Smoking cessation - better together: A retrospective cohort study
Limor Adler1,2, Shafeek Abu Arar1, Ilan Yehoshua1,3
1Health Division, Maccabi Healthcare Services, Tel Aviv, Israel.
Tobacco Induced Diseases
|May 22, 2023
Summary
When both partners quit smoking together, individuals have a significantly higher chance of successfully stopping smoking. Engaging both partners in cessation efforts is recommended for better outcomes.
Area of Science:
- Public Health
- Behavioral Science
- Clinical Medicine
Background:
- Smoking remains the primary preventable cause of global mortality and morbidity.
- Evidence on the link between smoking cessation rates and partners' smoking habits is inconsistent.
- Spousal influence on health behaviors, including smoking, is a recognized factor.
Purpose of the Study:
- To investigate the association between a partner's smoking status and smoking cessation success in patients using pharmacotherapy.
- To evaluate the impact of mutual smoking cessation on individual quitting rates.
Main Methods:
- A nationwide retrospective cohort study in Israel involving patients prescribed varenicline for smoking cessation.
- Participants were partnered individuals who completed a questionnaire 26-52 weeks post-prescription.
- Key variables included partner's smoking status (initial and follow-up) and successful smoking cessation.
Main Results:
- 39% of participants successfully quit smoking.
- Successful quitting was significantly higher when partners also quit (76%) compared to non-smoking partners (39%) or partners who continued smoking (31%).
- Partners quitting together increased the odds of successful smoking cessation (OR=4.73).
Conclusions:
- Mutual smoking cessation by both partners is strongly associated with increased odds of successful individual quitting.
- Healthcare providers should encourage and facilitate the involvement of both partners in smoking cessation programs.
- Engaging couples in cessation interventions may improve public health outcomes by reducing smoking prevalence.
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