Smoking and Secondhand Smoke Exposure at Home Were Associated with Poor Perceived Family Well-Being: Findings of FAMILY Project

• Published in: PloS one Vol. 11; no. 8; p. e0161761
• Main Authors: Wang, Xin, Wang, Man Ping, Viswanath, Kasisomayajula, Wan, Alice, Lam, Tai Hing, Chan, Sophia S
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 25-08-2016; Public Library of Science (PLoS)
• Subjects: Adolescent; Adult; Adults; Aged; Biology and Life Sciences; China; Cigarette smoking; Drug dependence; Education; Ethics; Exposure; Family Relations; Female; Gender; Happiness; Health aspects; Humans; Male; Marital status; Medicine and Health Sciences; Middle Aged; Motivation; Nicotine; Nursing schools; Passive smoking; People and places; Psychological aspects; Public health; Quality of life; Research and Analysis Methods; Review boards; Smoke; Smoking; Social Sciences; Studies; Surveys; Tobacco; Tobacco smoke; Tobacco Smoke Pollution - adverse effects; Tobacco Smoke Pollution - statistics & numerical data; Well being; United States; China
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0161761

To investigate the associations of cigarette smoking and secondhand (SHS) exposure at home with family well-being among Chinese adults in Hong Kong.
Telephone surveys were conducted among 3043 randomly selected adults (response rate 70%) in 2010 and 2012 to monitor family health information and tobacco use in Hong Kong. Family well-being was measured using three questions of perceived family harmony, happiness and health (3Hs) with responses ranging from 0-10 and a higher score indicating better family well-being. Smoking status, nicotine dependence, quitting behaviours and SHS exposure at home were recorded. Multiple linear regressions were used to calculate β-coefficients for individual family 3Hs component and an overall composite score representing family well-being.
Compared with never smokers, current smokers reported lower levels of family harmony (adjusted β = -0.15, 95% CI: -0.35 to -0.10), happiness (adjusted β = -0.12, 95% CI: -0.28 to -0.02), health (adjusted β = -0.15, 95% CI: -0.30 to -0.03) and overall family well-being (adjusted β = -0.17, 95% CI: -0.32 to -0.06). Quit attempt and intention to quit were not associated with family well-being. SHS exposure at home was associated with lower levels of family harmony (adjusted β = -0.17, 95% CI: -0.30 to -0.07), happiness (adjusted β = -0.19, 95% CI: -0.32 to -0.08), health (adjusted β = -0.13, 95% CI: -0.26 to -0.03) and family well-being (adjusted β = -0.19, 95% CI: -0.32 to -0.09).
Smoking and SHS exposure at home were associated with the lower levels of perceived family well-being. Prospective studies are needed to confirm the results.