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The Influence of Partner Smoking, Relationship Satisfaction and Parental Stress on Tobacco Use

Published online by Cambridge University Press:  14 December 2018

Alexis R. Foulstone*
School of Social Sciences, The University of Queensland, Brisbane, Queensland, Australia
Temesgen Kifle
School of Economics, The University of Queensland, Brisbane, Queensland, Australia
Adrian B. Kelly
Centre for Youth Substance Abuse Research, The University of Queensland, Australia Australian Institute of Business and Economics, Brisbane, Australia
Author for correspondence: Alexis R. Foulstone, E-mail:



Despite declines in tobacco use during pregnancy and after childbirth, smoking remains unacceptably high among many parents. Smoking maintenance or relapse may be common in couple relationships when the other parent continues to smoke, when relationship satisfaction is low, or parental stress high.


To examine the longitudinal influence of partner tobacco use, relationship satisfaction and parental stress on tobacco use after childbirth.


Data was obtained from 115 Australian heterosexual adult couples (Mean age = 31.8) who reported being pregnant in the previous year and the female partner was a previous or current smoker. A household longitudinal survey was administered in which measures of tobacco use, relationship satisfaction and parental stress were assessed on four occasions over nine years.


Overall reductions in tobacco use occurred over the nine-year assessment period, although a small percentage (9.6%) of parents reported being daily smokers at every assessment. Similarly, a small proportion (13.1%) of parents relapsed to using tobacco during the assessment period. A random effects binary logit model indicated that mothers and fathers were more likely to continue or relapse to tobacco use if their partners smoked. Mothers were more likely to quit smoking if they became pregnant between the assessment waves, but for males, having a pregnant partner was not a significant predictor of tobacco cessation.


While pregnancy is associated with smoking cessation for mothers, both mothers and fathers are at elevated risk of continued tobacco smoking or relapse if their partner smokes during the first nine years after childbirth. For parents who continue to smoke cigarettes or relapse after childbirth, engagement of the partner in smoking cessation may be a key factor in promoting positive outcomes.

Original Articles
Copyright © The Author(s) 2018 

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Ashford, K., Hahn, E., Hall, L., Rayens, M., & Noland, M. (2009). Postpartum smoking relapse and second-hand smoke. Public Health Reports, 124, 515526.Google Scholar
Bottorff, J. L., Oliffe, J., Kalaw, C., Carey, J., & Mroz, L. (2006). Men's constructions of smoking in the context of women's tobacco reduction during pregnancy and postpartum. Social Science & Medicine, 62, 30963108.Google Scholar
Cobb, L. K., McAdams_DeMarco, M. A., Huxley, R. R., Woodward, M., Koton, S., Coresh, J. et al. . (2014). The association of spousal smoking status with the ability to quit smoking: the atherosclerosis risk in communities study. American Journal of Epidemiology, 179, 11821187.Google Scholar
Colman, G. J. & Joyce, T. (2003). Trends in smoking before, during, and after pregnancy in ten states. American Journal of Preventive Medicine, 24, 2935.Google Scholar
den Exter Blokland, E. A. W., Engels, R. C., Hale, W. W., Meeus, W., & Willemsen, M. C. (2004). Lifetime parental smoking history and cessation and early adolescent smoking behavior. Preventive Medicine, 38, 359368.Google Scholar
Dollar, K. M., Homish, G., Kozlowski, L. T. & Leonard, K. E. (2009). Spousal and alcohol-related predictors of smoking cessation: a longitudinal study in a community sample of married couples. American Journal of Public Health, 99, 231233.Google Scholar
Fitzpatrick, K. E., Gray, R., & Quigley, M. A. (2016). Women's longitudinal patterns of smoking during the pre-conception, pregnancy and postnatal period: evidence from the UK Infant Feeding Survey. PLoS ONE, 11, e0153447. Scholar
Flemming, K., Graham, H., McCaughan, D., Angus, K., & Bauld, L. (2015). The barriers and facilitators to smoking cessation experienced by women's partners during pregnancy and the post-partum period: a systematic review of qualitative research. BMC Public Health, 15, doi: 10.1186/s12889-015-2163-xGoogle Scholar
Foulstone, A. R., Kelly, A. B., & Kifle, T. (2017). Partner influences on smoking cessation: a longitudinal study of couple relationships. Journal of Substance Use, 22, 501506. doi: 10.1080/14659891.2016.1255791.Google Scholar
Gadomski, A. (2010). Smoking and smoking cessation during pregnancy and postpartum. Current Cardiovascular Risk Reports, 4, 405412.Google Scholar
Greaves, L., Cormier, R., Devries, K., Bottorff, J., Johnson, J., & Kirkland, S. A. D. (2003). Expecting to quit: a best practices review of smoking cessation interventions for pregnant and postpartum girls and women. Vancouver, BC: British Columbia Centre of Excellence for Women's Health.Google Scholar
Greenhalgh, E. M., Bayly, M., & Winstanley, M. H. (2015). Trends in the prevalence of smoking by socio-economic status. In Scollo, M. M. and Winstanley, M. H. (Eds.), Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria.Google Scholar
Greenhalgh, E. M., Stillman, S., & Ford, C. (2016). 7.11 smoking cessation and pregnancy. In Scollo, M. M. & Winstanley, M. H. (Eds.), Tobacco in Australia: Facts and issues. Melbourne: Cancer Council Victoria.Google Scholar
Hemsing, N., Greaves, L., O'Leary, R., Chan, K., & Okoli, C. (2012). Partner support for smoking cessation during pregnancy: a systematic review. Nicotine & Tobacco Research, 14, 767776.Google Scholar
Hendrick, S. S. (1981). Self-disclosure and marital satisfaction. Journal of Personality and Social Psychology, 40, 11501159.Google Scholar
Hendrick, S. S. (1988). A generic measure of relationship satisfaction. Journal of Marriage and the Family, 50, 9398.Google Scholar
Hendrick, S. S., Dicke, A., & Hendrick, C. (1998). The relationship assessment scale. Journal of Social and Personal Relationships, 15, 137142.Google Scholar
Homish, G. G., Leonard, K. E., Kozlowski, L. T., & Cornelius, J. R. (2009). The longitudinal association between multiple substance use discrepancies and marital satisfaction. Addiction, 104, 12011209.Google Scholar
Jackson, S. E., Steptoe, A., & Wardle, J. (2015). The influence of partner's behavior on health behavior change: the English longitudinal study of ageing. JAMA Internal Medicine, 175, 385392.Google Scholar
Ma, Y., Goinis, K. V., Pbert, L., & Ockene, J. K. (2005). Predictors of smoking cessation in pregnancy and maintenance post-partum in low income women. Maternal and Child Health Journal, 9, 393402.Google Scholar
Macomber, J. & Moore, K. (1999). Benchmarking measures of child and family well-being in the 1997 NSAF: Report No. 6. Washington, DC: The Urban Institute.Google Scholar
Martin, L. T., McNamara, M., Milot, A., Bloch, M., Hair, E. C., & Halle, T. (2008). Correlates of smoking before, during, and after pregnancy. American Journal of Health Behaviors, 32, 272282.Google Scholar
Monden, C. W. S., de Graaf, N. D., & Kraaykamp, G. (2003). How important are parents and partners for smoking cessation in adulthood? an event history analysis. Preventive Medicine, 36, 197203.Google Scholar
Morissette, S. B., Tull, M. T., Gulliver, S. B., Kamholz, B. W., & Zimmering, R. T. (2007). Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships. Psychological Bulletin, 133, 245272.Google Scholar
Orton, S., Coleman, T., Coleman-Hayes, T., & Ussher, M. (2017). Predictors of postpartum return to smoking: a systematic review. Nicotine Tobacco Research, 20, 665673. Scholar
Park, E. R., Chang, Y., Quinn, V., Regan, S., Cohen, L., Viguera, A., Psaros, C., Ross, K. & Rigotti, N. (2009). The association of depressive, anxiety and stress symptoms and postpartum relapse to smoking: a longitudinal study. Nicotine & Tobacco Research, 11, 707714.Google Scholar
Park, E. R., Tudiver, F., Schultz, J. K., & Campbell, T. (2004). Does enhancing partner support and interaction improve smoking cessation? a meta-analysis. Annals of Family Medicine, 2, 170174.Google Scholar
Siddiqui, O., Flay, B. R., & Hu, F. B. (1996). Factors affecting attrition in a longitudinal smoking prevention study. Preventive Medicine, 25, 554560.Google Scholar
Simmons, V. N., Sutton, S. K., Quinn, G. P., Meade, C. D., & Brandon, T. H. (2014). Pre-partum and postpartum predictors of smoking. Nicotine and Tobacco Research, 16, 461468.Google Scholar
Sperlich, S., Maina, M. N., & Noeres, D. (2013). The effect of psychosocial stress on single mothers’ smoking. BMC Public Health, 13, doi: 10.1186/1471-2458-13-1125Google Scholar
StataCorp (2013). Stata statistical software: Release 13. College Station, TX: StataCorp LP.Google Scholar
Umberson, D., Crosnoe, R., & Reczek, C. (2010). Social relationships and health behavior across the life course. Annual Review of Sociology, 36, 139157.Google Scholar
Ware, J. E. & Gandek, B. (1998). Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology, 51, 903912.Google Scholar
Watson, N. & Wooden, M. (2012). The HILDA survey: a case study in the design and development of a successful household panel study. Longitudinal and Life Course Studies: International Journal, 3, 369381.Google Scholar