Prospective prediction of children's, smoking transitions: role of parents' and older siblings' smoking
Prospective prediction of children's, smoking transitions: role of parents' and older siblings' smoking
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DOI：
10.1111/j.1360-0443.2005.01297.x
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发表时间：
2006-01-01
期刊：
影响因子：
6
通讯作者：
Sarason, IG
中科院分区：
文献类型：
--
作者：
Bricker, JB;Peterson, AV;Sarason, IG
目的采用一种新的社会流行概率模型，纵向考察父母和兄弟姐妹吸烟对儿童吸烟转变的影响程度。设计在儿童三年级（基线）时评估父母和哥哥姐姐的吸烟状况。在儿童/青少年吸烟获得期间（直到12年级）评估了三次吸烟转变：(1)从不吸烟过渡到尝试吸烟，(2)从尝试吸烟过渡到每月吸烟，(3)从每月吸烟过渡到每天吸烟。40个华盛顿州学区参与长期的哈钦森吸烟预防项目（HSPP）。参与者和测量参与者是5520个家庭，他们的父母和哥哥姐姐的基线吸烟状况以及儿童吸烟转变的数据都是可用的。吸烟父母影响孩子第一次尝试吸烟的概率为32% (95% CI: 27%, 36%)；第二次从尝试每月吸烟转变为每月吸烟，15% (95% CI: 10%, 19%)；第三次从每月吸烟转变为每天吸烟，28% （95% CI: 21%, 34%）。哥哥姐姐影响孩子第一次尝试吸烟的概率为29% (95% CI: 17%, 39%)；从尝试到每月吸烟的第二次转变，0% (95% CI: 0%, 8%)；从每月吸烟到每天吸烟的第三次转变，20% （95% CI: 4%, 33%）。结论与以往的研究相比，研究结果提供了新的证据，表明家庭吸烟对儿童吸烟的开始和升级都有影响。研究结果还量化了父母和哥哥姐姐吸烟对儿童三种主要吸烟转变的重要性。父母吸烟，以及哥哥姐姐吸烟，都是预防青少年过渡吸烟的重要目标行为。
Aims To use a novel social epidemic probability model to investigate longitudinally the extent to which parents' and older siblings' smoking predict children's smoking transitions. Design Parents' and older siblings' smoking status was assessed when children were in 3rd grade (baseline). Three smoking transitions were assessed over the period of child/adolescent smoking acquisition (up to 12th grade): (1) transition from never smoking to trying smoking, (2) transition from trying to monthly smoking and (3) transition from monthly to daily smoking. Setting Forty Washington State school districts participating in the long term Hutchinson Smoking Prevention Project (HSPP). Participants and measurements Participants were the 5520 families for whom data on both parents' and older siblings' baseline smoking status, as well as on children's smoking transitions, were available. Findings The probability that a smoking parent influenced their child to make the first transition to trying smoking was 32% (95% CI: 27%, 36%); to make the second transition from trying to monthly smoking, 15% (95% CI: 10%, 19%); and to make the third transition from monthly to daily smoking, 28% (95% CI: 21%, 34%). The probability that an older sibling influenced a child to make the first transition to trying smoking was 29% (95% CI: 17%, 39%); to make the second transition from trying to monthly smoking, 0% (95% CI: 0%, 8%); and to make the third transition from monthly to daily smoking, 20% (95% CI: 4%, 33%). Conclusions In contrast to previous research, the results provide new evidence suggesting that family smoking influences both initiation and escalation of children's smoking. Results also quantify, in terms of probabilities, the importance of parents' and older siblings' smoking on children's three major smoking transitions. Parents' smoking, as well as older siblings' smoking, are important behaviors to target in preventing adolescents from making smoking transitions.