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Int. J. Environ. Res. Public Health 2017, 14(6), 610; doi:10.3390/ijerph14060610

Changes in Smoking Behavior over Family Transitions: Evidence for Anticipation and Adaptation Effects

Institut de Recherche et Documentation en Économie de la Santé (Irdes), 117 bis rue Manin, 75019 Paris, France
Institut National d’Études Démographiques (Ined), 133 boulevard Davout, 75020 Paris, France
Institut National de la Statistique et des Études Économiques (Insee), 6 Rue Legrand, 92240 Malakoff, France
Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Faculté de Médecine—Université Paris-Sud, Faculté de Médecine—UVSQ, INSERM, Université Paris-Saclay, 94805 Villejuif, France
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 13 April 2017 / Revised: 22 May 2017 / Accepted: 31 May 2017 / Published: 7 June 2017
(This article belongs to the Collection Health Behavior and Public Health)
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The study of changes in smoking behaviors over the life course is a promising line of research. This paper aims to analyze the temporal relation between family transitions (partnership formation, first childbirth, separation) and changes in smoking initiation and cessation. We propose a discrete-time logistic model to explore the timing of changes in terms of leads and lags effects up to three years around the event in order to measure both anticipation and adaptation mechanisms. Retrospective biographical data from the Santé et Itinéraires Professionnels (SIP) survey conducted in France in 2006 are used. Partnership formation was followed for both genders by a fall in smoking initiation and an immediate rise in smoking cessation. Childbirth was associated with increased smoking cessation immediately around childbirth, and additionally, females showed an anticipatory increase in smoking cessation up to two years before childbirth. Couple separation was accompanied by an anticipatory increase in smoking initiation for females up to two years prior to the separation, but this effect only occurred in males during separation. Our findings highlight opportunities for more targeted interventions over the life course to reduce smoking, and therefore have relevance for general practitioners and public policy elaboration. View Full-Text
Keywords: smoking; family life transitions; life cycle; longitudinal analysis; anticipation effects; adaptation effects smoking; family life transitions; life cycle; longitudinal analysis; anticipation effects; adaptation effects

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Bricard, D.; Legleye, S.; Khlat, M. Changes in Smoking Behavior over Family Transitions: Evidence for Anticipation and Adaptation Effects. Int. J. Environ. Res. Public Health 2017, 14, 610.

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