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A study on the influence of individual cognition and spousal support on smoking cessation behavior among married smokers: focusing on gender differences
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Cheng-qian ZHANG1, 2, Lan-chao ZHANG1, Hao LIN1, Hao-xiang LIN3, Wang-nan CAO1, Chun CHANG1
Modern Preventive Medicine | 2025, 52(8) : 1455 - 1460
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Modern Preventive Medicine | 2025, 52(8): 1455-1460
Health and Social Behavior
A study on the influence of individual cognition and spousal support on smoking cessation behavior among married smokers: focusing on gender differences
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Cheng-qian ZHANG1, 2, Lan-chao ZHANG1, Hao LIN1, Hao-xiang LIN3, Wang-nan CAO1, Chun CHANG1
Affiliations
  • Peking University School of Public Health, Beijing 100191, China
Published: 2025-04-25 doi: 10.20043/j.cnki.MPM.202410102
Outline
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Objective

To explore the effects of individual smoking cessation cognition and spousal support on married smokers’ smoking cessation behavior, and to analyse the role of gender differences on smoking cessation behavior.

Methods

A convenience sampling method was used to recruit married smokers from Jiangsu and Shandong to conduct an online questionnaire survey to collect information on demographic characteristics, smoking and cessation, individual smoking cessation cognition and spousal support. Binary logistic regression was used to analyse the relationships between smoking cessation cognition, spousal support, smoking cessation attempts, and the willingness to quit smoking with family support.

Results

715 married smokers completed the questionnaire. After controlling for potential confounders, the results showed that perceived risk of smoking-related diseases (aOR=1.29, 95% CI: 1.05–1.59) and positive outcome expectations for quitting (aOR=1.27, 95% CI: 1.06–1.51) were positively associated with smoking cessation attempts among married male smokers, whereas no statistical associationwas found between smoking cessation cognition and smoking cessation attempts among women. Regardless of gender, perceived risk of smoking-related diseases, self-efficacy, smoking cessation plan, and spousal emotional support were positively associated with the willingness to quit smoking; negative outcome expectations for quitting (aOR=0.78, 95% CI: 0.65–0.93) were negatively associated with the willingness to quit smoking among male smokers, while no statistically significant associationwas found among female smokers.

Conclusion

Perceived risk of smoking-related diseases and positive outcome expectations for quitting are protective factors for smoking cessation attempts among married male smokers, while female smokers’ smoking cessation cognition failed to translate into actual quitting behavior. Additionally, negative outcome expectations for quitting are risk factors for willingness to quit smoking among married male smokers. Therefore, individualized smoking cessation intervention strategies should be developed taking into account gender differences.

Smoking  /  Smoking cessation attempts  /  Willingness to quit smoking  /  Spousal support
Cheng-qian ZHANG, Lan-chao ZHANG, Hao LIN, Hao-xiang LIN, Wang-nan CAO, Chun CHANG. A study on the influence of individual cognition and spousal support on smoking cessation behavior among married smokers: focusing on gender differences[J]. Modern Preventive Medicine, 2025 , 52 (8) : 1455 -1460 . DOI: 10.20043/j.cnki.MPM.202410102
Year 2025 volume 52 Issue 8
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Article Info
doi: 10.20043/j.cnki.MPM.202410102
  • Receive Date:2024-10-10
  • Online Date:2026-03-17
  • Published:2025-04-25
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History
  • Received:2024-10-10
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    Peking University School of Public Health, Beijing 100191, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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