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Social capital is associated with home smokefree rules in California households in 2012

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Mariaelena Gonzalez, Ph.D. , Public Health, University of California Merced, Merced, CA
Ashley Sanders-Jackson, PhD , Stanford Prevention Research Center, Stanford University, Palo Alto, CA
Kai-Wen Cheng, PhD , Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan
Paul Brown, PhD , Public Health, University of California, Merced, Merced, CA
Background: Voluntary home smokefree rules (HSRs, smoking is not allowed at all inside the home) protect children and adults from second and third hand smoke exposure, and are associated with quit attempts and fewer cigarettes smoked. Greater social capital may be associated with more permissiveness related to indoor smoking because of a greater emphasis on social affiliation in general, or may be associated with reduced permissiveness due to a greater emphasis on familial health. We tested whether or not social capital promoted HSR in the general California population, and among smokers only.

Methods:  We used logistic regressions to analyze the relationship between the existence of an HSR and social capital among all adult respondents in the 2012 California Health Interview Survey (N=42574), and only among smokers (N=4940).  We used smoking status and social capital to predict HSR, controlling for demographics, being a parent, civic engagement and other individual difference variables. 

Results:  In the general California population, current smokers were significantly less likely to report a HSR (OR=0.24, p=0.001); individuals with high social capital (OR=1.13, p=.001) were more likely to report a HSR. African Americans were less likely, while Latinos were more likely, to report HSRs.  Among smokers, individuals with more social capital were more likely to report HSRs (OR=1.19, p=0.001).

Conclusion:  The association between social capital and HSR suggests that interventions focused on community ties and values may be a way to promote implementation of HSRs.  Smokers in California should be a target of tobacco control interventions promoting HSRs.

Learning Areas:

Chronic disease management and prevention
Public health or related laws, regulations, standards, or guidelines
Public health or related research
Social and behavioral sciences

Learning Objectives:
Explain the importance of home smokefree rules. Describe how social capital may promote home smokefree rules.

Keyword(s): Tobacco Control, Chemical Exposures & Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am primarily responsible for the design and execution of this research. I have a Ph.D. in Sociology and have completed postdoctoral training in Tobacco Control. Among my scientific interests include the relationship between environmental aspects and health behaviors.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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