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Living with a Smoker and Multiple Health-Risk Behaviors
Charles J Holahan1, Carole K Holahan2, Sangdon Lim3
1Department of Psychology, University of Texas at Austin, Austin, TX, USA.
Summary
Living with a smoker significantly increases the likelihood of engaging in multiple health-risk behaviors, spanning diet and physical activity. This association highlights a public health risk linked to household smoking exposure.
Area of Science:
- Behavioral Medicine
- Public Health
- Epidemiology
Background:
- Multiple health-risk behaviors are linked to increased morbidity and mortality.
- Living with a smoker is a potential contextual factor for multiple risk behaviors.
Purpose of the Study:
- Investigate the association between living with a smoker and multiple health-risk behaviors.
- Determine if multiple risk behaviors span physical activity and dietary domains.
- Analyze these effects longitudinally over 3 years.
Main Methods:
- Utilized data from 82,644 women in the Women's Health Initiative Observational Study.
- Employed multinomial and binary logistic regression analyses.
- Conducted cross-sectional, longitudinal, and prospective analyses over 3 years.
Main Results:
- Living with a smoker was more strongly associated with multiple health-risk behaviors than single behaviors.
- Multiple risk behaviors occurred across physical activity and dietary domains.
- Living with a smoker increased odds of multiple health-risk behaviors by 82% cross-sectionally and 94% longitudinally.
Conclusions:
- Living with a smoker poses an unrecognized public health risk.
- Findings support household-level interventions for smoking and obesity prevention.
- Highlights the importance of considering household smoking in behavioral health research.
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