Close friends', parents', and older siblings' smoking: Reevaluating their influence on children's smoking
Close friends', parents', and older siblings' smoking: Reevaluating their influence on children's smoking
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DOI：
10.1080/14622200600576339
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发表时间：
2006-04-01
影响因子：
4.7
通讯作者：
Sarason, Irwin G.
中科院分区：
文献类型：
--
作者：
Bricker, Jonathan B.;Peterson, Arthur V., Jr.;Sarason, Irwin G.
许多纵向研究探讨了朋友、父母和年长的兄弟姐妹吸烟在儿童吸烟习得中的作用。先前研究的一个合理含义是，干预措施可以有益地针对抵消朋友和可能年长的兄弟姐妹吸烟的潜在影响，而不是父母吸烟的潜在影响。然而，先前研究的方法学局限性促使我们重新评估朋友、父母和哥哥姐姐吸烟在儿童吸烟中的作用。当孩子五年级时评估亲密朋友的吸烟状况，而当孩子三年级时评估父母和哥哥姐姐的吸烟状况。结果是，儿童每日吸烟状况在 12 年级时进行评估。地点是参与长期哈钦森预防吸烟项目的 40 个华盛顿州学区。参与者是 4,576 个家庭，这些家庭的亲密朋友、父母和哥哥姐姐的吸烟状况以及儿童的吸烟状况均可用。每个亲密朋友的吸烟影响孩子每天吸烟的概率为 90/0 (95% CI=6%-12%)，每个父母的吸烟影响孩子每天吸烟的概率为 11% (95% CI=9%-14%)，每个哥哥姐姐的吸烟影响孩子每天吸烟的概率为 7% (95% CI= 1%-13%)。这些结果表明，亲密朋友、父母和兄弟姐妹的吸烟对儿童吸烟也有同样重要的影响。以家庭为中心的干预措施可能是预防研究未来的一个有价值的方向。
A number of longitudinal studies have explored the role of friends', parents', and older siblings' smoking in children's smoking acquisition. A reasonable implication of this previous research is that intervention efforts could be beneficially directed toward countering the potential influence of friends' and possibly older siblings' smoking but not parents' smoking. However, methodological limitations of this previous research motivated our reevaluation of the role of friends', parents', and older siblings' smoking in children's smoking. Close friends' smoking status was assessed when children were in 5th grade, whereas parents' and older siblings' smoking status was assessed when children were in 3rd grade. The outcome, children's daily smoking status, was assessed in 12th grade. The setting was 40 Washington state school districts that participated in the long-term Hutchinson Smoking Prevention Project. Participants were the 4,576 families for whom close friends', parents', and older siblings' smoking status as well as children's smoking status were available. The probability that each close friend's smoking influenced the child to smoke daily was 90/0 (95% CI=6%-12%), the probability that each parent's smoking influenced the child to smoke daily was 11% (95% CI=9%-14%), and the probability that each older sibling's smoking influenced the child to smoke daily was 7% (95% CI= 1%-13%). These results suggest that close friends', parents', and siblings' smoking were similarly important influences on children's smoking. Family-focused interventions could be a valuable future direction of prevention research.