The Effects of Parental Health Shocks on Adult Offspring Smoking Behavior and Self-Assessed Health.

The Effects of Parental Health Shocks on Adult Offspring Smoking Behavior and Self-Assessed Health.
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DOI:
10.1002/hec.3194
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发表时间:
2016-08
期刊:
影响因子:
2.1
通讯作者:
Gilleskie D
Gilleskie D
中科院分区:
医学3区
文献类型:
--
作者:
Darden M;Gilleskie D

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如果成年吸烟者对父母的健康冲击作出反应,那么通过家庭关系可能是遏制吸烟的一个重要途径。在本文中,我们合并了Framingham心脏研究的原始队列和后代队列,研究成年后代吸烟行为和主观健康评估如何随父母吸烟行为和健康结果而变化。这些数据使我们能够对30年期间成年子女的吸烟行为与父母的行为和结果进行建模。我们发现吸烟行为有很强的“有其父必有其子”和“有其母必有其女”的相关性。我们发现,成年子女在自身健康受到冲击后显著减少吸烟;然而,我们发现后代吸烟行为对父母健康敏感的证据有限,但值得注意的例外是,在父母发生与吸烟相关的心血管事件后,女性的吸烟参与和吸烟强度都显著降低。我们还将成年后代的主观健康评估作为父母健康的函数进行建模,我们发现,在父母中有一方因吸烟死亡后,女性的健康状况明显恶化。
An important avenue for smoking deterrence may be through familial ties if adult smokers respond to parental health shocks. In this paper, we merge the Original Cohort and the Offspring Cohort of the Framingham Heart Study to study how adult offspring smoking behavior and subjective health assessments vary with elder parent smoking behavior and health outcomes. These data allow us to model the smoking behavior of adult offspring over a 30-year period contemporaneously with parental behaviors and outcomes. We find strong “like father, like son” and “like mother, like daughter” correlations in smoking behavior. We find that adult offspring significantly curtail their own smoking following an own health shock; however, we find limited evidence that offspring smoking behavior is sensitive to parent health, with the notable exception that women significantly reduce both their smoking participation and intensity following a smoking-related cardiovascular event of a parent. We also model the subjective health assessment of adult offspring as a function of parent health, and we find that women report significantly worse health following the smoking-related death of a parent.
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