Tobacco use patterns in traditional and shared parenting families: a gender perspective.
BACKGROUND
Although researchers have focused on women's smoking during pregnancy and the postpartum period and the influence of household interactions on their tobacco reduction efforts, little attention has been given to parents' efforts to regulate smoking during the child-rearing years. The objective of this study was to examine how parenting young children and gender relations reflected in couple dynamics influence household tobacco use patterns and, specifically, women's tobacco reduction efforts.


METHODS
As part of a longitudinal, grounded-theory study with 28 couples to examine the place of tobacco in the lives of new parents, each parent participated in one or two individual, semi-structured interviews during the first three years postpartum. Grounded theory methods and a gender relations framework were used to analyze transcribed data.


RESULTS
Two different parenting styles that couples adhered to were identified. These parenting styles reflected performances of femininities and masculinities, and were associated with particular smoking patterns. Traditional parenting reinforced by women's alignment with emphasized femininities and men's alignment with hegemonic masculinities placed women with smoking partners at risk for relapse. Women's actions to be supportive partners facilitated couples' continued smoking. In shared parenting dyads, egalitarian practices tended to support successful transitions to smoke-free homes. Women's ability to exert more influence around family decision making, and the acceptance of new masculine identities associated with fatherhood were influential. In non-smoking dyads where the mother, father, or both reduced or stopped smoking, we observed a subtext of potential conflict in the event either the mother or father relapsed.


CONCLUSIONS
Decisions about tobacco use are made within relationships and social contexts that vary based on each individual's relationship to tobacco, divisions of domestic labour and childcare, and other activities that impact tobacco use. Sensitive approaches to tobacco reduction for women and men must be developed building on greater understanding of gender relations and how tobacco use is integrated in spousal and parental roles.
Bottorff
Joan L
JL
Faculty of Health and Social Development, University of British Columbia, Kelowna, British Columbia, Canada. joan.bottorff@ubc.ca
Kelly
Mary T
MT
Oliffe
John L
JL
Johnson
Joy L
JL
Greaves
Lorraine
L
Chan
Anna
A
D000328:Adult; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D016487:Parenting / Q000523:psychology*; D011247:Pregnancy; D012907:Smoking / Q000523:psychology / Q000639:trends*; D016540:Smoking Cessation / Q000523:psychology; D055815:Young Adult
Addict Behav. 2007 Jan;32(1):128-36
16650624
Womens Health Issues. 2007 Sep-Oct;17(5):325-32
17692535
BMC Public Health. 2009 Apr 22;9:112
19386111
Qual Health Res. 2010 Mar;20(3):330-9
20054042
Br J Soc Psychol. 1999 Jun;38 ( Pt 2):181-94
10392449
Cochrane Database Syst Rev. 2003;(3):CD001746
12917911
Sociol Health Illn. 2009 Mar;31(2):185-200
19055591
Soc Work Health Care. 2004;39(1-2):67-88
15774385
J Am Coll Health. 2000 May;48(6):247-56
10863868
Soc Sci Med. 2006 Jun;62(12):3096-108
16414163
Subst Use Misuse. 2007;42(9):1427-41
17886140
J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):574-80
17973701
Health Psychol. 2002 Jul;21(4):368-76
12090679
J Drug Issues. 2005 Mar;35(2):409-429
17186062
Health Care Women Int. 2005 Aug;26(7):577-90
16126601
Am J Public Health. 2009 Feb;99(2):231-3
19059846
Health Place. 2007 Dec;13(4):894-903
17499542
Eur J Public Health. 2002 Mar;12(1):22-8
11968516
Am J Orthopsychiatry. 1992 Jan;62(1):83-92
1546763
Health Educ Res. 2004 Jun;19(3):239-49
15140844
Health Commun. 2009 Sep;24(6):532-47
19735031
Child Dev. 2000 Jan-Feb;71(1):127-36
10836566
Qual Health Res. 2005 Apr;15(4):564-77
15761099
Arch Dis Child. 2005 Jul;90(7):670-4
15970606
Sociol Health Illn. 2010 May;32(4):583-96
20163561
J Adv Nurs. 1999 Apr;29(4):1013-20
10215995
Res Nurs Health. 2005 Aug;28(4):316-28
16028262