94 - Associations of Parents’ Subjective Well-Being With Accepting Smoking Cessation Support and Adoption of Home and Car Policies for Smoking and Vaping

Subjective well-being (SWB) is associated with various health-promoting behaviors.

Objective:

To determine if measures of SWB among parent smokers are associated with accepting health navigator support for tobacco dependence and restricting smoking or vaping in homes or cars.

Design/Methods:

Baseline survey data was collected as part of the cluster randomized trial of the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention between July 2021 and May 2022. Parents who smoked a tobacco product within the past 7 days and attended their child’s well visit at 12 participating Children’s Hospital of Philadelphia Care Network primary care practices were eligible. Evaluative (life satisfaction), eudaimonic (purpose/meaning in life) and hedonic (happiness) conceptions of SWB were assessed using single item measures rated by parents on a scale from 0 (lowest) to 10 (highest). The SWB measures have been recommended by an interdisciplinary group of experts. Multivariable logistic regression models determined if SWB measures were associated with home and car restrictions and if parents seen in intervention arm practices said they would like to receive extra support from a health navigator to help them cut down or quit smoking. Parent type (mother, father, other), race/ethnicity, education, age, youngest child age, number of cigarettes smoked per day, and if the parent lives with a smoker were included in all models as control variables.

Results:

In the adjusted models, a single point increase on the SWB scales was associated with an increase in the odds of having a smoke-free car by 9% for life satisfaction (aOR 1.09 (1.00, 1.20)), 12% for purpose/meaning in life (aOR 1.12 (1.02, 1.24)) and 12% for happiness (aOR 1.12 (1.02, 1.22)). Each single point increase on the SWB scales was associated with an increase in the odds of having a vape-free home by 18% for life satisfaction (aOR 1.18 (1.06, 1.31)) and 13% for happiness (aOR 1.13 (1.02, 1.26)). Lower levels of life satisfaction (aOR 0.88 (0.79, 0.98)) and happiness (aOR 0.88 (0.79, 0.99)) were associated with greater odds that a parent would accept health navigator support to cut down or quit smoking.

Conclusion(s):

Greater levels of SWB were associated with parents’ policies to keep cars smoke-free and homes vape-free. Lower levels of SWB among parents who smoke were associated with greater odds of accepting health navigator support. The SWB of parents may be an important consideration for tobacco cessation programs to better support parents in their attempts to protect children and when offering navigator support to help them quit smoking.