Reconciling Parenting and Smoking in the Context of Child Development

Authors
Bottorff, J. L. Oliffe, J. L. Kelly, M. T. Johnson, J. L. Chan, A.
Publication year
2013
Citation Title
Reconciling parenting and smoking in the context of child development.
Journal Name
Qualitative Health Research
Journal Volume
23
Issue Number
8
Page Numbers
1042-1053
DOI
10.1177/1049732313494118
Summary
Most research focuses on the negative impact of second-hand smoke and children and ways to reduce this risk. This study utilized qualitative interviews to better understand how children influence parent smoking practices. Results indicated that although parents wanted to protect their children and desired their children to never smoke they were able reconcile their desire to smoke and parent using various methods.
Key Findings
Parents discussed how they attempted to protect their young children from the negative effects of smoking by smoking outside or quitting smoking while pregnant as a way to rationalize their desire to continue to smoke.
Common to all parents in this study was the desire for their children to never smoke.
Parents who felt their efforts to conceal smoking/cigarettes from their children were successful and dismissed the need to quit smoking.
Parents who felt they could not quit smoking and felt their efforts to conceal smoking would eventually fail, referred to social stigma and smoking bans as deterrents to their child’s smoking.
Implications for Military Professionals
Help develop modules that discuss how parent-smoking behaviors influence children’s future smoking behaviors
Facilitate peer support activities offered both in-person as well as via the internet (e.g., chat groups, social media sites) to help military parents discontinue use of nicotine products
Implications for Program Leaders
Offer education to military parents about how parent smoking influences youth smoking behaviors and how depending on negative social norms of smoking may not enough to deter this behavior
Disseminate information regarding the negative effects of smoking on health outcomes for smokers and the negative effects of second-hand smoking on children
Implications for Policy Makers
Recommend targeted programs for military parents to motivate and support smoking cessation
Encourage family assessments to gauge parents’ smoking habits (e.g. light smoker, heavy smoker, etc.) and their children’s knowledge and exposure to their smoking
Methods
Participants were recruited at a maternity hospital and through advertisements in local newspapers.
Data were collected using in-depth interviews; mothers and fathers were interviewed separately to help ensure honest and reliable responses.
Data were collected from three time frames related to child age and development; Age-stage one (12-19 months), Age-stage two (20-35 months), and Age-stage three (36-48 months).
Participants
Participants included 28 mother and father pairs who had a child between one and four years old.
Mother and father ages ranged from 22-43 years, and 40% of mothers and 57% of fathers identified as White.
This study focused on civilian parents.
Limitations
In this study, no distinctions were made between the responses of mothers and fathers, which could influence the results.
This is a very small sample, so their experiences may not generalize to the larger population.
This study was conducted in a region with harsh tobacco control policies and low smoking rates in the general population, limiting the generalizability of results.
Avenues for Future Research
Conduct a similar study utilizing a quantitative measure to extend on these qualitative findings
Examine the relation between concealing smoking/cigarettes and eventual child smoking behaviors within military families
Explore smoking behaviors among military families
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Civilian
Population Focus
Abstract
In this article we explore the micro-social context of parental tobacco use in the first years of a child’s life and early childhood. We conducted individual interviews with 28 mothers and fathers during the 4 years following the birth of their child. Using grounded theory methods, we identified the predominant explanatory concept in parents’ accounts as the need to reconcile being a parent and smoking. Desires to become smoke-free coexisted with five types of parent–child interactions: (a) protecting the defenseless child, (b) concealing smoking and cigarettes from the mimicking child, (c) reinforcing smoking as bad with the communicative child, (d) making guilt-driven promises to the fearful child, and (e) relinquishing personal responsibility to the autonomous child. We examine the agency of the child in influencing parents’ smoking practices, the importance of children’s observational learning in the early years, and the reciprocal nature of parent–child interactions related to parents’ smoking behavior.
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