Evidence map›Paper›PMID 29678982›Full record

ArticleBMJ open2018

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

Yuko Morimoto, Syudo Yamasaki, Shuntaro Ando, Shinsuke Koike, Shinya Fujikawa, Sho Kanata, Kaori Endo, Miharu Nakanishi, Stephani L Hatch, Marcus Richards and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Purpose in life and concurrent and incident fatigue.Psychology, health & medicine · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Cohort Profile: The Tokyo Teen Cohort study (TTC).International journal of epidemiology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Yuko Morimoto *Department of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Syudo Yamasaki *Department of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Shuntaro AndoDepartment of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Shinsuke KoikeUniversity of Tokyo Institute for Diversity & Adaptation of Human Mind (UTIDAHM), The University of Tokyo, Tokyo, Japan.
Shinya FujikawaDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Sho KanataDepartment of Psychiatry, Teikyo University School of Medicine, Tokyo, Japan.
Kaori EndoDepartment of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Miharu NakanishiDepartment of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Stephani L HatchDepartment of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Marcus RichardsMRC Unit for Lifelong Health and Aging, University College London, London, UK.
Kiyoto KasaiDepartment of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mariko Hiraiwa-HasegawaSchool of Advanced Science, SOKENDAI (The Graduate University for Advanced Studies), Kanagawa, Japan.
Atsushi NishidaDepartment of Psychiatry and Behavioral Science, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Tokyo Metropolitan Institute of Medical Science · JPThe University of Tokyo · JPKing's College London · GBMRC Unit for Lifelong Health and Ageing · GBTeikyo University · JPThe Graduate University for Advanced Studies, SOKENDAI · JP

Funding

Medical Research Council MC_UU_12019/3
6 · The paper itself

Abstract

objectivesThe 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.

designThis 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.

settingParticipants were randomly recruited from the resident registries of three municipalities in Tokyo, Japan.

participantsA 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.

resultsGreater 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.

conclusionsIncreasing 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.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleGoalsHealth BehaviorHumansIndependent LivingInternal-External ControlMaleMiddle AgedMothersRegistriesSmoking CessationTobacco UseTokyomotherpsychological distresspurpose in lifetobacco useTokyo Early Adolescence Survey (T-EAS)

Identifiers

PMID29678982
PMCPMC5914705
OpenAlexW2799849345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.