Spouse concordance of smoking patterns and other lifestyle factors was examined in data provided by 560 married couples from the Minnesota Heart Survey. Married pair concordance was measured against a standard of concordance based on the frequencies in surrogate spouse pairs. Smoking patterns are found to be significantly concordant for married pairs. More married pairs than surrogate pairs tended to both smoke or both not smoke. Among smokers, married pairs are more similar than surrogate pairs in daily number of cigarettes smoked. Among ex-smokers, married pairs are more similar than surrogate pairs in the year they quit smoking. Younger couples with the least amount of education were most concordant and showed the greatest smoking rate. Five additional lifestyle factors showed an increased level of concordance for married over surrogate pairs. Concordance in these factors was not correlated with smoking concordance. It is suggested that married couples respond simliarly to a shared environment made up of daily practices, social life, and leisure activities. Further, smoking Intervention directed toward the married couple should be considered.
|Original language||English (US)|
|Number of pages||9|
|Journal||American journal of epidemiology|
|State||Published - Oct 1984|
Bibliographical noteFunding Information:
In spite of numerous investigations ex-programs have been guided by psycho-ploring the distribution, prevention, and logic and pharmacologic models. As such, modification of smoking behavior, this the individual has been viewed as the op-habit has continued as a major public timal unit of intervention. The individual health problem (1—3). Most frequently, has been the focus of studies concerned smoking studies and health education with smoking initiation, maintenance, and cessation (3, 4). However, increasing Received for publication November 8, 1983, and evidence (5, 6, 9-12) has suggested the in1final form February 13, 1984. v t d,u o f. • j • i • ? i_ Division of Epidemiology, School of Public considering smoking behavior as Health,StadiumGate27,611BeaconSt.,S.E.,Unipart ofabroader lifestyle. Inthisap-vereityofMinnesota,Minneapolis,MN55455.(Re-proachthefamilyormarriedcoupleisone print requests to Dr. Venters.) ... ., P , . j . , ,. *DepartmentofPediatrics,UniversityofRoch-possibleunitofanalysisand intervention, ester Medical Center, Rochester, NY. Familial influence is reflected in statis-This research supported in part by: Research y ^ t n a t g^ow increased risk of smoking Grant NHLBI 2 R01 HL-23727; National Research , , . ,_. , . ,. -_. . Service Award NHLBI HL-06719 to Dr. Venters; behavior (7) and respiratory disease (5) in Research Career Development Award NHLBI HL-children of smokingg parentsp , increased b hC Dl 00287 to Dr. Jacobs; Research Career Development j ^of j ^ g cancer j nnonsmoking wives Award NHLBI HL-00329 to Dr. Gillum; and f . . \ , , ,_,. , a Biomedical Research Support Grant S07-RR-05448 o f smoking husbands (6), and spouse conto Dr. Jacobs. cordance of smoking patterns. 608
- Family health