Household smoking adolescent smoking
Household smoking adolescent smoking
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DOI：
10.4278/0890-1171-22.1.15
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发表时间：
2007-09-01
影响因子：
2.7
通讯作者：
Frazier, A. Lindsay
中科院分区：
文献类型：
--
作者：
Fisher, Laurie B.;Winickoff, Jonathan P.;Frazier, A. Lindsay
目的.研究家庭吸烟限制与青少年吸烟之间的关系，控制父母吸烟，同伴吸烟和烟草营销。1999年数据的横截面分析，来自一项青少年纵向队列研究。设置.自我报告问卷。主题。10，593名12至18岁的青少年。措施因变量为吸烟（吸烟≥ 100支）。感兴趣的变量是家庭吸烟限制，父母吸烟，同伴吸烟，和烟草宣传品（TPI）的拥有。4%的参与者报告说，他们的家庭允许吸烟。父母吸烟，同伴吸烟。和TPI的拥有与既定吸烟显著相关。在调整了年龄、性别、同伴吸烟和TPI拥有情况的logistic回归模型中，青少年吸烟与限制性家庭政策的存在呈负相关（比值比[OR] 0.67，95%置信区间[CI]= 0.48 - 0.93）;然而，当父母吸烟加入到该模型中时，这种关联被减弱（OR = 0.94，CI = 0.65 - 1.35）。当家庭中只有一个父母吸烟时，当这个父母是父亲时，吸烟限制更常见。虽然家庭吸烟限制对健康有益，但在考虑其他因素后，它们似乎与青少年吸烟无关。以前的研究不包括父母吸烟，同伴吸烟和市场影响。这种分析上的差异可以解释文献中明显的矛盾。
Purpose. To examine the association between household smoking restrictions and adolescent smoking, controlling for parental smoking, peer smoking, and tobacco marketing.Design. Cross-sectional analysis of 1999 data from the Growing bp Today Study, a longitudinal cohort of adolescents. Setting. Self-report questionnaire.Subjects. 10,593 adolescents aged 12 to 18 years. Measures. The dependent variable was established smoking (smoking >= 100 cigarettes). Variables of interest were household smoking restrictions, parental smoking, peer smoking, and tobacco promotional item (TPI) possession.Results. Four percent of participants reported that their households permitted smoking. Parental smoking, peer smoking. and TPI possession were significantly associated with established smoking. In logistic regression models adjusted for age, gender, peer smoking, and TPI possession, adolescent smoking was inversely related to the presence of a restrictive household policy (odds ratio [OR] 0.67, 95 % confidence internal [CI] = 0.48-0.93); however, when parental smoking was added to this model, the association was attenuated (OR = 0.94, CI = 0.65-1.35). When only one parent in the household smoked, smoking restrictions were more common when this parent was the father.Conclusions. Although household smoking restrictions offer health benefits, they do not appear to be associated with adolescent smoking after accounting for other factors. Prior studies did not include parental smoking, peer smoking, and marketing influences. This analytic difference may explain apparent contradictions in the literature.