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Cited by 22Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesPsychological Well-being and Life Satisfaction

Purpose in life and tobacco use among community-dwelling mothers of early adolescents

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Morimoto, Yuko, Yamasaki, Syudo, Ando, Shuntaro, Koike, Shinsuke, Fujikawa, Shinya, Kanata, Sho, Endo, Kaori, Nakanishi, Miharu +5 more·2018·BMJ Open
DOI 10.1136/bmjopen-2017-020586PMC PMC5914705
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Abstract

Objectives: The rising prevalence of tobacco use and tobacco-attributable deaths among women is of worldwide concern. In particular, smoking prevention for mothers in early midlife is a significant international public health goal. A higher sense of purpose in life (PIL) is thought to reduce detrimental health behaviours. However, little is known about the association between a sense of PIL and tobacco use. This study investigates this association among community-dwelling mothers of early adolescents. Design: This population-based cross-sectional study uses a self-reported questionnaire from the Tokyo Early Adolescence Survey, a large community-based survey conducted in Japan between 2012 and 2015. Setting: Participants were randomly recruited from the resident registries of three municipalities in Tokyo, Japan. Participants: A total of 4478 children and their primary parents participated. Responses from 4063 mothers with no missing data were analysed (mean age=42.0 years (SD=4.2)). Measures: Participants’ tobacco use, including the number of cigarettes smoked per day, was documented using a questionnaire. PIL was assessed using a Purpose in Life scale derived from Ryff’s Psychological Well-Being Scale. Results: Greater PIL was associated with a decreased likelihood of tobacco use, even when adjusted for confounders (OR=0.80, 95% CI 0.70 to 0.91). Multinomial logistic regression analyses revealed that PIL was inversely associated with tobacco consumption among mothers. These associations remained after controlling for psychological distress, socioeconomic factors and frequency of alcohol consumption among moderate to heavy smokers (OR=0.70, 95% CI 0.57 to 0.86), while attenuated among light smokers. Conclusions: Increasing PIL may be a valuable intervention for reducing tobacco use among women in early midlife. This study can contribute to our understanding of the psychology of smoking behaviour and shed light on the targeted intervention to reduce tobacco use among early midlife mothers.

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  • Adults with a greater sense of purpose have more favorable lifestyle and cardiovascular risk factors such as less smoking, more physical activity, less alcohol and substance abuse, and better glucose control.

    “Similar to optimistic adults, adults with a greater sense of purpose have more favorable lifestyle and cardiovascular risk factors such as less smoking, 70 more physical activity, 30 less alcohol and substance abuse, and better glucose control. 71”

    From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [70]

    The Introduction (page unavailable) links greater purpose in life to exercise and healthy glucoregulation and discusses lower purpose in relation to addiction. The Discussion reports less tobacco use among mothers with greater purpose. The paper does not establish the claimed lower alcohol use: its Results table shows no significant correlation between purpose and alcohol use in this sample. (LLM, conf=0.85)

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Cited by

Sorted by citations

Authors
Morimoto, Y., Yamasaki, S., Ando, S., Koike, S., Fujikawa, S., Kanata, S., Endo, K., Nakanishi, M., Hatch, S. L., Richards, M., Kasai, K., Hiraiwa-Hasegawa, M., & Nishida, A.
Affiliations
  • Tokyo Metropolitan Institute of Medical Science (JP)
  • UTokyo Institute for Diversity and Adaptation of Human Mind (JP)
  • The University of Tokyo (JP)
  • Teikyo University (JP)
  • King's College London (GB)
  • MRC Unit for Lifelong Health and Ageing (GB)
  • School of Advanced Science, SOKENDAI (The Graduate University for Advanced Studies), Kanagawa, Japan
Corresponding author
Nishida, Atsushi
ORCID
Venue
BMJ Open
Publisher
BMJ
Published
2018-04
Volume
8
Issue
4
Pages
e020586
ISSN
2044-6055 (ISSN-L)
DOI
10.1136/bmjopen-2017-020586
PMC
PMC5914705
OpenAlex
W2799849345
Cited by
22
References
13
Citations by year
2025: 2 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 5 · 2019: 4
FWCI
2.41
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • BMJ Open (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (publishedVersion, other-oa)
  • UCL Discovery (University College London) (submittedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion)
Funders
  • a Grant-in-Aid for Challenging Exploratory Research from the Japan Society for the Promotion of Science
  • a Tokyo Metropolitan Institute of Medical Science Project Grant
  • a Japan Scientific Research Grant on an Innovative Area from the Japan Society for the Promotion of Science
  • a Japan Scientific Research Grant on an Innovative Area from the Ministry of Education, Culture, Sports, Science and Technology
  • a Grant-in-Aid for Scientific Research (B) from the Japan Society for the Promotion of Science
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
Keywords
meaning of life, tobacco use, smoking, mothers, early adolescents, psychological well-being, psychological distress, alcohol consumption, smoking prevention
MeSH terms
Adolescent, Adult, Cross-Sectional Studies, Female, Goals, Humans, Internal-External Control, Male, Middle Aged, Mothers, Registries, Tokyo, Health Behavior, Smoking Cessation, Independent Living, Tobacco Use

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