How important are parents and partners for smoking cessation in adulthood? An event history analysis

Background. The aim of this study is to assess the effect of parental and partner's education and smoking behavior on an individual's chance of smoking cessation over the life course. Methods. Self-reported life histories of smoking behavior, education, and relationships were recorded in face-to-face interviews with a random general-population sample of 850 respondents and their partners (if present). The data were collected in 2000. A discrete-time event history model is applied in the analyses of cessation over the life course. Results. Parents' education and smoking behavior (during adolescence) and partners' education have no significant influence on cessation. Living with an ex-smoker or never-smoker increases the likelihood of quitting, compared to being single or living with a partner who smokes. Respondents whose partners were ex-smokers are almost five times more likely to quit smoking than single respondents. They are almost twice as likely to quit compared to those living with a never-smoker. Conclusions. The difference between having and not having a partner seems as important for cessation as the difference between having a partner who smokes, has never smoked, or has stopped smoking. An ex-smoking partner stimulates cessation more than a partner who has never smoked. Studies into cessation should take into account partners' smoking histories. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.