化中的重要性，并对吸烟危害的研究提出异议。
应制定针对男性戒烟动机以及支持女性鼓励丈夫戒烟的干预措施。
