Parental smoking and adolescent smoking initiation: an intergenerational perspective on tobacco control.
Parental smoking and adolescent smoking initiation: an intergenerational perspective on tobacco control.
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DOI：
10.1542/peds.2008-2251
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发表时间：
2009-02
期刊：
影响因子：
8
通讯作者：
Niaura RS
中科院分区：
文献类型：
--
作者：
Gilman SE;Rende R;Boergers J;Abrams DB;Buka SL;Clark MA;Colby SM;Hitsman B;Kazura AN;Lipsitt LP;Lloyd-Richardson EE;Rogers ML;Stanton CA;Stroud LR;Niaura RS
青少年时期是形成终身吸烟行为的重要危险期。令人信服的，虽然不一致，证据表明父母吸烟和青少年时期开始吸烟的风险之间的关系。本研究探讨尚未解决的问题，有关的强度和性质之间的关联父母吸烟和后代吸烟开始。我们在2001-2004年期间招募了564名12-17岁的青少年，沿着他们的父母之一参加新英格兰家庭研究。从父母和他们的青少年后代中获得终身吸烟史。离散时间生存分析被用来调查父母吸烟史对青少年开始吸烟风险的影响。父母吸烟与青少年后代开始吸烟的风险显著升高相关（比值比=2.81，95%CI =1.78，4.41）。此外，后代开始吸烟的可能性随着父母吸烟的数量和暴露于父母吸烟的持续时间而增加，这表明父母吸烟和后代吸烟之间存在剂量反应关系。父母戒烟的后代并不比父母从不吸烟的后代更容易吸烟。父母吸烟对后代启动的影响因性别（父亲吸烟对男孩的影响比女孩更强），发育期（父母吸烟对青少年13岁之前的影响比之后更强）和父母的居住地（父亲吸烟的影响取决于与青少年生活在同一个家庭）而异。父母吸烟也与青少年对第一支香烟的更强烈的负面反应有关，这是发展到更高水平使用风险的潜在标志。父母吸烟是青少年开始吸烟的一个重要原因，父母戒烟可能会减轻这种脆弱性。
Adolescence is an important period of risk for the development of lifelong smoking behaviors. Compelling, although inconsistent, evidence suggests a relation between parental smoking and the risk of smoking initiation during adolescence. This study investigates unresolved issues concerning the strength and nature of the association between parent smoking and offspring smoking initiation. We enrolled 564 adolescents aged 12-17, along with one of their parents, into the New England Family Study between 2001-2004. Lifetime smoking histories were obtained from parents and their adolescent offspring. Discrete-time survival analysis was used to investigate the influence of parental smoking histories on the risk of adolescent smoking initiation. Parental smoking was associated with a significantly higher risk of smoking initiation in adolescent offspring (odds ratio=2.81, 95% CI=1.78, 4.41). In addition, the likelihood of offspring smoking initiation increased with the number of smoking parents and the duration of exposure to parental smoking, suggesting a dose-response relation between parental smoking and offspring smoking. Offspring of parents who had quit smoking were no more likely to smoke than offspring of parents who had never smoked. The effects of parental smoking on offspring initiation differed by sex (with a stronger effect of father's smoking on boys than girls), developmental period (with a stronger effect of parental smoking before the adolescent was age 13 than afterwards), and residence of parents (with effects of father's smoking being dependent on living in the same household as the adolescent). Parental smoking was also associated with stronger negative reactions to adolescents' first cigarette, a potential marker of the risk of progression to higher levels of use. Parental smoking is an important source of vulnerability to smoking initiation among adolescents, and parental smoking cessation might attenuate this vulnerability.
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影响因子：
6
作者：
Bricker, JB;Peterson, AV;Sarason, IG
通讯作者：
Sarason, IG
影响因子：
4.2
作者：
Dierker, Lisa C.;Canino, Glorisa;Merikangas, Kathleen R.
通讯作者：
Merikangas, Kathleen R.
影响因子：
5.2
作者：
Fidler, J. A.;Wardle, J.;West, R.
通讯作者：
West, R.
影响因子：
5
作者：
COULTAS, DB;PEAKE, GT;SAMET, JM
通讯作者：
SAMET, JM
影响因子：
6
作者：
Fidler, Jennifer A.;West, Robert;Wardle, Jane
通讯作者：
Wardle, Jane