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Socioeconomic lifecourse influences on women’s smoking status in early adulthood
  1. Hilary Graham1,
  2. Brian Francis2,
  3. Hazel M Inskip3,4,
  4. Juliet Harman2,
  5. SWS Study Group
  1. 1Department of Health Sciences, University of York, UK
  2. 2Centre for Applied Statistics, Lancaster University, UK
  3. 3MRC Epidemiology Resource Centre, University of Southampton, Southampton General Hospital, UK
  4. 4MRC Epidemiology Resource Centre, University of Southampton
  1. Correspondence to:
 Professor H Graham
 Department of Health Sciences, Area 2, Seebohm Rowntree Building, University of York, YO30 6AS, UK; hmg501{at}york.ac.uk

Abstract

Study objective: To incorporate women’s domestic trajectories and circumstances into analyses of the socioeconomic influences on women’s smoking status (current and former smoking) in early adulthood.

Design: Cross sectional survey

Setting: Southampton, UK.

Participants: 8437 women aged 25–34 recruited from 1998–2002 via patient lists of general practices

Main results: Domestic lifecourse factors contributed to the odds of being a current smoker and former smoker in models that included conventional measures of the socioeconomic lifecourse. Early motherhood, non-cohabitation, and lone motherhood increased the odds of smoking; early motherhood and non-cohabitation reduced the odds of former smoking. For example, relative to childless women, odds ratios (OR) for women who had become mothers <20 years were 1.71 for smoking and 0.76 for former smoking. The effects of education and current SEP remained strong with the inclusion of childbearing and cohabitation variables for both outcomes. For instance, compared with women in education to age ⩾22, the odds ratio for smoking for those leaving school ⩽16 was 3.37 and for former smoking was 0.42.

Conclusions: Both the conventionally measured socioeconomic lifecourse and the domestic lifecourse contributed separately to the odds of smoking and former smoking, suggesting that lifecourse analyses should incorporate women’s domestic circumstances as an important pathway of influence on their smoking status in early adulthood.

  • smoking
  • lifecourse influences
  • smoking status
  • socioeconomic position
  • women

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Footnotes

  • Funding: the paper forms part of a project based on the SWS funded by Cancer Research UK, grant no C5649/A4694. The SWS was funded by the Dunhill Medical Trust, the Medical Research Council and the University of Southampton

  • Competing interests: none declared.

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