昨年12月に出版した以下の論文のアクセス数が500超と高くなっています。
東京近郊の自治体の若い夫婦へのインタビュー調査のデータをもとに、パートナーが禁煙すると、自分も禁煙するか否かを分析した結果、男性では、女性のパートナーが禁煙すると自分も禁煙する確率がぐっと高まるのですが、そのような関係は女性の場合、2人とも高学歴の場合のみ当てはまることがわかりました。
学歴は、健康リテラシー（健康に関する周囲からの情報等を的確に選び取って、解釈し、活用する力）を反映します。夫婦で禁煙を進めるような禁煙指導が、病院などではよく行われます。そういうとき、学歴などの情報も役立つかもしれません。
論文ウェブサイト：http://www.biomedcentral.com/1471-2458/14/1184
Differences in spousal influence on smoking cessation by gender and education among Japanese couples
Daisuke Takagi, Naoki Kondo, Misato Takada and Hideki Hashimoto
BMC Public Health 2014, 14:1184 doi:10.1186/1471-2458-14-1184
Abstract
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Background
Previous studies have reported that spousal non-smoking has a spillover effect on the partner’s cessation. However, discussion is lacking on the factors modifying that association. We examined whether the spillover effect of spousal non-smoking was associated with the couple’s educational attainment.
Methods
We used paired marital data from the Japanese Study on Stratification, Health, Income, and Neighborhood (J-SHINE), which targeted residents aged 25–50 years in four Japanese municipalities. We selected a spouse smoker at the time of marriage (target respondent), and set his/her smoking status change (continued or quit smoking after marriage) as an outcome, regressed on the counterpart’s smoking status (continued smoking or non-smoking) and combinations of each couple’s educational attainment as explanatory variables using log-binomial regression models (n =1001 targets; 708 men and 293 women).
Results
Regression results showed that a counterpart who previously quit smoking or was a never-smoker was associated with the target male spouse’s subsequent cessation. However, for women, the association between husband’s non-smoking and their own cessation was significant only for couples in which both spouses were highly educated.
Conclusions
Our findings suggest that a spouse’s smoking status is important for smoking cessation interventions in men. For women, however, a couple’s combined educational attainment may matter in the interventions.