Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions

Social support predicts better health and lower mortality, but the benefits of peer social support for helping cigarette smokers quit are unclear. Moreover, sex as a moderating factor has not been investigated despite sex differences in social support processes. This study of smokers’ perceived avai...

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Main Authors: J. Lee Westmaas, Sicha Chantaprasopsuk, Jeuneviette Bontemps-Jones, Robert L. Stephens, Christopher Thorne, Lorien C. Abroms
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335522003667
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author J. Lee Westmaas
Sicha Chantaprasopsuk
Jeuneviette Bontemps-Jones
Robert L. Stephens
Christopher Thorne
Lorien C. Abroms
author_facet J. Lee Westmaas
Sicha Chantaprasopsuk
Jeuneviette Bontemps-Jones
Robert L. Stephens
Christopher Thorne
Lorien C. Abroms
author_sort J. Lee Westmaas
collection DOAJ
description Social support predicts better health and lower mortality, but the benefits of peer social support for helping cigarette smokers quit are unclear. Moreover, sex as a moderating factor has not been investigated despite sex differences in social support processes. This study of smokers’ perceived availability of peer social support in quitting cigarette smoking is a secondary analysis of 1,010 individuals enrolled in an RCT that provided quitting assistance using tailored emails scheduled around a quit date. Participants completed measures of peer support for quitting cigarettes at enrollment (baseline), and at 1-, 3-, and 6-month follow-ups. Peer support at follow-ups was categorized as never-present, always-present, or mixed. A Generalized Estimating Equation (GEE) examined the association between peer support and 7-day point prevalence abstinence at follow-ups, controlling for baseline peer support, experimental condition, stress, depression, and sociodemographic and smoking behavior-related variables. Interactions of peer support × time, and peer support × sex, were tested. Results indicated that among women, always-present or mixed peer support was associated with, respectively, odds of abstinence that were 4.36 (95 % CI, 2.54–7.49, p = 0.0001), and 2.21 (OR = 2.21, 95 % CI, 1.27–3.85, p = 0.005) greater than among women reporting never-present peer support. Among men, peer support did not predict abstinence. Women who smoke may be especially receptive to the benefits of peer support when attempting to quit. Investigation of the basis of their perceptions, how they might be increased, and whether interventions to change them would be effective, is warranted.
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spelling doaj.art-c3eebb2e482448daa8ee30e79497abde2022-12-22T02:51:03ZengElsevierPreventive Medicine Reports2211-33552022-12-0130102059Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventionsJ. Lee Westmaas0Sicha Chantaprasopsuk1Jeuneviette Bontemps-Jones2Robert L. Stephens3Christopher Thorne4Lorien C. Abroms5American Cancer Society, 3380 Chastain Meadows Pkwy NW Suite 200, Kennesaw, GA 30144, USA; Corresponding author.American Cancer Society, 3380 Chastain Meadows Pkwy NW Suite 200, Kennesaw, GA 30144, USAAmerican Cancer Society, 3380 Chastain Meadows Pkwy NW Suite 200, Kennesaw, GA 30144, USAICF International, 2635 Century Parkway NE, Suite 1000, Atlanta, GA 30345, USADepartment of Health Behavior, School of Public Health, University of Alabama, Birmingham, USAMilken Institute School of Public Health, George Washington University, USASocial support predicts better health and lower mortality, but the benefits of peer social support for helping cigarette smokers quit are unclear. Moreover, sex as a moderating factor has not been investigated despite sex differences in social support processes. This study of smokers’ perceived availability of peer social support in quitting cigarette smoking is a secondary analysis of 1,010 individuals enrolled in an RCT that provided quitting assistance using tailored emails scheduled around a quit date. Participants completed measures of peer support for quitting cigarettes at enrollment (baseline), and at 1-, 3-, and 6-month follow-ups. Peer support at follow-ups was categorized as never-present, always-present, or mixed. A Generalized Estimating Equation (GEE) examined the association between peer support and 7-day point prevalence abstinence at follow-ups, controlling for baseline peer support, experimental condition, stress, depression, and sociodemographic and smoking behavior-related variables. Interactions of peer support × time, and peer support × sex, were tested. Results indicated that among women, always-present or mixed peer support was associated with, respectively, odds of abstinence that were 4.36 (95 % CI, 2.54–7.49, p = 0.0001), and 2.21 (OR = 2.21, 95 % CI, 1.27–3.85, p = 0.005) greater than among women reporting never-present peer support. Among men, peer support did not predict abstinence. Women who smoke may be especially receptive to the benefits of peer support when attempting to quit. Investigation of the basis of their perceptions, how they might be increased, and whether interventions to change them would be effective, is warranted.http://www.sciencedirect.com/science/article/pii/S2211335522003667CessationSexSmokingSocial Support
spellingShingle J. Lee Westmaas
Sicha Chantaprasopsuk
Jeuneviette Bontemps-Jones
Robert L. Stephens
Christopher Thorne
Lorien C. Abroms
Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions
Preventive Medicine Reports
Cessation
Sex
Smoking
Social Support
title Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions
title_full Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions
title_fullStr Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions
title_full_unstemmed Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions
title_short Longitudinal analysis of peer social support and quitting Smoking: Moderation by sex and implications for cessation interventions
title_sort longitudinal analysis of peer social support and quitting smoking moderation by sex and implications for cessation interventions
topic Cessation
Sex
Smoking
Social Support
url http://www.sciencedirect.com/science/article/pii/S2211335522003667
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